1.Cancer Registration in Korea: The Present and Furtherance.
Journal of Preventive Medicine and Public Health 2007;40(4):265-272
It was not until 1975 that cancer registration was initiated in Korea; voluntary registration of cancer patients of training hospitals throughout the country began under the auspices of the Korean Cancer Society(KCS). However, an official cancer registration, the Korea Central Cancer Registry(KCCR), began on July 1st, 1980. Forty-five training and two non-training hospitals throughout the country initiated registration of patients in whom neoplasms had been found. Data related to case information specified are to be sent to the KCCR at the National Medical Center(it moved at National Cancer Center in 2000). The initial cancer registration of KCS was merged to the KCCR in 1980. Although the KCCR covers most all the large training hospitals in Korea, it cannot provide incidence data. It is, however, the only of its kind in the world, being neither hospital nor population based. The first population based cancer registry(PBCR) was launched in a small county, Kangwha(it has around 80,000 inhabitants), by Yonsei University Medical College in 1983. All data were collected by active methods, and incidence statistics for 1986-1992 appeared in Vol VII of the CI5. Another PBCR, Seoul Cancer Registry(SCR), started in 1991. It was supported by a civilian foundation, the Korean Foundation for Cancer Research. The basic idea of case registration of SCR was the incorporation of KCCR data to PBCR, e. g. dual sources of case registration, i.e., from the KCCR and also including cases diagnosed in small hospitals and other medical facilities. Assessing completeness and validity of case registration of SCR, the program and methodology used by the SCR was later extended to other large cities and areas in Korea, and the PBCR in each area was established. Cancer incidence statistics of Seoul for 1993- 1997, Busan for 1996-1997, and Daegu for 1997-1998, as well as Kangwha for 1993-1997, appeared eventually in Vol VIII of the CI5. The Korean or 'pillar' model for a PBCR is a new one. The KCCR data file is a reliable basis, as a pillar, for a PBCR in each area. The main framework of the model for such a registry is the incorporation of a KCCR data file with data from additionally surveyed cases; the data related to cancer deaths, medical insurance claims, and visit-and abstract surveillance of non-KCCR medical facilities. Cancer registration has been adopted as a national cancer control program by Korean government in 2004 as the Anti-Cancer Act was enacted. Since then, some officers have tried to launch a nation-wide PBCR covering whole country. In the meantime, however, cancer registration was interrupted and discontinued for years due to the Privacy Protection Law, which was solved by an amendment of the Anti-Cancer Act in 2006. It would be premature to establish the nation-wide PBCR in Korea. Instead, continuous efforts to improve the completeness of registration of the KCCR, to progress existing PBCRs, and to expand PBCRs over other areas are still to be devoted. The nation-wide PBCR in Korea will be established eventually with summation of the PBCRs of the Korean model.
Hospitals/statistics & numerical data
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Humans
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Korea
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Neoplasms/*diagnosis/*epidemiology
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Registries/*statistics & numerical data
2.Transradial coronary intervention registration investigation in China.
Chinese Journal of Cardiology 2009;37(5):406-408
OBJECTIVETo assess the application status of transradial coronary angiography (TRA) and transradial coronary intervention (TRI) in China in 2007.
METHODSFrom Feb 10th to Apr 30th 2008, investigating questionnaires of this study were sent to 450 hospitals in China to collect information on application of percutaneous coronary intervention (PCI) and TRI in these centers.
RESULTSOne hundred and twelve questionnaires were received. A total of 115 142 coronary angiography (CAG) and 48 379 PCI were performed in these centers including 69 354 TRA (60.24%) and 27 227 TRI (56.28%). A total of 77 488 stents were implanted from 47 160 PCI (1.64 stents per PCI) and 93.98% implanted stents were drug-eluting stent. Total 9290 stents (86.95% drug-eluting stent) were implanted in 7140 primary PCI (1.30 stents per PCI).
CONCLUSIONTRA and TRI have become the major approaches of CAG and PCI in China in 2007.
Angioplasty, Balloon, Coronary ; methods ; statistics & numerical data ; Coronary Angiography ; methods ; statistics & numerical data ; Humans ; Radial Artery ; Registries ; statistics & numerical data
3.Beyond the numerals: primary reports from Registry of PCI In China (ROPIC).
