Statistical Analysis of Malignant Tumor Deaths in a Three A and Tertiary Hospital in Guangxi from 2013 to 2022
Objectives Through the statistical analysis of the death cases of malignant tumors in a Three A and Tertiary Hospital in Guangxi from 2013 to 2022,this paper provided a scientific basis for relevant departments to formulate malignant tumor prevention and treatment strategies.Methods With the International Classification of Diseases(ICD-10)code as the standard,the primary diagnosis codes were selected in the range of primary malignant tumors C00-C75 and C81-C97.A retrospective analysis was carried out on the data of all patients discharged from hospital from January 1st,2013 to December 31st,2022,who were mainly diagnosed with malignant tumor and died by way of discharge from the medical record information system of a top-three hospital in Guangxi.Results From 2013 to 2022,there were 1112 cases of malignant tumor deaths in the hospital,with a case fatality rate of 1.26％,showing a downward trend year by year(x2=300.05,P＜0.001),of which the case fatality rate of men was 1.40％and that of women was 1.10％,and the difference in mortality rates between genders was statistically significant(x2=14.83,P＜0.001).In terms of age distribution,the 45-64 age group had the most deaths,accounting for 48.29％,of which the age group with the highest case fatality rate was over 65 years old,which was 1.80％,and the difference in case fatality rate between different age groups was statistically significant(x2=57.74,P＜0.001).The leading causes of death were identified as follows:lung cancer(269 cases,24.19％),liver cancer(177 cases,15.92％),breast cancer(120 cases,10.79％),colorectal cancer(105 cases,9.44％),and gastric cancer(84 cases,7.55％).Among male deaths,lung cancer ranked first(176 cases,26.99％),followed by liver cancer(145 cases,22.94％).Among female deaths,breast cancer was the leading cause(120 cases,26.09％),followed by lung cancer(93 cases,20.22％).In terms of payment methods,the majority of malignant neoplasm patients were covered by urban employee basic medical insurance(530 people,47.66％),followed by urban resident basic medical insurance(236 people,21.22％).The differences in mortality rates among different payment methods were statistically significant(x2=239.30,P＜0.001).In summary,the hospital experienced a declining trend in the mortality rate of malignant neoplasms from 2013 to 2022.Significant variations in mortality rates were observed based on gender,age group,leading causes of death,and payment methods.These findings highlight the importance of targeted interventions and healthcare policies for specific population groups and conditions.Conclusions The mortality rate of malignant tumor showed a decreasing trend,and the mortality rate of male was higher than that of female,we should focus on the screening of lung cancer,liver cancer and colorectal cancer aged 45 years and above,among which male screening should be focused on lung cancer,liver cancer and colorectal cancer,and female screening should be focused on breast cancer,liver cancer and colorectal cancer,so as to carry out effective,standardized and reasonable cancer diagnosis and treatment,and reduce the incidence and mortality of cancer.
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