| 陈建国,陈海珍,姚海蓉,等.江苏省南通地区老年恶性肿瘤住院患者40 511例人口学特征分析[J].中国肿瘤,2022,31(9):732-739. |
| 江苏省南通地区老年恶性肿瘤住院患者40 511例人口学特征分析 |
| Demographic Characteristics of 40 511 Elderly Hospitalized Cancer Patients in Nantong Region，Jiangsu Province |
| 投稿时间：2022-06-11 |
| DOI：10.11735/j.issn.1004-0242.2022.09.A009 |
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| 中文关键词: 肿瘤 住院 老龄化 趋势 江苏 |
| 英文关键词:cancer hospitalization aging trend Jiangsu |
| 基金项目:南通市人口学会人口发展研究课题（2021NPA07）；南通市卫生健康委员会科研课题（MB2020016） |
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| 中文摘要: |
| 摘 要：［目的］ 分析南通地区老年恶性肿瘤住院患者的人口学特征和历年变化趋势。［方法］ 从以医院为基础的癌症登记数据库中摘取2002—2017年期间60岁及以上老年恶性肿瘤患者记录，按性别、年龄、入出院次数、户籍来源、恶性肿瘤部位等采用SPSS软件进行分类统计分析。用Cox-Staurt趋势检验评估住院患者的增长趋势。 ［结果］ 2002—2017年登记的74 480例患者中，老年恶性肿瘤为40 511例，占54.39%；老年恶性肿瘤患者每例平均住院2.60次。首次就诊入住的老年恶性肿瘤患者，从2002年的1 319例增长到2017年的4 028例，增长了205.38%。食管癌、肺癌、胃癌、宫颈癌、肝癌等住院人数前20位的恶性肿瘤中，除鼻咽癌之外，住院病例增长趋势均有统计学意义（P<0.05）。老年患者以60~64岁者为最多，其次为65~69岁组，并随年龄的增长而减少；老年患者的首次入院平均年龄，由2002年的（68.11±6.08）岁，上升到2017年的（70.17±6.84）岁。老年各年龄组历年住院数以及南通各县市区的老年住院病例数，均呈现显著的上升趋势（P<0.05）。 ［结论］ 接受入院治疗的老年恶性肿瘤病例数正在不断增长，区域性的癌症防控、专科发展应当充分考虑老龄患者的需求。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the demographic characteristics and trends of hospitalized elderly cancer patients in Nantong region. ［Methods］ Medical records of cancer patients aged 60 years old and over during 2002—2017 were extracted from the hospital-based cancer registration database in Nantong municipality. SPSS software was used for statistical analysis by sex， age， admission and discharge times， household registration source， and cancer site. The trend of hospitalized patients was assessed by the Cox-Staurt trend test. ［Results］ Among 74 480 cancer patients registered during 2002—2017， 40 511(54.39%) were aged ≥60 years old， the average admission time of whom was 2.60. The number of elderly cancer patients admitted for the first time increased from 1 319 in 2002 to 4 028 in 2017， with an increase of 205.38%. The number of hospitalized patients with 20 common cancers， except for nasopharyngeal carcinoma， was significantly increased from 2002 to 2017(P<0.05). The peak age group of hospitalized cancer patients was 60~64 years old， followed the age group of 65~69 years， then decreased with age. The average age of first admission increased from (68.11±6.08) years old in 2002 to (70.17±6.84) years old in 2017. The numbers of hospitalized cancer patients in all age groups and in all counties/districts showed significant upward trends(P<0.05) during 2002—2017. ［Conclusion］ The number of elderly cancer cases admitted to hospital has been increasing. Regional cancer prevention and control， and specialty development should fully consider the needs of elderly patients. |
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