2015年辽宁省大连市城区新发癌症病例综合随访结果分析  

Follow-up Results of Newly Diagnosed Cancer Patients in Dalian Urban Areas in 2015

作　　者：王晓锋[1] 付瑞瑛 林红[1] 张思维 郑荣寿 李荔 王少明 陈茹 孙可欣 曾红梅 穆慧娟[3] 魏文强 梅丹[1] WANG Xiao-feng;FU Rui-ying;LIN Hong;ZHANG Si-wei;ZHENG Rong-shou;LI Li;WANG Shao-ming;CHEN Ru;SUN Ke-xin;ZENG Hong-mei;MU Hui-juan;WEI Wen-qiang;MEI Dan(Dalian Center for Disease Control and Prevention,Dalian 116035,China;National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China;Liaoning Provincial Center for Disease Control and Prevention,Shenyang 110005,China)

机构地区：[1]大连市疾病预防控制中心,辽宁大连116035 [2]国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院,北京100021 [3]辽宁省疾病预防控制中心,辽宁沈阳110005

出　　处：《中国肿瘤》2022年第5期348-354,共7页China Cancer

基　　金：2020年大连市医学科学研究计划项目(2022013)。

摘　　要：[目的]分析2015年大连市城区新发癌症病例采用两轮综合随访模式获得的随访结果。[方法]选取大连市肿瘤登记处2015年新发癌症患者为研究对象,由统一培训的工作人员分别于2018年1—5月和2021年1—6月期间开展两轮综合随访,以获取患者生存结局信息。综合随访模式采用被动随访和主动随访相结合的方法进行。描述并分析不同随访方式获得癌症患者死亡结局的比例。[结果]第一轮随访研究最终纳入患者11626例,追踪到4897例(42.12%)死亡患者;其中,通过死因监测系统追踪3882例(33.39%)死亡患者,通过公安户籍补充追踪993例(8.54%)死亡患者,主动随访更新死亡信息22例(0.19%)。第二轮随访最终纳入研究的患者为11938例,合计追踪到死亡患者6053例(50.70%);其中通过死因监测系统和公安户籍系统更新死亡6041例(50.60%),主动随访补充死亡信息12例(0.10%)。分癌种来看,随访结局为死亡的癌种比例最高的是肝癌(87.63%),最低的是甲状腺癌(2.20%)。[结论]在大连采用被动随访与主动随访相结合的方式可精准获得癌症患者生存结局。通过人群肿瘤发病登记数据与公安户籍、死因监测、医保数据、医院诊疗记录匹配的被动随访方式可追踪到95%以上患者生存结局。随访结果将为进一步评估该地区癌症患者生存率、优化我国城市地区人群癌症随访模式提供科学参考。[Purpose]To analyze the results of two-round follow-up for newly diagnosed cancer patients in Dalian urban areas in 2015.[Methods]All eligible newly diagnosed cancer patients in2015 were collected from Dalian Cancer Registries.Two rounds of follow-up in 2018 and 2021were conducted using a mix of active and passive follow-up methods.And the proportion of cancer patients’vital status through different follow-up methods were described and analyzed.[Results]In the first round of follow-up,among 11626 eligible cancer patients a total of 4897(42.12%)deaths were identified,including 3882(33.39%)deaths identified from the mortality database of the Dalian Vital Statistic System,993(8.54%)supplemented deaths tracked from the Dalian Civil Registration System,and 22(0.19%)identified through active follow-up.In the second round of follow-up,among 11938 eligible cancer patients a total of 6053(50.70%)deaths were identified,including 6041(50.60%)deaths identified through the Dalian Vital Statistic System/the Dalian Civil Registration System,and 12(0.10%)were tracked by active follow-up.Among all cancer deaths the proportion of liver cancer was the highest(87.63%)and thyroid cancer was the lowest(2.20%).[Conclusion]The integration of cancer registration data with Vital Statistic System,Civil Registration System and Health Insurance System in Dalian could identify 95%of patients’vital status.It may offer a new clue to optimize the cancer follow-up model in urban areas.

关 键 词：肿瘤登记 主动随访 被动随访 生存率 辽宁 

分 类 号：R73-31[医药卫生—肿瘤]