摘要
目的了解辽宁省沈阳市城市居民癌症高风险率、筛查率和检出率,为城市癌症早诊早治项目的持续开展提供参考依据。方法于2016年11月-2019年3月采用整群抽样方法在沈阳市大东区11个社区和和平区13个社区抽取年龄40~74岁的102913名常住城市居民进行问卷调查,对评估出的高风险人群进行肺癌、乳腺癌、肝癌、上消化道癌和结直肠癌的筛查。结果沈阳市102913名城市居民中,肺癌、乳腺癌、肝癌、上消化道癌和结直肠癌高风险人群检出率分别为26.95%、18.29%、18.94%、24.60%和20.38%;癌症高风险人群中,肺癌、乳腺癌、肝癌、上消化道癌和结直肠癌筛查参与率分别为32.29%、26.87%、33.47%、17.40%和22.52%;参与筛查癌症高风险人群中,肺内阳性结节及疑似肺癌、乳腺癌筛查阳性病例、肝占位性病变、上消化道癌及癌前病变和结直肠癌及癌前病变检出率分别为8.77%、7.24%、0.52%、11.14%和34.65%。结论沈阳市2016-2018年度城市居民肺癌高风险人群检出率较高,肝癌筛查参与率较高,参与筛查高风险人群中结直肠癌及癌前病变检出率较高。
Objective To examine risk and screening outcome of five major cancers among urban residents aged 40−74 years in Shenyang city of Liaoning province and to provide references for sustainable implementation of early cancer diagnosis and treatment among urban residents.Methods We enrolled 102913 permanent residents aged 40−74 years in 24 communities of two urban districts in Shenyang city of Liaoning province with cluster sampling.Using approaches and questionnaire for Cancer Screening Program in Urban China,we carried out face-to-face interviews to assess risks of lung,breast,liver,upper gastrointestinal,and colorectal cancer among the participants and conducted screenings on the five cancers among the high-risk participants from November 2016 to March 2019.Results Of the participants,26.95%,18.29%,18.94%,24.60%,and 20.38%were assessed as with high-risk of lung,breast,liver,upper gastrointestinal,and colorectal cancer;for the high-risk participants,32.29%,26.87%,33.47%,17.40%,and 22.52%took part in subsequent screening on those five cancers.Among the participants screened,the detection rate of positive pulmonary nodule/suspected lung cancer,breast imaging reporting and data system(BI-RADS)category 4 and above,liver space-occupying lesions,upper gastrointestinal cancer/precancerous lesions,and colorectal cancer/precancerous lesions were 8.77%,7.24%,0.52%,11.14%,and 34.65%,respectively.Conclusion In 2016−2018 for the urban residents aged 40−74 years in Shenyang city,the proportion of those with high-risk of five major cancers were relatively high;the participation rate of screening on liver cancer was relatively high among the people assessed with high-risk of liver cancer;and the detection rate of colorectal cancer/precancerous lesions was relatively high for the participants of colorectal cancer screening.
作者
刘运泳
左婷婷
于连政
吴颖
董首兰
罗娅红
姜桂春
于韬
赵莹
张勇
徐兰
关宁
王丹波
LIU Yun-yong;ZUO Ting-ting;YU Lian-zheng(Cancer Hospital of China Medical University,Liaoning Province Cancer Hospital,Shenyang,Liaoning Province 110042,China)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2020年第1期1-4,共4页
Chinese Journal of Public Health
基金
国家重点研发计划（2016YFC1303001）
2019年度辽宁省重点研发计划（2019JH2/10300013）
关键词
癌症
风险评估
筛查
城市居民
cancer
risk assessment
screening
urban residents
