中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2013年
12期
1194-1197
,共4页
罗胜兰%胡如英%龚巍巍%王浩%潘劲%费方荣%俞敏
囉勝蘭%鬍如英%龔巍巍%王浩%潘勁%費方榮%俞敏
라성란%호여영%공외외%왕호%반경%비방영%유민
结直肠癌%生存率%流行病学
結直腸癌%生存率%流行病學
결직장암%생존솔%류행병학
Colorectal cancer%Survival rate%Epidemiology
目的 分析2005-2010年浙江省30个卫生监测区全人群结直肠癌患者的生存率.方法 随访浙江省卫生监测区2005-2010年17 235例结直肠癌患者的生存情况,生存时间计算截至2012年12月31日,利用SURV 3.01软件计算观察生存率(OS)及相对生存率(RS).结果 结直肠癌患者1、3、5年OS分别为76.71％、58.14％、50.58％,RS为78.93％、63.48％、58.73％.其中男性RS为79.36％、63.63％、58.85％;女性RS为78.35％、63.29％、58.57％,男女性生存率差异无统计学意义(x2=1.08,P=0.298).城市地区5年OS和RS分别为55.06％与64.09％,高于农村地区的47.59％和55.16％,差异有统计学意义(x2=85.84,P＜0.001).55 ～ 64岁组5年RS为66.02％,高于其他年龄组,各年龄组间生存率差异有统计学意义(x2=333.42,P＜0.001).结肠癌与直肠癌5年RS分别为61.47％和56.45％,结肠癌患者中长期RS高于直肠癌患者(x2=7.26,P＜0.05).结论 浙江省结直肠癌生存率存在地区差异,公共卫生资源应向农村地区倾斜;影响＜55岁结直肠癌患者生存率的因素有待进一步研究.
目的 分析2005-2010年浙江省30箇衛生鑑測區全人群結直腸癌患者的生存率.方法 隨訪浙江省衛生鑑測區2005-2010年17 235例結直腸癌患者的生存情況,生存時間計算截至2012年12月31日,利用SURV 3.01軟件計算觀察生存率(OS)及相對生存率(RS).結果 結直腸癌患者1、3、5年OS分彆為76.71％、58.14％、50.58％,RS為78.93％、63.48％、58.73％.其中男性RS為79.36％、63.63％、58.85％;女性RS為78.35％、63.29％、58.57％,男女性生存率差異無統計學意義(x2=1.08,P=0.298).城市地區5年OS和RS分彆為55.06％與64.09％,高于農村地區的47.59％和55.16％,差異有統計學意義(x2=85.84,P＜0.001).55 ～ 64歲組5年RS為66.02％,高于其他年齡組,各年齡組間生存率差異有統計學意義(x2=333.42,P＜0.001).結腸癌與直腸癌5年RS分彆為61.47％和56.45％,結腸癌患者中長期RS高于直腸癌患者(x2=7.26,P＜0.05).結論 浙江省結直腸癌生存率存在地區差異,公共衛生資源應嚮農村地區傾斜;影響＜55歲結直腸癌患者生存率的因素有待進一步研究.
목적 분석2005-2010년절강성30개위생감측구전인군결직장암환자적생존솔.방법 수방절강성위생감측구2005-2010년17 235례결직장암환자적생존정황,생존시간계산절지2012년12월31일,이용SURV 3.01연건계산관찰생존솔(OS)급상대생존솔(RS).결과 결직장암환자1、3、5년OS분별위76.71％、58.14％、50.58％,RS위78.93％、63.48％、58.73％.기중남성RS위79.36％、63.63％、58.85％;녀성RS위78.35％、63.29％、58.57％,남녀성생존솔차이무통계학의의(x2=1.08,P=0.298).성시지구5년OS화RS분별위55.06％여64.09％,고우농촌지구적47.59％화55.16％,차이유통계학의의(x2=85.84,P＜0.001).55 ～ 64세조5년RS위66.02％,고우기타년령조,각년령조간생존솔차이유통계학의의(x2=333.42,P＜0.001).결장암여직장암5년RS분별위61.47％화56.45％,결장암환자중장기RS고우직장암환자(x2=7.26,P＜0.05).결론 절강성결직장암생존솔존재지구차이,공공위생자원응향농촌지구경사;영향＜55세결직장암환자생존솔적인소유대진일보연구.
Objective To analyze the survival rate of colorectal cancer,using data from the population-based cancer registry during 2005-2010 in Zhejiang.Methods The last follow-up activites on 17 235 cases regarding the survival status was December 31,2012.Both cumulative observed survival rate (OS) and relative survival rate (RS) were calculated with SURV 3.01 software drawn up by Hakulinen.Results The OS on 1,3 and 5 year were 76.71％,58.14％,50.58％ and the RS on 1,3 and 5 year were 78.93％,63.48％,58.73％,respectively.The 1,3 and 5 year relative survival rates on males vs.females were 79.36％ vs.78.35％,63.63％ vs.63.29％,and 58.85％ vs.58.57％,respectively and the difference between them was not statistically significant (x2=1.08,P=0.298).The 5 year OS and RS of the urban population were 55.06％ and 64.09％ and the 5 year OS and RS of the rural population were 47.59％ and 55.16％,with statistically significant differences (x2 =85.84,P＜0.001).The 55-64 age group appeared higher relative survival rate.There were significant differences in the survival rates among different age groups (x2=333.42,P＜0.001).The 5 year RS of colon vs.rectum were 61.47％ vs.56.45％.Colon patients showed better relative survival rate (x2=7.26,P＜0.05).Conclusion The wide variations in colorectal cancer survival rates were seen between the urban and rural populations.Public health resources should be focused on rural areas.Patients younger than 55 years should be under specific attention to further understand the related factors which influencing the prognosis of the diseases.
