Development of population-based cancer mortality registration in the North of Viet Nam.
Development of population-based cancer mortality registration in the North of Viet Nam.
复制标题
越南北部开展基于人口的癌症死亡率登记。
DOI：
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发表时间：
2006
影响因子：
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通讯作者：
T. Ngoanle
中科院分区：
文献类型：
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作者：
T. Ngoanle
区域性癌症分布为潜在的环境风险因素提供了有用的指示。癌症死亡登记数据也是检查基于人口的癌症发病率登记完整性的基础。本项目的目的是在越南北部各地区开展基于人口的癌症死亡率登记。方法肿瘤资料来源于社区卫生站医务人员按卫生部指导原则进行的人口常规死亡登记数据库。在1999年至2005年的研究期间，对社区发生的所有死亡进行登记，并每月对每个死亡病例的登记过程进行审查，包括姓名、年龄、性别、地址、职业、死亡日期-地点-原因以及与死亡前医疗护理有关的信息。研究人群的死亡和居民名单与其他信息来源进行了仔细的交叉检查，以避免登记不足或登记过度。研究地点为红河三角洲地区和高山地区。世界人口结构被用来估计每10万人的年龄标准化癌症死亡率（ASR）。结果在1999年至2005年估计的4，330，620人年中，登记了21，108例死亡。所有原因的粗死亡率为487.4/100，000。其中，在所有地点登记了4 244例癌症（男性2 835例，女性1 409例），男性和女性的死亡率分别为每100 000人134.6和63.3（粗），155.7和54.3（ASR）。高山区的死亡率仅为红河三角洲的一半（45.5）（95.2-117.4）。男女比例从2.2到3.1不等。癌症约占所有死亡原因的20%。结论：目前的研究结果表明，在越南，发展可靠的人口为基础的癌症死亡率登记是可行和实用的。
BACKGROUND Regional cancer distributions provide useful pointers to potential environmental risk factors. Cancer death registration data are also basic for checking completeness of population-based registration of cancer incidence. The aim of the present project was to develop population-based cancer mortality registration in various regions in the North of Viet Nam. METHODS Cancer data were accessed from the database of population-routine-based death registration performed by medical workers at commune health stations based on the guidelines of the Ministry of Health. All deaths occurring in the communities were registered and the registration process was monthly reviewed for each fatal case regarding the name, age, sex, address, occupation, date-place-cause of death, and information concerning to pre-death medical care during the study period from 1999 to 2005. The list of deaths and residents of the study population were carefully cross-checked with other information sources to avoid under or over registration. The study sites were Red River Delta areas and a high-mountain area. The world population structure was used to estimate age-standardized cancer mortality rates per 100,000 (ASR). RESULTS During 4,330,620 person-years estimated during 1999 to 2005, 21,108 deaths were registered. The crude death rate from all causes was 487.4/100,000. Among them, 4,244 cancers in all sites (2,835 in males and 1,409 in females) were registered, giving mortality rates/100,000 of 134.6 and 63.3 (crude), and 155.7 and 54.3 (ASR), for males and females, respectively. The rate for the high-mountain area was only half (45.5) those in the Red River Delta (95.2-117.4). Male to female ratios were ranked from 2.2 to 3.1. Cancer accounted for about 20% of all causes of death. CONCLUSIONS The present findings suggest that in Viet Nam, development of reliable population-based cancer mortality registration is feasible and practical.