2013—2017年中国城市癌症早诊早治项目基线结果分析

Preliminary Analysis of Cancer Screening Program in Urban China from 2013 to 2017

[目的]评价2013—2017年度城市癌症早诊早治项目实施情况。[方法]收集和整理2013—2017年度城市居民高风险评估问卷和临床筛查结果,计算各癌种的高风险率、筛查率、阳性病变检出率。[结果]2013—2017年度共2679670人参与高危风险评估问卷初筛,其中1140854人评估为高危人群,高风险率为42.57%。高危人群中共实施临床筛查732974人次,乳腺癌筛查参与率最高(40.25%),结直肠癌最低(17.25%)。随着项目进展,各癌症筛查参与率呈不同程度增加。2013—2017年度共检出阳性病变数58208例。临床筛查结果显示各癌种阳性病变检出率依次为22.23%(女性乳腺),11.36%(肺),3.40%(结直肠),2.18%(肝),1.84%(食管),0.47%(胃)。[结论]城市癌症早诊早治项目是降低城市居民主要恶性肿瘤发病率和死亡率的关键措施,自2012年实施以来,成效显著。

[Purpose]To evaluate the implementations of Cancer Screening Program in Urban China(CanSPUC)during the period of 2013―2017.[Methods]Questionnaires and screening data of the high-risk urban residents from 2013 to 2017 were collected and organized,and high-risk rate,screening rate and the prevalence of positive lesions for five major cancers were calculated.[Results]A total of2679670 urban residents aged 40~74 years old participated in the preliminary questionnaire screening.Among them,1140854 persons were classified as high-risk,with the high-risk rate of42.57%.And 732974 person/times among the high-risk population attended the clinical screening in CanSPUC program.The compliance rate of breast cancer screening was the highest(40.25%),and colorectal cancer screening had the lowest compliance rate(17.25%).The compliance of cancer screening presented an improvement,with the proceeding of the program.A total of 58208 positive lesions were detected among the screened urban residents.The descending order of the prevalence of the detected major cancers were female breast(22.23%),lung(11.36%),colorectum(3.40%),liver(2.18%),esophagus(1.84%)and stomach(0.47%).[Conclusion]Cancer Screening Program in Urban China(CanSPUC)is an important measure to reduce the incidence and mortality of cancer in urban residents,which has made progress since its implementation at 2012.