论文部分内容阅读
目的:了解目前大型医院肿瘤生存者的随访模式,并就当前数据管理情况进行分析思考。方法:以2010~2014年浙江省杭州市6家三级甲等综合医院数据为例,对肿瘤生存者的随访模式进行统计,对数据进行整理,对比随访特点。结果:共录入肿瘤生存患者2081例,患者来源不限,其中男性占总数的56.6%,女性占43.4%,随访模式主要包括被动随访、主动回顾随访、程序随访和社区—医院综合随访4种,总体随访率为40.1%。其中社区—医院综合随访模式应用较少,仅有6例为该模式随访,但随访率达到100%,程序随访模式的随访率其次,达到96.2%。结论:社区—医院综合随访模式需要不同医疗机构之间展开合作,但最符合当前社会环境需求,随访率也更高,对患者的指导意义较大,程序随访模式也有较高的应用价值,主动回顾随访模式仅适用于生存期内随访,被动随访模式随访率较低,建议根据当地医疗机构情况选择适当的随访模式,尽量提高肿瘤生存者的随访率,提高指导效果。
OBJECTIVE: To understand the current follow-up patterns of tumor survivors in large hospitals and to analyze and analyze the current data management. Methods: Taking the data of 6 tertiary level general hospitals in Hangzhou from 2010 to 2014 as an example, the follow-up patterns of cancer survivors were statistically analyzed and the data were sorted out to compare the follow-up characteristics. Results: Totally 2081 patients with cancer survived were enrolled, of whom 56.6% were male and 43.4% were women. Follow-up patterns mainly included passive follow-up, follow-up and follow-up procedure and community-hospital comprehensive follow- The overall follow-up rate was 40.1%. Among them, the community-hospital comprehensive follow-up pattern was used less frequently. Only 6 patients were followed up, but the follow-up rate was 100%. Follow-up rate of program follow-up pattern was 96.2%. Conclusion: Community-hospital comprehensive follow-up mode requires cooperation between different medical institutions, but it is most suitable for the needs of the current social environment, with a higher follow-up rate, greater guidance for patients and program follow-up mode, which also has higher application value. Retrospective follow-up mode is only suitable for survival follow-up, passive follow-up mode follow-up rate is low, it is recommended according to the local medical institutions to select the appropriate follow-up mode to maximize follow-up rate of cancer survivors and improve the guidance effect.