Shu-zheng LÜ ; Xian-tao SONG ; Yun-dai CHEN ; Xin CHEN ; null
Chinese Journal of Cardiology 2006;34(11):966-970
OBJECTIVEThe purpose of this registry is to collect data on percutaneous coronary interventions (PCI) performed in various provinces in mainland China in 2005.
METHODSQuestionnaires were send to all hospitals in China and data on PCI, PCI case numbers and type of stents were collected.
RESULTS(1) PCI is available in 754 hospitals among the 30 provinces and there are more than 50 hospitals performing PCI in 4 provinces: Shandong (70), Beijing (60), Guangdong (60) and Shanghai (50); (2) A total of 95 912 PCIs were performed among the 30 provinces and about 50% of these procedures were finished in five provinces (Beijing: 20%, Shanghai: 8.9%, Shandong: 7.6%, Liaoning: 6.1% and Shanxi 6.0%; (3) PCI numbers were more 1000 in 7 hospitals, between 500 - 999 in 13 hospitals, between 300 - 499 in 41 hospitals, between 100 - 299 in 149 hospitals and less than 100 in more than 50% of all hospitals; (4) In several regions with higher GDP such as Jiangsu Province, Zhejiang Province, Guangdong Province, Shandong Province and Hainan Province, the rate of PCI/total population is significantly lower than other regions with comparable GDP and there is a potential for higher PCI numbers in the future; (5)Around 60% stents implanted were drug eluting stents.
CONCLUSIONPCI procedures is popular in mainland China now, especially in regions with higher GDP. Around 60% implanted stents were drug eluting stents.
Angioplasty, Balloon, Coronary ; statistics & numerical data ; China ; epidemiology ; Drug Delivery Systems ; Humans ; Registries ; statistics & numerical data ; Stents
4.Findings from registry of percutaneous coronary intervention in inland of China.
Shu-zheng LÜ ; Xian-tao SONG ; Yun-dai CHEN ; null
Chinese Journal of Cardiology 2009;37(1):26-29
OBJECTIVETo collect data on percutaneous coronary intervention (PCI) performed in inland of China.
METHODSQuestionnaires on PCI were distributed to all hospitals capable of performing PCI through national society of cardiology. Data from 2006 and 2007 were reported in this report.
RESULTS(1) In 2007, 144,673 PCI were performed in 870 hospitals compared to 112,580 PCI performed in 1078 hospitals in 2006. Number of PCI in 2007 increased more rapidly compared to 2006 in three provinces (Fujian 327.3%; Anhui 115.1% and Guangdong 86.9%). (2) In 2007, the number of PCI performed in ten provinces accounted for 66.7% of total PCI in inland of China (Beijing 15.4%; Guangdong 8.0%; Liaoning 6.9%; Shandong 6.9%; Shanghai 6.1%; Henan 5.8%; Zhejiang 4.7%; Jiangsu 4.4%; Shanxi 4.4% and Hebei 4.2%). (3) There were 299 (34.4%) hospitals with PCI number more than 100 in 2007 compared with 290 (29.6%) hospitals in 2006; there were 507 hospitals with PCI numbers less than 50 in 2006. (4) In 2006, there were 86,974 patients received PCI in 672 hospitals and 135,658 stents were implanted and 97.8% of implanted stents were drug eluting stents (DES).
CONCLUSIONFrom 2006 to 2007, number of PCI increased significantly in inland of China, there were about 50% hospitals with PCI number less than 50 per year and 1.56 stents per patient were implanted and 97.8% implanted stents were DES.
Angioplasty, Balloon, Coronary ; statistics & numerical data ; China ; Coronary Restenosis ; Humans ; Registries
5.Trend analysis of the changes of male/female, urban/rural incidences and average age of cancer patients in China 1989-2008.
Wanqing CHEN ; Rongshou ZHENG ; Hongmei ZENG ; Siwei ZHANG
Chinese Journal of Oncology 2014;36(10):796-800
OBJECTIVETo analyze the changes of male/female and urban/rural incidences and average age of cancer diagnosis over the period 1989-2008 in China.
METHODSAll cancer incident cases from 1989 to 2008 in registration areas were retrieved from the National Central Cancer Registry database. Data were stratified by sex (male/female) and area (urban/rural) and age group (19 age groups, including 0, 1-4, 5-9, 5-84 by 5, ≥ 85). Poisson regression was used to analyze the differences in incidence rates between males and females, urban and rural areas with 95% confident intervals and P values adjusted by age. The average age of cancer diagnosis was calculated every year. All trends were analyzed by linear regression.
