【摘要】 目的:评价鼻咽癌新筛查方案的成本和效果。方法:在鼻咽癌高发区中山市进行鼻咽癌筛查,统计癌检出率、早诊率、人均筛查成本、发现早期病例平均费用和早期发现成本系数等指标。结果:共筛查16 712人,确诊鼻咽癌25例,检出率149.59/10万,早诊率76.0%,治疗率100.0%。筛查成本41.56元/人,发现病例费用27 779.82元,发现早期病例费用36 552.40元,按我国人均GDP计算,早期发现成本系数(EDCI)为1.71,按中山市人均GDP计算,EDCI为0.65。结论:相对常见恶性肿瘤鼻咽癌筛查成本较高,但在高发区筛查可以显著提高早诊率,并降低治疗费用。更多还原

【Abstract】 OBJECTIVE: To evaluate the cost effective of the new screening program for nasopharyngeal carcinoma(NPC) patients.METHODS: A new screening program was used in Zhongshan City with a high incidence for NPC.The effect was measured by using the cancer detection rate,early diagnosis rate,the cost per screening,the average early detection cost and the early detection cost index(EDCI).RESULTS: Totally 16 712 adults were recruited to the study with informed consent and 25 NPC cases were detected.The cancer detection rate was 149.59 per 100 000.The rate of early detection was 76.0% and these patient could be completely cured.The cost per screening was $41.56,and the detection cost was $27 779.82.The early detection cost was $36 552.40 and EDCI was 1.71 with the country GDP and 0.65 with the Zhongshan City GDP.CONCLUSION: Although the screening cost for NPC is higher than that for other cancers.The early diagnosis rate can be significantly improved which results an effective treatment.更多还原