Cancer survival in a southern African urban population
Cancer survival in a southern African urban population
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DOI：
10.1002/ijc.20471
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发表时间：
2004-12-10
影响因子：
6.4
通讯作者：
Bassett, MT
中科院分区：
文献类型：
--
作者：
Gondos, A;Chokunonga, E;Bassett, MT
这篇论文提供了非洲大陆第一个全面的基于人群的癌症生存估计。五年的绝对和相对生存率估计黑人和白色津巴布韦患者诊断为癌症在哈拉雷，津巴布韦在1993年和1997年之间。津巴布韦黑人癌症患者的存活率是基于人口的癌症登记处报告的最低水平之一。对于大多数癌症部位，白色津巴布韦患者的存活率比津巴布韦黑人高得多，除了肺癌和结肠直肠癌，这两种癌症的估计值同样很差。与美国癌症患者的种族特异性比较显示，津巴布韦患者的生存率比美国癌症患者低得多，津巴布韦黑人患者和美国黑人患者之间的差距比津巴布韦白色人和白色美国患者之间的差距更大。获得医疗保健和支付医疗保健的能力可能是大多数津巴布韦黑人患者提高生存率的一个非常重要的障碍，也是这一人群癌症生存率非常低的最重要原因。(C)2004威利-利斯公司
This paper provides the first comprehensive population based cancer survival estimates from the African continent. Five-year absolute and relative survival estimates are presented for black and white Zimbabwean patients diagnosed with cancer in Harare, Zimbabwe between the years 1993 and 1997. The survival of black Zimbabwean cancer patients are among the lowest ever reported from population based cancer registries. For most cancer sites, white Zimbabwean patients have much higher survival than black Zimbabweans, except for lung and colorectal cancer, for which the estimates are similarly poor. Race specific comparisons to cancer patients in the United States show that Zimbabwean patients have much lower survival than American cancer patients and that the gap between black Zimbabwean patients and black American patients is broader than between white Zimbabwean and white American patients. Access to and the ability to pay for medical care may be a very important barrier to better survival for the majority of black Zimbabwean patients and the most important cause for the very low cancer survival in this population. (C) 2004 Wiley-Liss, Inc.