A METHOD FOR PARTITIONING CANCER MORTALITY TRENDS BY FACTORS ASSOCIATED WITH DIAGNOSIS - AN APPLICATION TO FEMALE BREAST-CANCER
A METHOD FOR PARTITIONING CANCER MORTALITY TRENDS BY FACTORS ASSOCIATED WITH DIAGNOSIS - AN APPLICATION TO FEMALE BREAST-CANCER
复制标题
DOI：
10.1016/0895-4356(94)90089-2
复制
发表时间：
1994-12-01
影响因子：
7.2
通讯作者：
HANKEY, BF
中科院分区：
文献类型：
--
作者：
CHU, KC;MILLER, BA;HANKEY, BF
美国癌症死亡率数据来自死亡证明上记录的信息，经常被用作癌症进展的指标。这一措施的一个局限性是缺乏与疾病发作有关的信息，如诊断年份、诊断时年龄、诊断时疾病的阶段和病变的组织学。然而，基于人口的癌症登记处收集这些类型的数据，并允许计算基于发病档案的死亡率。这种基于发病率的死亡率允许通过与癌症发病相关的变量划分死亡率。建立了基于乳腺癌发病率的死亡率衡量标准，并将其与基于可比时间段内死亡证明的死亡率进行比较。新的死亡率指标，如按诊断阶段、诊断年龄和诊断年份划分的死亡率，被用来说明这种方法的价值。
U.S. cancer mortality data derived from information recorded on death certificates are frequently relied upon as an indicator of progress against cancer. A limitation of this measure is the lack of information pertaining to the onset of disease, such as year-of-diagnosis, age-at-diagnosis, stage of disease at diagnosis and histology of lesions. However, population-based cancer registries collect these types of data and allow the calculation of an incidence-file based mortality rate. This incidence-based mortality rate allows a partitioning of mortality by variables associated with the cancer onset. Breast cancer incidence-based mortality measures are created and compared to mortality rates based on death certificates over a comparable time period. Novel mortality measures, such as mortality rates by stage-at-diagnosis, age-at-diagnosis and year-of-diagnosis, are used to illustrate the value of this approach.