| Abstract: | 過去有關癌症之文獻中多著重於癌症治療、癌症預防等，鮮少有研究探討延遲 治療對病患的影響。本研究第一年計畫即想了解前五大癌症病患延遲治療之狀況。 利用癌症登記資料庫、全民健保資料庫、死因統計檔、醫事機構現況檔等，了解 2007 至 2009 年新增五大癌症病患確診後至第一次治療此癌症之時間分布，影響病患延 遲治療之相關因素，與暸解延遲治療是否會影響病患後續治療狀況。 而子宮內膜癌(子宮體癌或子宮癌)在臺灣發生率逐漸上升，發生率位於婦科癌 症的第三位。子宮內膜癌目前尚無相關篩檢方式，依賴民眾自我發現徵兆求診。而 停經期後不正常陰道出血為最主要徵兆。因此本研究第二年想了解民眾發現此徵兆 至醫療院所求診到確診的時間點為何。研究將利用癌症登記資料庫、全民健保資料 庫相關檔案、死因統計檔、醫事機構現況檔等，了解 50歲以上之子宮內膜癌並換 延遲治療狀況，與影響子宮內膜癌病患延遲治療之相關因素，與延遲治療對於子宮 頸內膜癌病患後續健康狀況分析。 在癌症病患罹病的過程中，憂鬱是最常見的心理困擾，癌症病人的憂鬱症盛行 率在 22%-66%之間，較一般人口之 15%高。因此本研究第三年想了解台灣癌症病患 憂鬱情形。又健保局於 2003 年 4月開始給付「癌症治療計劃諮詢規劃費」，強調 以多專科診療的型態進行治療，此專科包含精神專科團隊，因此研究欲了解團隊介 入後，癌症病人發現憂鬱之時間是否有差異。研究將利用癌症登記資料庫、全民健 保資料庫相關檔案，了解五大癌症病患罹患憂鬱比例與時間，以及多專科診療是否 能及早發現及改善癌症病患罹患憂鬱情況。
In the past, the studies about cancer focused on cancer treatment, cancer prevention. There are few studies discussed about the delayed treatment on cancer patients. And cancer depression has been an important topic for cancer patients. This study is a 3 years study, and will focus on the patients delay treatment status in top 5 cancer, endometrial cancer, and major depression on cancer patients. In the first year, the study is going to understand the delayed treatment status for top five cancer patients, which will be lung cancer, liver cancer, colorectal cancer, breast cancer, and oral cancer. The study will use cancer registry database, the database of national health insurance, death statistics, etc. to understand patient delayed treatment status. The study samples are new top five cancer patients during years 2007-2009. Also, related factors affecting the patients delay will be discovered. And how do the delay in treatment affect patients health status and health care cost will also be follow-up. The incidence rate of endometrial cancer in Taiwan has been gradually rises. Currently there is no screening for endometrial cancer, and patients’ awareness became very important. Abnormal vaginal bleeding after menopause is the most important indication for endometrial cancer. So this study want to discover patients delayed treatment status of endometrial cancer. The study will use cancer registry database, national health insurance database, death statistics to know the delayed status for endometrial cancer patients. Also, risk factors of affecting delayed treatment for endometrial cancer will be explained. Prevalence of depression in cancer patients is around 22%, which is higher than the general population (15%). Therefore, the third year of this study wants to know the major depression status for cancer patients in Taiwan. And the Bureau of national health insurance implemented " Planning and Consultation Fee on Cancer Treatments" in April 2003. The study will use cancer registry database, national health insurance databases, to understand the status of top five cancer patients suffering from depression. And discover the efficacy of "Planning and Consultation Fee on Cancer Treatments" on cancer depression treatment. |
