Composition of Inpatients with Newly Diagnosed Esophageal Cancer in a Cancer Hospital from 2014 to 2022
Objectives This study aims to analyze the composition of inpatients newly diagnosed with esophageal cancer in a cancer hospital and to provide a reference for optimizing the allocation of resources for the prevention and treatment of esophageal cancer.Methods Using the International Classification of Diseases ICD-10 category C15 as the search condition,the relevant information of first-time hospitalized patients from January 1,2014 to December 31,2022 was extracted from the information system of a cancer hospital.The number of patients in each province is calculated based on address information,and the number of patients in each city and county in Sichuan Province is calculated.The hospitalization rate is calculated based on the resident population of each city and county.Excel was used to make statistical charts,and FineReport was used to make heat maps of patient origins.SPSS22.0 software was used to conduct independent sample T-tests on the age and hospitalization expenses of patients of different genders,urban and rural areas,and analyzed variance in the age of different ethnic groups.Results There were 10,045 newly diagnosed hospitalized patients with esophageal cancer from 30 provinces in China,including 9,557(95.14%)from Sichuan Province and a total of 488(4.86%)from other provinces.Patients in Sichuan Province came from 21 cities,among which Chengdu City(2974 people,31.12%)and Nanchong City(1542 people,16.13%)ranked the top two,accounting for 47.25%in total.According to the number of permanent residents,Nanchong ranked first(0.31(‰))and Guangyuan ranked second(0.25(‰)).The top 10 counties in Sichuan Province had a total of 3,386 hospitalizations(35.42%).The hospitalization rate was calculated based on the number of permanent residents.Nanbu County(0.87(‰)),Langzhong City(0.68(‰)),and Cangxi County(0.52(‰))ranked among the top 3.Among the hospitalized patients,8319 were male(82.82%,63.55±8.89 years old)and 1726 were female(17.18%,65.44±9.03 years old).The age difference between male and female patients was statistically significant(P<0.01).In terms of ethnic composition,Han,Tibetan,Yi,Qiang,and Hui ranked in the top five,with a total of 10019 people(99.74%).Yi was the youngest(58.61±9.78 years old),and Hui was the oldest(64.15±7.73 years old),and the difference was statistically significant(P<0.01).There was no significant difference in age and treatment cost between urban and rural areas(P>0.05).Conclusions In areas where the number of esophageal cancer inpatients is concentrated,more resources should be invested in diagnosis and treatment and the publicity of early diagnosis and treatment should be strengthened.In areas with high hospitalization rates,cancer screening should be carried out to explore the pathogenesis of esophageal cancer.
Esophageal cancerGeographical distributionAgeEthnicityUrban and rural