2017-2019年广东省农村适龄妇女宫颈癌和乳腺癌筛查结果和成本效果分析  

Analysis on the results and cost⁃effectiveness of cervical and breast cancer screening for rural women in Guangdong Province from 2017 to 2019

作　　者：缪华章[1] 吴云涛[1] 朱颖贤 MIAO Huazhang;WU Yuntao;ZHU Yingxian(Department of Health-care,Guangdong Women and Children Hospital,Guangzhou 511442,China)

机构地区：[1]广东省妇幼保健院保健部,广州511442

出　　处：《实用医学杂志》2023年第13期1709-1713,共5页The Journal of Practical Medicine

基　　金：广东省医学科研基金资助项目(编号:C2020030)。

摘　　要：目的深入分析2017-2019年广东省农村妇女宫颈癌和乳腺癌(简称两癌)筛查情况和成本效果,为卫生健康行政部门制定下一阶段方案提供科学依据。方法利用广东省两癌检查项目的个案和季报表进行分析,分析两癌检出率、早期诊断率、发现早期病例平均费用和早期发现成本系数。结果2017-2019年广东省为130余万名农村妇女提供两癌免费检查,平均年龄(48.04±7.94)岁。宫颈癌检出率56.50/10万,宫颈癌早期诊断率94.15%,发现早期病例的平均费用为29598元,早期发现成本系数EDCI为0.71,非常具有成本效果价值。乳腺癌检出率40.91/10万,乳腺癌早期诊断率60.16%,发现早期病例的平均费用为304200元,早期发现成本系数EDCI为7.31,成本效果价值合算。结论2017-2019年广东省农村妇女两癌筛查项目取得较好的效果,具有成本效果价值,值得卫生健康、财政和妇联等行政部门继续延续开展广东省适龄妇女两癌筛查项目,进一步扩大筛查覆盖范围和推广到城乡人群。Objective To conduct an in⁃depth analysis of the screening of cervical cancer and breast cancer and its cost⁃effectiveness among rural women in Guangdong Province from 2017 to 2019,and to provide reference for the health administrative departments to formulate future plan.Methods The detection rate,early diagnosis rate,average cost of early detection and early detection cost index(EDCI)were analyzed using cases and quarterly reports from cervical cancer and breast cancer screening program in Guangdong Province.Results From 2017 to 2019,Guangdong Province provided free screening of cervical cancer and breast cancer for more than 1.3 million rural women,with an average age of(48.04±7.94)years.The detection rate for cervical cancer was 56.50 per 100000,with an early diagnosis rate of 94.15%.Average cost of detecting early cases was 29598 yuan,and the EDCI was 0.71,showing considerable cost⁃effectiveness.The breast cancer detection rate was 40.91 per 100000,with an early diagnosis rate of 60.16%.Average cost of detecting early cases was 304200 yuan,and the EDCI was 7.31,showing acceptable cost⁃effectiveness.Conclusion From 2017 to 2019,cervical cancer and breast cancer screening program for rural women in Guangdong Province had cost⁃effectiveness value.It is worth to promoting the program for women of appropriate age in Guangdong Province with the cooperation of healthcare department,finance department,women's federations and other administrative departments,and further expanding the coverage of screening to urban and rural populations.

关 键 词：农村妇女 宫颈癌 乳腺癌 筛查 早期发现成本系数 

分 类 号：R737.33[医药卫生—肿瘤] R737.9[医药卫生—临床医学]