The Cuban National Cancer Registry: 1986-1990

The Cuban National Cancer Registry: 1986-1990
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DOI:
10.1023/a:1007463826932
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发表时间:
1998-04-01
影响因子:
13.6
通讯作者:
Lezcano, M
Lezcano, M
中科院分区:
医学1区
文献类型:
--
作者:
Martin, AA;Galan, YH;Lezcano, M

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在古巴,造成1-64岁人口死亡最多的疾病是癌症。超过65岁,它是仅次于心脏病的第二大死亡原因。1964年建立了国家癌症登记处。其主要目标是登记国内诊断出的所有恶性肿瘤,从统计和流行病学角度研究这种疾病,并协助保健控制和规划抗癌资源。本文介绍了1986年至1990年登记的病例的结果。超过50%的癌症发病率和死亡率仅限于五个主要的原发部位:肺、前列腺、结肠、乳腺和子宫颈。1986-1990年期间,按10万居民计算的世界人口标准化发病率为男性218.2,女性183.7,死亡率为男性138.4,女性95.1。各省的癌症发病率分布情况显示出两个主要地区:中西部,肺癌、乳腺癌、前列腺癌和结肠癌的风险较高;东部,宫颈癌的风险非常高。尽管国家癌症登记处报告在研究期间信息质量指数有所改善,但根据国际标准,数据质量仍然很差。然而,国家癌症登记处的结果似乎是评估癌症负担,特别是控制和最终修改古巴国家癌症控制方案任务的宝贵工具。
In Cuba, the illness that produces most deaths among 1-64-year-olds is cancer. Over 65, it is the second cause of death after heart diseases. A National Cancer Registry was created 1964. its main goals are to register all malignant neoplasms diagnosed in the country, to study this disease from the statistical and epidemiological point of view and to aid in the health control and planning of cancer fighting resources. This paper presents the results based on cases registered from 1986 to 1990. More than 50% of incidence and mortality caused by cancer is confined to the five major primary sites: lung, prostate, colon, breast and cervix. World population standardised rates by 100,000 inhabitants for the period 1986-1990 were 218.2 in males and 183.7 in females for incidence and 138.4 in males and 95.1 in females for mortality. Cancer incidence distribution by provinces shows two major regions: western-central, where higher risks of lung, breast, prostate and colon cancers are found, and eastern where very high risk of cervix cancer is observed. Although an improvement of the information quality indexes has been reported by the National Cancer registry in the studied period of time, quality of the data remained very poor according to the international standards. However, the results obtained by the National Cancer Registry seem to be a valuable tool to evaluate the cancer burden and, in particular, to control and eventually modify the tasks of the National Cancer Control Program in Cuba.