乳癌病人乳癌篩檢利用、篩檢間隔與治療型態

Utilization of Breast Cancer Screening, Screening Interval, and Treatment Modalities among Breast Cancer Patients

常傳訓(Chuan-Hsun Chang) ； 陳楚杰(Chu-Chieh Chen) ； 陳俞文(Yu-Wen Chen) ； 黃純文(Chuen-Wen Huang)

《北市醫學雜誌》 15卷3期 (2018/09) Pp. 10-18

https://doi.org/10.6200/TCMJ.201809_15(3).0002

摘要

本研究旨在探討乳癌病人乳癌篩檢利用、篩檢間隔與治療型態。方法：本研究使用國家衛生研究院發行全民健康保險研究資料庫，利用SAS 9.3統計套裝軟體進行資料分析，比較不同乳癌篩檢類型乳癌病患之確診日期，距離過去最後執行乳癌篩檢日期之月數及治療型態。結果：2008年新乳癌病人計有7,569位，年齡小於45歲乳癌病人佔24.24%，曾利用乳癌篩檢者只有24.24%；有521位乳癌病人曾只利用乳房超音波篩檢，其中年齡小於45歲乳癌病人有237人(45.49%)；71.61%的乳癌病人最後一次篩檢日期至乳癌確診日期間隔月數小於等於23個月。結論：只有24.24% 乳癌病人曾利用乳癌篩檢，年齡小於45歲乳癌病人約佔四分之一，建議政府提供年輕族群免費乳房超音波檢查，縮短免費乳房攝影間隔月數。

關鍵字

乳癌 ； 乳癌篩檢 ； 篩檢間隔 ； 超音波檢查 ； 乳房攝影檢查

並列摘要

Objectives: This study aimed to evaluate the utilization of breast cancer screenings, interval between screenings and treatments applied among breast cancer patients. Methods: This was a population-based study. The 2003-2010 Taiwan National Health Insurance Database was used to compare the length of month between the confirmed date of diagnosis with the latest screening date among patients with different types of breast cancer. All data was processed with SAS 9.3. Results: A total of 7,569 patients were newly diagnosed with breast cancer in 2008. Among these patients, 24.24% were younger than 45 years and 24.24% had received breast cancer screenings. Only 521 patients received cancer screening with breast ultrasonography. Of these 521 patients, 237 (45.49%) patients were younger than 45 years. The interval between the last breast cancer screening and the diagnosis of breast cancer was less than 23 months in 71.61% of the newly diagnosed breast cancer patients. Conclusions: Only one fourth of the newly diagnosed cancer patients received breast cancer screenings and one fourth of them were younger than 45 years. It is recommended for the government to provide free breast cancer screening with breast ultrasonography for younger patients and mammography screenings with shorter intervals.

並列關鍵字

breast cancer ； breast cancer screening ； screening interval ； ultrasonography ； mammography