陈万青,李 霓,曹毛毛.2013—2017年中国城市癌症早诊早治项目基线结果分析[J].中国肿瘤,2020,29(1):1-6.
2013—2017年中国城市癌症早诊早治项目基线结果分析
Preliminary Analysis of Cancer Screening Program in Urban China from 2013 to 2017
中文关键词  修订日期:2019-12-05
DOI:10.11735/j.issn.1004-0242.2020.01.A001
中文关键词:  癌症  筛查  早诊早治  城市  中国
英文关键词:cancer  early diagnosis and treatment  screening  urban  China
基金项目:
作者单位
陈万青 国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院 
李 霓 国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院 
曹毛毛 国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院 
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中文摘要:
      摘 要:[目的]评价2013—2017年度城市癌症早诊早治项目实施情况。[方法] 收集和整理2013—2017年度城市居民高风险评估问卷和临床筛查结果,计算各癌种的高风险率、筛查率、阳性病变检出率。[结果] 2013—2017年度共2 679 670人参与高危风险评估问卷初筛,其中1 140 854人评估为高危人群,高风险率为42.57%。高危人群中共实施临床筛查732 974人次,乳腺癌筛查参与率最高(40.25%),结直肠癌最低(17.25%)。随着项目进展,各癌症筛查参与率呈不同程度增加。2013—2017年度共检出阳性病变数58 208例。临床筛查结果显示各癌种阳性病变检出率依次为22.23%(女性乳腺),11.36%(肺),3.40%(结直肠),2.18%(肝),1.84%(食管),0.47%(胃)。[结论] 城市癌症早诊早治项目是降低城市居民主要恶性肿瘤发病率和死亡率的关键措施,自2012年实施以来,成效显著。
英文摘要:
      Abstract:[Purpose] To evaluate the implementations of Cancer Screening Program in Urban China(CanSPUC) during the period of 2013―2017. [Methods] Questionnaires and screening data of the high-risk urban residents from 2013 to 2017 were collected and organized,and high-risk rate,screening rate and the prevalence of positive lesions for five major cancers were calculated.[Results] A total of 2 679 670 urban residents aged 40~74 years old participated in the preliminary questionnaire screening. Among them,1 140 854 persons were classified as high-risk,with the high-risk rate of 42.57%. And 732 974 person/times among the high-risk population attended the clinical screening in CanSPUC program. The compliance rate of breast cancer screening was the highest(40.25%),and colorectal cancer screening had the lowest compliance rate(17.25%). The compliance of cancer screening presented an improvement,with the proceeding of the program. A total of 58 208 positive lesions were detected among the screened urban residents. The descending order of the prevalence of the detected major cancers were female breast(22.23%),lung(11.36%),colorectum(3.40%),liver(2.18%),esophagus(1.84%) and stomach(0.47%). [Conclusion] Cancer Screening Program in Urban China(CanSPUC) is an important measure to reduce the incidence and mortality of cancer in urban residents,which has made progress since its implementation at 2012.
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