| 王 乐,孙校华,张美珍.2013—2018年浙江省城市癌症早诊早治项目筛查结果初步分析[J].中国肿瘤,2020,29(12):904-909. |
| 2013—2018年浙江省城市癌症早诊早治项目筛查结果初步分析 |
| Preliminary Results of Cancer Screening Program in Urban Areas in Zhejiang Province from 2013 to 2018 |
| 中文关键词 修订日期：2020-04-23 |
| DOI：10.11735/j.issn.1004-0242.2020.12.A003 |
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| 中文关键词: 癌症 组织性筛查 高危人群 城市 浙江 |
| 英文关键词:cancer organized screening high-risk population urban area Zhejiang |
| 基金项目:国家重大公共卫生服务项目——城市癌症早诊早治项目 |
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| 中文摘要: |
| 摘 要：［目的］ 分析2013—2018年浙江省城市癌症早诊早治项目筛查结果。［方法］ 汇总2013—2018年浙江省城市癌症早诊早治项目高危人群评估及临床筛查数据，开展数据匹配和整理，分别计算各癌症的高危率、筛查顺应性和阳性病变检出率。［结果］ 累计完成问卷调查166 293人，其中81 735人被评估为任一癌症高危，整体高危率为49.15%。不同癌种高危率从高到低分别是上消化道癌(26.48%)、肺癌(20.34%)、肝癌(14.29%)、结直肠癌(13.21%)和女性乳腺癌(12.56%)。累计完成五类癌症的临床检查51 504人次，其中分癌种筛查顺应性顺位分别是女性乳腺癌(56.03%)、肝癌(52.07%)、肺癌(48.21%)、上消化道癌(26.26%)和结直肠癌(19.97%)。共检出阳性病变16 397例，分部位阳性检出率顺位依次为女性乳腺癌(26.62%)、肺癌(15.78%)、结直肠癌(2.96%)、肝癌(2.40%)和上消化道癌(0.40%)。［结论］ 针对五类癌症高危人群联合筛查有助于发现癌症及其癌前病变，然而部分癌症筛查参与率相对较低，需加强人群组织动员，以进一步提升项目筛查效果。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the results of the Cancer Screening Program in Urban China in Zhejiang Province from 2013 to 2018. ［Methods］ Based on the program conducted in Zhejiang Province from 2013 to 2018，the databases of high-risk assessment and clinical screening were ana-lyzed，and the high-risk rates，compliance rates of clinical examination and detection rates of positive lesions for each types of cancer were calculated，respectively. ［Results］ Among 166 293 participants who completed the questionnaire survey，81 735(49.15%) cases were identified as high-risk subjects of cancer. The ranking of high-risk rate of five cancers was upper gastrointestinal cancer(26.48%)，lung cancer(20.34%)，liver cancer(14.29%)，colorectal cancer(13.21%) and breast cancer(12.56%). Among all high-risk population，51 504 clinical examinations were performed. The compliance rates of clinical examination for breast，liver，lung，upper gastrointestinal and colo-rectal cancer were 56.03%，52.07%，48.21%，26.26% and 19.97%，respectively. A total of 16 397 cases with positive lesions were detected. The detection rates for five sites were breast(26.62%)，lung(15.78%)，colon and rectum(2.96%)，liver(2.40%) and upper digest tract(0.40%)，respectively. ［Conclusion］ Current screening program for high-risk population of five cancers is effective in detecting cancer and precancerous lesions，whereas the compliance rates for some cancers are relatively low. More efforts should be put into the program organization and community motivation，thus to improve the magnitude of overall effectiveness. |
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