The latest incidence of cancer in children in my country for the first time in China

Author:Guangming Daily client Time:2022.09.23

On the 23rd, Beijing Children's Hospital Affiliated to the Capital Medical University of the National Children's Medical Center released the first research on the incidence and health service of children and adolescents in my country. "Published.

The study first reported the comprehensive data of the latest incidence of cancer in children and adolescents in my country. The results showed that from 2018 to 2020, a total of 1,21145 children and adolescents in my country were diagnosed with children with cancer. The study also found that health services and nature, as one of the decisive factors of a healthy society, played an important role in the diagnosis and treatment of children and adolescents in my country; the study also pointed out intervention measures to improve the status of cancer in children and adolescents in my country.

It is understood that with the guidance and support of the National Health Commission, the study was completed by Professor Ni Xin of Beijing Children's Hospital affiliated to the National Children's Medical Center Capital Medical University. The founders of the research team are Zhang Jinzhe and Hu Yamei, academicians of the Chinese Academy of Engineering.

Near 60%of children's cancer is a physical tumor

For a long time, the registration of children in my country has been incorporated into the work of adult cancer registration. Many factors that have the limitations of the number of children's cancer cases and the limitations of registration methods have caused the incidence of high -quality, national representative children and adolescents that have been lacking in the country. Data. In June 2019, the National Health and Health Commission approved the Beijing Children's Hospital of the Capital Medical University of the National Children's Medical Center to establish the National Children's Cancer Monitoring Center to include the national cancer diagnosis and treatment institution in the children's tumor monitoring network. As of September 2022, the children's tumor monitoring network has covered 587 children's tumor monitoring points across the country, and 1.86 million children's cancer case information has been registered.

Professor Ni Xin's team thoroughly analyzed the monitoring data of the national child tumor monitoring network and the database information of the relevant national field. It is estimated that Chinese children (0-14 years old) and adolescents (15-19) from January 1, 2018 to December 31, 2018 The incidence of cancer is based on international classification standards for children's tumors, and reported the latest incidence of 12 major diagnostic groups, 47 sub -groups and 81 cancer subtypes.

The results of the study showed that from 2018 to 2020, the average annual child and adolescent cancer patients were 40,388,800 new children and adolescents; the average increase in three years was 126.48/million; the incidence of cancer in children aged 0-14 was 122.86/million. The incidence of cancer 15-19 is 137.64/million. Among children, the top three cancers are leukemia (42.33 /million), central nervous system tumors (19.59 /million) and lymphoma (11.54 /million); among young people, malignant epithelial cancer and melanin The tumor ranks first (30.39 /million), followed by leukemia (30.08 /million), and central nervous system tumors (16.75 /million).

It is worth noting that the local data report before that made many people in the industry think that the proportion of 50%or even higher of children's tumors of leukemia, but the results of this research found that leukemia accounted for about 32%, lymphoma tumor tumors It accounted for about 9.7%, and nearly 60%of patients were physical tumors patients, indicating that the burden of epidemic disease in children's physical tumors was underestimated.

220,000 children with cancer patients are included in the whole management

Cancer has become one of the main reasons for the death of children and adolescents around the world. The Party Central Committee and the State Council attach great importance to the prevention and treatment of major illnesses in my country. Among them, diseases represented by children's cancer have received special attention. The National Health and Health Commission has taken the lead in carrying out the treatment and full management of children's cancer in the country, and has included 220,000 patients with cancer patients in the whole process. This study provides baseline data for children's cancer prevention and control measures and policies, especially optimizing the configuration of children's cancer sanitary resources.

The biggest innovation point in this research is based on the Human Development Index (HDI), and studied 4 health service indicators related to the diagnosis of children in children in the country and different regions. A significant positive trend, children's tumor, pathology/technician, children's tumor diagnosis and treatment institution, and the population and geographical density of pediatric beds are also positively related to this index level.

Therefore, the results of this research not only provide quantitative data evidence for the accuracy of the health administrative department to accurately optimize children's cancer resource allocation, but also provide objective proof of the necessity and importance of the construction of the national medical center and regional medical center in recent years.

Professor Ni Xin's team suggested: In the process of promoting the hierarchical diagnosis and treatment, we must fully consider the construction of children's cancer health service capabilities as one of the standards for establishing and evaluating regional children's medical centers and regional cancer centers. Children's cancer sanitary service resources to ensure that children with cancer enjoy convenient medical services in the region and even in the province to reduce the phenomenon of non -medical expenses brought about by different places; The linkage of the center and regional medical center enhances the early identification and early diagnosis capabilities of children in various places.

Provide valuable scientific evidence and practical experience to the world

Since the 18th National Congress of the Communist Party of China, the Party Central Committee has been concerned about the healthy growth of children and children, emphasizing the health of children's health and family happiness and the future of the nation, and has strengthened the reform and development of children's medical and health services. As a member of the World Health Organization, the Chinese government actively responds to the global initiative of children's cancer of children's cancer in the World Health Organization. The results of the treatment of children in my country and the results of the research have made positive contributions to global children's cancer control.

This research report proposes that with the popularization of medical insurance (96.3%) and the implementation of the inter -provincial medical insurance payment settlement system, children and adolescent patients can choose hospitals or across provinces to enjoy medical services. It has greatly alleviated the dilemma of cancer children in regions in limited areas of children's cancer diagnosis and treatment resources to enjoy high -quality health services. The research report provides valuable scientific evidence and practical experience for children with low -income countries, promoting children with cancer, and reducing disease burden.

Professor Sumit Gupta, a Professor Sumit Gupta from the Hospital for Sick Children (Canada), in Canada. The global children's cancer initiative of the World Health Organization contributes major progress in gist cancer control.

According to the results of this research, Professor Ni Xin, director of the National Children's Tumor Monitoring Center, said that the National Children's Tumor Monitoring Center will further evaluate the disease burden on children's tumors, including children's tumor survival rate and mortality; Databases of special diseases, establish a standardized diagnosis and treatment guidelines for different diseases; evaluate the effects of children's tumor prevention and control measures; research on survivors of children's tumors; conduct research on child tumor drugs, promote drug development and results transformation; promote children's tumor policy formulation Evaluation with effect. (Guangming Daily All Media Reporter Zhan Yuan)

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