RESULTSThe ratio of male to female cancer incidences was 1.56 in 1989 and 1.35 in 2008. The ratio of urban to rural incidences was 0.89 in 1998 and increased to 0.98 in 2008. The average age of cancer diagnosis was 61.96 years old for men and 60.15 for women in 1989, compared with 64.87 and 61.81 years in 2008, respectively. The disparities in sex and areas have been decreasing in recent 20 years. The cancer patients tend to getting older. These trends were all significant.
CONCLUSIONSThe cancer incidences in male/female populations and different areas have apparent disparities over the 1989-2008 period in China. However, the differences are narrowing and the average age is increasing. In the making of an efficient anti-cancer strategy, we should also take consideration of the differences of cancer burden in different population groups in our country.
China ; epidemiology ; Female ; Humans ; Incidence ; Male ; Neoplasms ; epidemiology ; Registries ; Rural Population ; statistics & numerical data
6.Mortality and survival analysis of liver cancer in China.
Rongshou ZHENG ; Tingting ZUO ; Hongmei ZENG ; Siwei ZHANG ; Wanqing CHEN ; Email: CHENWQ@CICAMS.AC.CN.
Chinese Journal of Oncology 2015;37(9):697-702
OBJECTIVEBased on the cancer registry data to analyze the mortality and survival of liver cancer in China.
METHODSLiver cancer data of 2011 were retrieved from the National Cancer Registry Database.Liver cancer deaths were estimated using age-specific rate by areas and gender according to the national population in 2011. Mortality data from 22 cancer registries during 2000-2011 were used to analyze the mortality trend, and data from 17 cancer registries during 2003-2005 were used for survival analysis.
RESULTSThe estimates of liver cancer deaths were about 322 thousand in 2011 with a crude mortality rate of 23.93/10(5).There was an increasing trend of crude mortality rate of liver cancer during 2000-2011 in 22 Chinese cancer registries with an average annual percentage change of 0.7% (95%CI: 0.2%-1.2%), 1.1% in urban and 0.4% in rural areas. After age standardization with Segi's population, the mortality rate was significantly decreased, with an APC of -2.3%, -1.9% in urban and -2.2% in rural populations. The 5-year age standardized relative survival was 10.1% (95%CI: 9.5% to 10.7%), and the 1-, 3- and the 5-year observed survival rates were 27.2%, 12.7%, and 8.9%, respectively.
CONCLUSIONLiver cancer is a major cancer threatening people's lives and health in China, and the liver cancer burden is still high.
China ; epidemiology ; Databases, Factual ; statistics & numerical data ; Humans ; Incidence ; Liver Neoplasms ; mortality ; Registries ; statistics & numerical data ; Rural Population ; statistics & numerical data ; trends ; Survival Analysis ; Survival Rate ; Urban Population
7.Global Activity of Cancer Registries and Cancer Control and Cancer Incidence Statistics in Korea.
Journal of Preventive Medicine and Public Health 2008;41(2):84-91
The World Health Organization (WHO) reported that cancer killed 7.6 million people in the world in 2005, and that 40% of all cancer deaths can be prevented. According to the WHO Global Action Plan Against Cancer (GAPAC), monitoring of cancer patients is the essential part of cancer control, and should be conducted through cancer registration. Originally, cancer registries were primarily concerned with the description of cancer patterns, trends of cancer occurrence, and etiology of cancer. In the last 20 years, cancer registries provided not only information on the incidence and characteristics of specific cancers, but also supplied the source of cancer control planning and evaluation and the care of individual cancer patients with survival. Cancer Incidence in Five Continents (CI5) presents incidence data from populations all over the world every five year. Volume IX in the series (data for 1998-2002) has recently (November 2007) been published online at International Agency for Research on Cancer (IARC). Nine data from Korea Central Cancer Registry (National data), Seoul, Busan, Daegu, Gwangju, Incheon, Daejeon, Usan, Jejudo regional cancer registries were included in that volume. In this paper, the editorial process, the characteristics of national data, and quality indices in CI5 IX are being described. In addition, cancer control activities related to cancer registration in some selected countries are also presented.
Humans
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Incidence
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Korea/epidemiology
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Neoplasms/*epidemiology/*prevention & control
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Registries/*statistics & numerical data
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World Health
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World Health Organization
8.Status of pesticide registration and residue analysis for traditional Chinese medicine in China.
