癌症早诊早治工作评价指标的探讨  

The Exploration of Evaluating Indicators for Early Detection and Treatment of Cancers in China

作　　者：董志伟[1,2] 乔友林[1] 王贵齐[1] 张苏展[3] 钱耕荪[4] 唐步坚[5] 游伟程[6] 周琦[7] 张立玮[8] 万德森[9] 陈建国[10] 柳青[9] 袁媛[11] 李纪宾[1,2] 赵方辉[1] 魏文强[1] 孟祥柱[2] 郑树[3] 王国清[1] 李光琳[12] 雷正龙[12] 孔灵芝[12] 

机构地区：[1]中国医学科学院北京协和医学院肿瘤医院肿瘤研究所,北京100021 [2]中国癌症基金会,北京100021 [3]浙江大学医学院附属第二医院肿瘤研究所,浙江杭州310009 [4]上海市肿瘤研究所,上海200032 [5]广西医科大学,广西南宁530021 [6]北京大学临床肿瘤学院,北京100036 [7]重庆市肿瘤医院,重庆400030 [8]河北医科大学第四医院,河北石家庄051011 [9]中山大学肿瘤医院,广东广州510060 [10]启东肝癌防治研究所,江苏启东226200 [11]中国医科大学附属第一医院肿瘤研究所,辽宁沈阳110001 [12]卫生部疾病预防控制局,北京100044

出　　处：《中国肿瘤》2010年第10期633-638,共6页China Cancer

摘　　要：[目的]探讨癌症早诊早治工作的评价指标。[方法]分析2006～2009年卫生部早诊早治项目宫颈癌、食管癌/贲门癌、结直肠癌、肝癌、鼻咽癌及胃癌的筛查和早诊早治数据,提出并定义癌症早诊早治工作的初步评价指标。筛查早诊率,检出率和治疗率为工作绩效指标;早期发现成本系数(early detection cost index,EDCI)为综合评价指标。[结果]宫颈癌、食管癌/贲门癌、结直肠癌、肝癌、鼻咽癌及胃癌6种癌症的诊断性筛查检出率分别为:5.6%、2.4%、3.9%、1.3%、5.5%、1.5%;筛查早诊率分别为:93.5%、82.3%、91.9%、58.2%、60.0%、80.0%;治疗率分别为:90.9%、68.4%、100%、69.1%、80.0%、85.0%;早期发现成本系数分别为:0.22、0.42、0.48、0.80、2.45、1.68。[结论]宫颈癌、结直肠癌及食管癌/贲门癌的早诊早治有良好的效益,应进一步推广。[Purpose] To investigate the evaluating indicators forearly detection and treatment of cancerprogram in China. [Methods] The data came from early detection and treatment of cancers including cervix,esophagus/cardiac,colon-recta,stomach,liver and nasopharynx supported by the central government special financial transfer payment program in 2006～2009. The evaluating indicators for early detection and treatment of cancerprogram are defined. The rates of screening detection,early di-agnosis and treatment are classified as indicators of the performance. The early detection cost index （EDCI） serves as the comprehensive indicator. [Results] Among the six cancers of cervix,esophagus/cardiac,colon-recta,liver,nasopharynx and stomach,the screening detection rates （on the diagnosis base）were 5.6%,2.4%,3.9%,1.3%,5.5%and 1.5%respectively. The early diagnosis rates were 93.5%,82.3%,91.9%,58.2%,60.0%and 80.0%respectively;and treatment rates were 90.9%,68.4%,100%,69.1%,80.0%and 85.0%respectively. Finally,the EDCI were 0.22,0.42,0.48,0.80,2.45 and 1.68 respectively. [Conclusions] The early detection and early treatment of cervical,colorectal and esophageal/cardiac cancers demonstrate a good cost benefit. It should be generalized to broad population implementation.

关 键 词：肿瘤 早诊早治 评价指标 中央补助地方 筛查 成本 

分 类 号：R73-31[医药卫生—肿瘤] R730.1[医药卫生—临床医学]