Cancer mortality-to-incidence ratio as an indicator of cancer management outcomes in Organization for Economic Cooperation and Development countries
Cancer mortality-to-incidence ratio as an indicator of cancer management outcomes in Organization for Economic Cooperation and Development countries
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DOI：
10.4178/epih.e2017006
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发表时间：
2017-01-01
影响因子：
3.8
通讯作者：
Choi, Kui Son
中科院分区：
文献类型：
--
作者：
Choi, Eunji;Lee, Sangeun;Choi, Kui Son
评估长期成功和效率是评估癌症控制计划的重要组成部分。死亡率与发病率的比率（MIR）可以作为一个有见地的指标，为个别国家的癌症管理结果。通过计算经济合作与发展组织（OECD）国家前五位癌症的MIRs，本研究试图根据每个国家的卫生系统排名来描述国家癌症管理政策的结果。全球五种负担最重的癌症的MIR使用2012年GLOBOCAN发病率和死亡率统计数据，计算了所有34个OECD国家（肺、结直肠、前列腺、胃和乳腺）的发病率和死亡率。世界卫生组织2000年报告的卫生系统排名尽可能以相关信息加以更新。建立了一个线性回归模型，使用MIRs作为因变量和卫生系统的排名作为自变量。结果：MIRs和卫生系统的排名为五种癌症之间的线性关系是显着的，确定系数范围从49到75%时，离群值被排除。一个明确的离群值，韩国报告低于预期的MIRs胃癌和结直肠癌，反映了其强大的国家癌症控制政策，特别是癌症screening.CONCLUSIONS：MIR被认为是一个实用的措施，用于评估癌症监测的长期成功和癌症控制计划的疗效，特别是癌症筛查。将MIRs的使用扩展到评估其他癌症也可能证明是有用的。
OBJECTIVES: Assessing long-term success and efficiency is an essential part of evaluating cancer control programs. The mortality- to-incidence ratio (MIR) can serve as an insightful indicator of cancer management outcomes for individual nations. By calculating MIRs for the top five cancers in Organization for Economic Cooperation and Development (OECD) countries, the current study attempted to characterize the outcomes of national cancer management policies according to the health system ranking of each country.METHODS: The MIRs for the five most burdensome cancers globally (lung, colorectal, prostate, stomach, and breast) were calculated for all 34 OECD countries using 2012 GLOBOCAN incidence and mortality statistics. Health system rankings reported by the World Health Organization in 2000 were updated with relevant information when possible. A linear regression model was created, using MIRs as the dependent variable and health system rankings as the independent variable.RESULTS: The linear relationships between MIRs and health system rankings for the five cancers were significant, with coefficients of determination ranging from 49 to 75% when outliers were excluded. A clear outlier, Korea reported lower-than-predicted MIRs for stomach and colorectal cancer, reflecting its strong national cancer control policies, especially cancer screening.CONCLUSIONS: The MIR was found to be a practical measure for evaluating the long-term success of cancer surveillance and the efficacy of cancer control programs, especially cancer screening. Extending the use of MIRs to evaluate other cancers may also prove useful.