论文部分内容阅读
目的:分析上海市浦东新区2004年恶性肿瘤患者生存情况,为制订肿瘤防治策略提供参考依据。方法:采用上海市肿瘤病例登记报告系统,收集浦东新区各地区2004年诊断为恶性肿瘤的8 907例患者信息,采用寿命表法计算观察生存率(OSR),Ede-rⅡ法计算相对生存率(RSR)。结果:浦东新区2004年共登记恶性肿瘤发病8 907例,发病率为357.51/10万;恶性肿瘤患者1～5年OSR分别为45.30%、39.74%、36.62%、34.14%和32.41%;1～5年RSR分别为48.44%、44.08%、42.78%、42.51%和41.64%;其中结直肠癌、甲状腺癌、膀胱癌、乳腺癌和脑中枢神经系统肿瘤的5年RSR>40%;胰腺癌和肝癌的5年RSR<10%;不同性别、年龄、地区和病理分期的恶性肿瘤患者总生存率的差异有统计学意义,χ2值分别为352.298、1 472.077、33.913和1 052.113,P值均<0.01;1、3和5年RSR随发病年龄的增加而有降低的趋势,差异有统计学意义,t值分别为-51.450、-56.551和-73.479,P值均<0.01。结论:浦东新区部分人群恶性肿瘤生存率较低,主要影响因素为肿瘤类别、性别、年龄、地理分布和病理分期。
Objective: To analyze the survival of patients with malignant tumor in Shanghai Pudong New Area in 2004, and provide a reference for formulating the strategy of cancer prevention and treatment. Methods: The 8907 cases of malignant tumors diagnosed as malignant neoplasms in 2004 in Pudong New Area were collected. Survival rate (OSR) was calculated by life table method, and relative survival rate was calculated by Ede-rⅡ method RSR). Results: 8 907 cases of malignant tumors were registered in Pudong New Area in 2004, with a prevalence of 357.51 / 100 000. The OSRs of patients with malignant tumors from 1 to 5 years were 45.30%, 39.74%, 36.62%, 34.14% and 32.41% The five-year RSR were 48.44%, 44.08%, 42.78%, 42.51% and 41.64%, respectively. The 5-year RSR of colorectal, thyroid, bladder, breast and brain CNS tumors was> 40% The 5-year RSR of hepatocellular carcinoma was less than 10%. The overall survival rates of malignant tumors with different sexes, ages, regions and pathological stages were statistically significant (χ2 = 352.298,1 472.077,33.913 and 1052.113, P < 0.01; 1, 3 and 5 years RSR decreased with the age of onset, the difference was statistically significant, t values were -51.450, -56.551 and -73.479, P values were <0.01. Conclusion: The survival rate of malignant tumor in some people in Pudong New Area is low. The main influencing factors are the tumor type, sex, age, geographical distribution and pathological stage.