摘要
[目的]分析陕西省2021—2022年城市癌症早诊早治项目的筛查情况。[方法]对陕西省开展城市癌症早诊早治项目中5类高发恶性肿瘤(女性乳腺癌、肺癌、上消化道癌、肝癌、结直肠癌)的风险评估及临床筛查数据进行汇总分析。分析以上5种恶性肿瘤的高风险率、筛查依从率及阳性检出率。[结果]共17921人有效完成调查,男性参与筛查的比例(44.12%)低于女性(55.88%)。共评估出高危人群9270人,初筛高风险率51.7%,5类癌种的高风险率分别为乳腺癌34.2%、肺癌24.2%、上消化道癌20.7%、肝癌7.5%、结直肠癌29.8%。初筛被评估为高危人群的18145人次中,共6357人次接受临床筛查,筛查依从率为35.0%。5类癌种接受临床筛查的人次和筛查依从率分别为女性乳腺癌1451人次(42.3%)、肺癌2064人次(47.7%)、上消化道癌1125人次(30.4%)、肝癌468人次(35.0%)、结直肠癌1249人次(23.4%)。阳性检出人次和检出率分别为女性乳腺癌142例(9.8%)、肺癌373例(18.1%)、上消化道癌13例(1.2%)、肝癌8例(1.7%)、结直肠癌68例(5.4%)。[结论]陕西省城市癌症筛查初筛风险率高,但整体筛查依从性偏低,存在明显的癌种差异。
[Purpose]To analyze the screening results of urban cancer early diagnosis and treatment program in Shaanxi Province from 2021 to 2022.[Methods]The risk assessment and clinical screening data of five high incidence malignant tumors(female breast cancer,lung cancer,upper gastrointestinal cancer,liver cancer and colorectal cancer)in the urban cancer early diagnosis and treatment program in Shaanxi Province were collected and analyzed.The high-risk rate,screening compliance rate,and positive detection rate of the above 5 types of malignant tumors were calculated.[Results]A total of 17921 urban residents in Shaanxi Province completed the cancer risk survey from 2021 to 2022(44.12%were males and 55.88%were females),9270 were identified as high-risk(51.7%):34.2%for breast cancer,24.2%for lung cancer,20.7%for upper gastrointestinal cancer,7.5%for liver cancer,and 29.8%for colorectal cancer.Among 18145 person-times of high-risk,6357 person-times underwent clinical screening,with an overall compliance rate of 35.0%.The participating number and compliance rate of individual cancer screening were 1451 person-times(42.3%)for female breast cancer,2064 person-times(47.7%)for lung cancer,1125 person-times(30.4%)for upper gastrointestinal cancer,468 person-times(35.0%)for liver cancer,and 1249 person-times(23.4%)for colorectal cancer.The detected positive cases and the detection rate were 142 cases(9.8%)for frmale breast cancer,373 cases(18.1%)for lung cancer,13 cases(1.2%)for upper gastrointestinal cancer,8 cases(1.7%)for liver cancer,and 68 cases(5.4%)for colorectal cancer.[Conclusion]The screening results of early diagnosis and treatment project for urban cancer in Shaanxi Province shows a relative higher risk rate and lower compliance rate with significant differences among various types of cancer.
作者
王哲
陈勇
李刚
杨泽
陈彭
黄山平
宋本华
付神波
WANG Zhe;CHEN Yong;LI Gang;YANG Ze;CHEN Peng;HUANG Shanping;SONG Benhua;FU Shenbo(The Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710004,China;Shaanxi Provincial Cancer Hospital,Xi'an 710061,China;Northwest Women and Children's Hospital,Xi'an 710061,China;Affiliated Central Hospital of Shenyang Medical College,Shenyang 110075,China;The First Hospital of Yulin,Yulin 719000,China)
出处
《中国肿瘤》
北大核心
2025年第8期645-652,共8页
China Cancer
基金
陕西省重点研发计划一般项目——社会发展领域(2024SF-YBXM-121)。
关键词
城市癌症筛查
早诊早治
高危人群
陕西
urban cancer screening
early diagnosis and treatment
high risk population
Shaanxi