Yin-Hui YANG ; Xiao-Wen DOU ; Wei-Jun KONG ; Mei-Hua YANG ; Shi-Lin CHEN ; Qiang XIAO
China Journal of Chinese Materia Medica 2013;38(24):4238-4245
The present paper outlined pesticide registration status for traditional Chinese medicines (TCMs) and summarized the characteristics of pesticide contamination in different regions of some widely used TCMs by retrieving last 10 years' literatures. At present, the problems of pesticide residues for TCM include less pesticide registrations, widespread high-residue organochlorine pesticides contamination, pesticide abuse, irregular GAP bases and imperfect pesticide limit standards, etc. According to the current situation, we should adopt some control measures to strengthen the quality control of TCMs so as to ensure the safety of TCMs and related products.
Animals
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China
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Drug Contamination
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prevention & control
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statistics & numerical data
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Humans
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Medicine, Chinese Traditional
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methods
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Pesticide Residues
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analysis
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Registries
9.In-hospital medical complications associated with patient dependency after acute ischemic stroke: data from the China National Stroke Registry.
Peng-Lian WANG ; Xing-Quan ZHAO ; Wan-Liang DU ; An-Xin WANG ; Rui-Jun JI ; Zhong-Hua YANG ; Chun-Xue WANG ; Li-Ping LIU ; Yi-Long WANG ; Yi JU ; Yong-Jun WANG ; null
Chinese Medical Journal 2013;126(7):1236-1241
BACKGROUNDThe mortality of stroke patients is strongly affected by medical complications. However, there are limited data investigating the effect of in-hospital medical complications on the dependency of stroke patients worldwide. We prospectively and systematically investigated the effect of medical complications on dependency of patients at 3, 6 and 12 months after stroke using the China National Stroke Registry (CNSR).
METHODSThis prospective cohort study collected data of patients age > 18 years with acute ischemic stroke in 132 clinical centers distributed across 32 provinces and four municipalities (including Hong Kong region) of China, from September 2007 to August 2008. Data on medical complications, dependency and other information were obtained from paper-based registry forms. Medical complications associated with stroke outcomes were assessed using multivariable Logistic regression.
RESULTSOf 11 560 patients with acute ischemic stroke, 1826 (15.80%) presented with in-hospital medical complications. In-hospital medical complications were independent risk factors for dependency of patients at 3 months (adjusted odds ratio (OR) 2.367, 95% confidence interval (CI) 2.021 - 2.771), 6 months (adjusted OR 2.257, 95%CI 1.922 - 2.650), and 12 months (adjusted OR 1.820, 95%CI 1.538 - 2.154) after acute ischemic stroke.
CONCLUSIONThe results demonstrated that the short-term and long-term dependency of acute ischemic stroke patients is significantly associated with in-hospital medical complications in China.
Aged ; Brain Ischemia ; complications ; epidemiology ; China ; Female ; Humans ; Male ; Middle Aged ; Prospective Studies ; Registries ; statistics & numerical data ; Stroke ; complications ; epidemiology
10.Estimation Study of New Cancer Cases and Deaths in Wuwei, Hexi Corridor Region, China, 2018.
Bo Yu CAO ; Cheng Yun LI ; Feng Lan XU ; Xiao Qin LIU ; Yan Xu YANG ; Jing LI ; Cai Yun GAO ; You Ming RONG ; Rong Cheng LI ; Ya Li LI ; Shan ZHENG ; Ya Na BAI ; Yan Cheng YE
Biomedical and Environmental Sciences 2017;30(11):829-833
Population-based cancer registration data were collected to estimate the cancer incidence and mortality in Wuwei, Hexi Corridor Region, China in 2018. We used the 2011-2013 data to predict the number of new cases and deaths in 2018 and the 2003-2013 data to analyze trends in cancer incidence and mortality. The goal is to enable cancer prevention and control directions. Our results indicated that stomach cancer is the most common cancer. For all cancers combined, the incidence and mortality rates showed significantly increasing trends (+2.63% per year; P < 0.05 and +1.9% per year; P < 0.05). This study revealed a significant cancer burden among the population of this area. Cancer screening and prevention should be performed after an epidemiological study of the cause of the cancer is completed.
China
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Female
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Humans
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Incidence
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Male
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Neoplasms
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classification
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epidemiology
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mortality
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Population Surveillance
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Registries
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statistics & numerical data
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Rural Population
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Urban Population