| 孙中明,沈 欢,文进博,等.江苏省淮安市上消化道癌社会性筛查与机会性筛查结果比较[J].中国肿瘤,2023,32(1):33-38. |
| 江苏省淮安市上消化道癌社会性筛查与机会性筛查结果比较 |
| Social Screening Compared with Opportunistic Screening in Huai’an City for Upper Gastrointestinal Cancer |
| 投稿时间：2022-07-21 |
| DOI：10.11735/j.issn.1004-0242.2023.01.A006 |
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| 中文关键词: 上消化道癌 机会性筛查 社会性筛查 江苏 |
| 英文关键词:upper gastrointestinal cancer social screening opportunistic screening Jiangsu |
| 基金项目:江苏省第五期“333 工程” 科研资助立项项目（BRA2017242） |
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| 中文摘要: |
| 摘 要：［目的］ 比较江苏省淮安市上消化道癌社会性筛查与机会性筛查结果和成本效益，以期为上消化道癌防治提供科学依据。［方法］ 选取2019—2021年淮安市上消化道癌社会性筛查和机会性筛查资料，比较两种筛查模式在阳性病例检出率、早诊率、成本效益等方面差异。［结果］ 社会性筛查共检出阳性病变156例，检出率为1.30%，其中早期病变107例，早诊率为68.59%；机会性筛查共检出阳性病变747例，检出率为2.98%，其中早期病变232例，早诊率为31.06%。除食管高级别上皮内瘤变和早期癌外，社会性筛查其他上消化道各级病变检出率均低于机会性筛查（P＜0.05）。分性别看，社会性筛查男女性阳性检出率均低于机会性筛查（P均＜0.001），而早诊率均高于机会性筛查（P均＜0.05）。分年龄段看，社会性筛查50～59岁和60～69岁阳性检出率均低于机会性筛查（P均＜0.001），而各年龄段筛查人群的早诊率均高于机会性筛查（P均＜0.05）。［结论］ 除早诊率外，上消化道癌机会性筛查在阳性病例检出率、早期病例发现数、成本效益等方面均优于社会性筛查。 |
| 英文摘要: |
| Abstract：［Purpose］ To compare the screening results and cost-effectiveness between social screening and opportunistic screening for upper gastrointestinal cancer in Huai’an City. ［Methods］ The screening data of social screening and opportunistic screening for upper gastrointestinal cancer in Huai’an City between 2019 and 2021 were collected. The positive detection rate， early detection rate and cost-effectiveness between the two screening methods were compared. ［Results］ A total of 156 cases of positive lesions were detected in social screening with detection rate of 1.30%， including 107 cases of early lesions with an early detection rate of 68.59%. And 747 cases of positive lesions were detected in opportunistic screening with a detection rate of 2.98%， including 232 cases of early lesions with an early detection rate of 31.06%. Except for high grade intraepithelial neoplasia and early-stage cancer， the detection rates of other upper gastrointestinal lesions in social screening were lower than those in opportunistic screening(P<0.05). The positive detection rates of social screening for both males and females were lower than those in opportunistic screening(P<0.001)， while the early detection rates were higher than those in opportunistic screening(P<0.05). The positive detection rates of age groups 50～59 and 60～69 years in social screening were lower than those in opportunistic screening(P<0.001)， while the early detection rates in social screening were higher than those in opportunistic screening(P<0.05). ［Conclusion］ The opportunistic screening for upper gastrointestinal cancer is superior to social screening in positive detection rate， number of early cases and cost-effectiveness， but the early detection rate of opportunistic screening is lower than that of social screening. |
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