Cancer in the London prison population, 1986-2005
Cancer in the London prison population, 1986-2005
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DOI：
10.1093/pubmed/fdq009
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发表时间：
2010-12-01
影响因子：
4.4
通讯作者：
Moller, Henrik
中科院分区：
文献类型：
--
作者：
Davies, Elizabeth A.;Sehgal, Ashu;Moller, Henrik
背景很少有研究调查英国监狱的癌症护理。我们希望确定伦敦囚犯每年新病例的数量和最常见的癌症诊断，以及死于癌症的人的死亡地点。从1986年到2005年，我们确定了七所伦敦监狱居民的癌症诊断，以及1996年到2005年期间死于这种疾病的病人的死亡地点。结果平均每5年有31例患者在监狱中被诊断为癌症。在女性中，83%（85/102）的诊断为宫颈原位癌，在男性中，19%（11/57）为肺癌。记录在案的25名死于疾病的病人中没有一人死于监狱。大多数人死在医院（48%，12/25）或临终关怀（28%，7/25）。结论伦敦监狱贡献了一小部分病人，每年谁需要NHS癌症护理，包括那些晚期癌症谁死前释放。今后的研究应调查全国监狱人口的癌症发病率、提高筛查覆盖率和后续行动的方法、获得癌症治疗和临终关怀的及时性，以及囚犯和保健专业人员的护理经验。
Background Little research has investigated cancer care in UK prisons. We wished to identify the number of new cases and the most common cancer diagnoses occurring each year in London prisoners, and the place of death for those who died from their disease.Methods Using the database of the Thames Cancer Registry, we identified cancer diagnoses in residents of seven London prisons from 1986 to 2005 and the place of death of patients dying from their disease between 1996 and 2005.Results On average, 31 patients were recorded as diagnosed with cancer while in prison within each 5-year period. In women, 83% (85/102) of diagnoses were in situ carcinoma of the cervix, and in men, 19% (11/57) were of lung cancer. None of the 25 patients recorded as dying from their disease died in prison. Most died in hospitals (48%, 12/25) or in hospices (28%, 7/25).Conclusions London prisons contribute a small number of patients each year who require NHS cancer care, including those with advanced cancer who are released before death. Future studies should investigate cancer incidence for the national prison population, methods for improving screening coverage and follow-up, the timeliness of access to cancer treatments and end-of-life care, and prisoners' and health professionals' experiences of care.