摘要
目的通过对某肿瘤专科医院恶性肿瘤患者死亡病例的回顾性分析,为医院合理配置医疗资源以及恶性肿瘤的早诊早治提供参考依据。方法收集该肿瘤专科医院2019—2024年恶性肿瘤死亡患者信息,采用SPSS 25.0和R studio分析死亡患者性别和年龄分布、恶性肿瘤的病死率以及死因顺位。结果2019—2024年恶性肿瘤死亡患者共计862人,病死率0.32%。其中有500例(占58.0%)未曾接受手术治疗,临床/病理分期为Ⅳ期的死亡患者561例(占65.1%);男性死亡人数531例,女性死亡人数331例,男性病死率(0.54%)显著高于女性(0.19%)(χ^(2)=236.93,P=0.000);2019年恶性肿瘤病死率最高为0.47%;病死率最高的年龄组是75岁及以上(113例,占1.23%),不同性别在各年龄组的死亡分布差异均有统计学意义(P<0.05);死因顺位前五位为肺癌(206例,占23.90%),肝癌(88例,占10.21%),胃癌(75例,占8.70%),恶性淋巴瘤(73例,占8.47%),胰腺癌(72例,占8.35%)。结论男性恶性肿瘤病死率高于女性,死亡高发年龄为75岁及以上。肺癌、肝癌和胃癌是死亡的主要癌种,医院在加强重点癌种诊疗的同时也应加强对老年人的健康教育。
Objective This study aims to conduct a retrospective analysis of the malignant tumor mortality cases at a specialized oncology hospital,providing a reference for rationally allocating medical resources and early diagnosis and treatment of malignant tumors.Methods Demographic data and clinical records of deceased patients with malignant tumor at the hospital from 2019 to 2024 was collected and analyzed with SPSS 25.0 and R studio in terms of gender,age,mortality rate and death causes.Results Totally,862 inpatients were reported dead from 2019 to 2024,with a mortality rate of 0.32%.Among them,500(58.0%)had not received surgical treatments,and 561(65.1%)were documented as clinical/pathological stage Ⅳ.Overall,531 deaths occurred in men and 331in women;the male mortality rate was significantly higher than the female(0.54%vs.0.19%),(χ^(2)=236.93,P=0.000).The highest annual tumor-related mortality rate was recorded in 2019(0.46%).The 75-and-older age group had the greatest mortality,with 113 deaths accounting for 1.23%;the age-specific distribution differed significantly between sexes(P<0.05).The top five causes of cancer death were lung cancer(206 cases,23.90%),liver cancer(88 cases,10.21%),gastric cancer(75 cases,8.70%),malignant lymphoma(73 cases,8.47%),pancreatic cancer(72 cases,8.35%).Conclusion The malignant tumor mortality rate is higher in males than in females,with the highest mortality observed in those aged 75 and above.Lung,liver and gastric cancers account for most cancer deaths.The hospital managers should strengthen health education for the elderly and simultaneously strengthen the diagnosis and treatment of these key cancers.
作者
王欢
王洪涛
范丽达
李晨阳
李良
都夏清
WANG Huan;WANG Hongtao;FAN Lida;LI Chenyang;LI liang;DU Xiaqing(Tianjin Medical University Cancer Institute&Hospital,National Clinical Research Center for Cancer,Tianjin’s Clinical Research Center for Cancer,Tianjin Key Laboratory of Cancer Prevention and Therapy,Tianjin 300060,China)
出处
《现代医院》
2025年第11期1770-1773,共4页
Modern Hospitals
基金
天津市医学重点学科(专科)建设项目(TJYXZDXK-009A)。
关键词
恶性肿瘤
死亡病例
病死率
死因顺位
Malignant tumor
Mortality cases
Mortality rate
Cause of death ranking
