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頁籤選單縮合
題 名 | Establishing a Comprehensive Breast Cancer Data Base in a New Free-Standing Cancer Center=建立完整乳癌資料庫 |
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作 者 | 鄭鴻鈞; 曾美華; 陳啟明; 臺思韻; 黃達夫; | 書刊名 | 中華民國癌症醫學會雜誌 |
卷 期 | 15:1-4 民88.03-12 |
頁 次 | 頁29-40 |
分類號 | 416.226 |
關鍵詞 | 乳癌; 資料庫; |
語 文 | 英文(English) |
中文摘要 | 目的:這份報告旨在描述和信治癌中心醫院建立之乳癌資料庫中所蒐集之腫瘤生 物學、臨床表現與診斷、及治療成果的相關資訊及研究。 病人及方法:自一九九0年四月至一九九六年十二月,在和信治癌中心醫院接受治療的病人 中,共有六百二十一位乳癌病人、六百三十五個乳癌被包含在這個資料庫內。合乎本資料庫 蒐集標準之個體為臨床診斷為乳癌且未在外院接受過任何腫瘤治療之病人。資料庫的內容包 括過去的病史、婦產科史、家庭史以及各種與乳癌有關之病史。病人的資料是以一般資料表 、病理報告表、化學治療表、放射治療表、追蹤表、及治療副作用表來蒐集, 並以 SAS 程 式來建檔、處理及分析。 結果: 本院的乳癌病人主要為五十歲以前之婦女( 60.0 %), 所有病人之五年存活率為 84.6 %( 95 %的信度為 79.4 ﹣ 89.9 %); 若以病理分期來看,局部腫瘤期別病人之 五年存活率為 92.4 %( 95 %的信度為 86.5 ﹣ 98.3 %), 局部淋巴轉移病人為 79.6 %( 95 %的信度為 70.9 ﹣ 88.3 %),遠處轉移病人為 41.9 %( 95 %的信度為 5.7 ﹣ 78.0 %)。 結論:臺灣的乳癌病人似乎較西方國家年輕。一個完整的乳癌資料庫能有效偵測治療成果。 更能建立醫療品質指標以作為將來改善醫療行為的參考。 |
英文摘要 | Background: Oriental women affected by breast cancer were significantly younger than Caucasian women and had racial/ethnic differences in survival. This report describes clinical features, treatment outcomes and quality of care for patients with breast cancer in Taiwan. Patients and Methods: Six hundred twenty one patients with 635 newly diagnosed breast cancers who had no prior oncologic treatments at outside hospitals were included in this data base between April 1, 1990 and December 31, 1996. The quality of health care, which included patient satisfaction, the rate of early diagnosis, adequate staging, patient involvement in treatment selections, optimality of treatment, complications related to treatments, and patient outcomes were monitored in this study period. Results: Three hundred eighty-one of 635 breast cancers (60.0%) were diagnosed at the age younger than 50 years. Five-year survival of all patients was 84.6% (95% confidence interval [C1], 79.4-89.9). For patients with local disease the rate was 92.4% (95% C1, 86.5-98.3), with regional disease 79.6% (95% C1, 70.9-88.3), and with distant metastasis 41.9% (95% C1, 5.7-78.0). Measuring the quality of care: the early diagnosis rate of patients with stage 0-1 breast cancer increased from 29.8% in 1990 to 40.3% in 1996. Adequate examination of the axillary nodes (≧ 10 in number) was 90.9% in 1990 and reached 94.7% in 1996. One-step procedures which simultaneously combine pathologic diagnosis and treatment decreased from 21.3% in 1990 to 11.5% in 1996. Arm edema, an untoward complication of treatment, decreased from 11.4% in 1990 to 3.1% in 1996. The actuarial 3-year survival for patients who were treated in 1990 was 81.1% and increased to 93.0% in 1993. Conclusion: Breast cancer patients in Taiwan were younger than in western countries. Their stage distribution showed a relatively more advanced, however, overall survival was similar as Caucasian women. The information on clinical features and quality of oncologic care for patients with breast cancer collected and analyzed from a single institution in Taiwan can be used for comparison against statistics obtained from other countries or health care institutes. The improvements in quality indicators may also serve as benchmarks while we await reports from other areas of Asia for a collective understanding of breast cancer and searching optimal treatments for patients in the region. |
本系統中英文摘要資訊取自各篇刊載內容。