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预防医学  2017, Vol. 29 Issue (8): 762-765    DOI: 10.19485/j.cnki.issn1007-0931.2017.08.002
  论著 本期目录 | 过刊浏览 | 高级检索 |
常见恶性肿瘤归因2型糖尿病风险及医疗经济负担研究
胡如英, 潘劲, 武海滨, 龚巍巍, 王蒙
浙江省疾病预防控制中心,浙江 杭州 310051
A study on the risk and economic burden of common malignant tumor due to type 2 diabetes mellitus
HU Ru-ying, PAN Jin, WU Hai-bin, GONG Wei-wei, WANG Meng
Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang,310051,China
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摘要 目的 研究常见恶性肿瘤归因2型糖尿病的风险和直接医疗经济负担。方法 收集2007—2013年浙江省慢性病监测和随访数据库中糖尿病和恶性肿瘤发病资料及第五次卫生服务调查的医疗费用资料,分析2型糖尿病发生恶性肿瘤的人群归因危险度和恶性肿瘤直接医疗经济负担,进而估算2型糖尿病引起的恶性肿瘤直接医疗经济负担。结果 2型糖尿病患者发生恶性肿瘤归因危险度RR为1.68(95%CI:1.68~1.70);归因危险度百分比(AR%)为40.57%,以甲状腺癌最高(73.49%);人群归因危险度百分比(PAR%)为2.05%,以结肠癌最高(2.44%)。恶性肿瘤年均住院医疗费用110.99亿元,占当年卫生总费用的6.48%,其归因于2型糖尿病的直接医疗经济负担为2.28亿元。归因2型糖尿病的直接医疗经济负担前3位为肺癌、结肠癌和胃癌。结论 2型糖尿病增加恶性肿瘤发生风险,归因2型糖尿病的恶性肿瘤直接医疗经济负担达2.28亿元。
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胡如英
潘劲
武海滨
龚巍巍
王蒙
关键词 恶性肿瘤2型糖尿病人群归因危险度经济负担    
AbstractObjective To evaluate risk and the direct economic burden of malignant tumor due to type 2 diabetes mellitus. Methods Combing the data of chronic disease surveillance,follow-up and the fifth health service investigation,we calculated the population attributable risk and the direct economic burden for malignant tumor due to type 2 diabetes mellitus in order to estimate the direct economic burden for tumor caused by type 2 diabetes mellitus. Results The relative risk was 1.68 (95%CI: 1.68-1.70) for people with type 2 diabetes mellitus to develop the malignant tumor than the people without type 2 diabetes mellitus. The proportions of attributable risk (AR%) and population attributable risk (PAR%)were 40.57% and 2.05%,respectively. Moreover,the annual average hospitalization costs for malignant tumor reached 11 billion CNY,which took part 6.48% of total health service costs. And the direct economic burden for malignant tumor due to type 2 diabetes mellitus was 0.228 billion CNY. In addition,the top two highest population attributable risks were colorectal cancer and liver cancer,while the top three greatest direct economic burdens for malignant tumor or malignant tumor due to type 2 diabetes mellitus were lung cancer,colorectal cancer and stomach cancer. Conclusion From this study,we found that type 2 diabetes mellitus increased the risks of tumor and therefore lead to sharply increasing in medical costs of malignant tumor. In order to decrease the risk of malignant tumor and medical costs,we should pay more attention to the prevention of type 2 diabetes mellitus and the screening of malignant tumor due to type 2 diabetes mellitus.
Key wordsMalignant tumor    Type 2 diabetes    Population attributable risk    Economic burden
收稿日期: 2016-11-07      出版日期: 2017-10-17
ZTFLH:  R587.1  
基金资助:浙江省公益技术应用研究计划(2017C33090)
通信作者: 胡如英,E-mail:ryhu@cdc.zj.cn   
作者简介: 胡如英,本科,主任医师,主要从事慢性病防制工作
引用本文:   
胡如英, 潘劲, 武海滨, 龚巍巍, 王蒙. 常见恶性肿瘤归因2型糖尿病风险及医疗经济负担研究[J]. 预防医学, 2017, 29(8): 762-765.
HU Ru-ying, PAN Jin, WU Hai-bin, GONG Wei-wei, WANG Meng. A study on the risk and economic burden of common malignant tumor due to type 2 diabetes mellitus. Preventive Medicine, 2017, 29(8): 762-765.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn1007-0931.2017.08.002      或      http://www.zjyfyxzz.com/CN/Y2017/V29/I8/762
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