多发性骨髓瘤的癌症特异性死亡率:基于人口的回顾性队列研究
Arleigh McCurdy1, Hsien Seow2, Gregory P Pond2
1The Ottawa Hospital Research Institute, Ottawa, ON. amccurdy@toh.ca.
Haematologica
|July 13, 2023
概括
多发性骨髓瘤 (MM) 仍然是患者死亡的主要原因,即使生存率有所改善. 最近的诊断和新药降低了MM特异性死亡率,但其他因素增加了非MM死亡.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 在过去的20年里,多发性骨髓瘤 (MM) 的生存率有了显著的改善.
- 在整个MM疾病轨迹中改变死亡原因的数据是有限的.
研究的目的:
- 评估MM患者的MM特定与非MM死亡原因.
- 通过自身干细胞移植 (ASCT) 状态分层识别与特定死因相关的因素.
主要方法:
- 在6677名MM患者 (2,576名ASCT,4,010名非ASCT) 的回顾性基于人口的研究中.
- 对死亡率数据的分析,按ASCT和非ASCT队列分层.
- 多变量分析以确定MM特异性和非MM死亡的风险因素.
主要成果:
- 多发性骨髓瘤是主要的死亡原因 (74%在ASCT中,67%在非ASCT中).
- 其他癌症,心脏病和传染病是随后的主要原因.
- 最近的诊断和新药使用降低了MM特异性死亡风险.
- 以前的非MM癌症,年龄较大和诊断时的CRAB标准增加了非MM死亡风险.
结论:
- 尽管生存率有所改善,MM仍然是MM患者长寿的主要威胁.
- 对于ASCT和非ASCT人群来说,MM疗法和获取的进一步进展至关重要.
- 解决非MM死亡原因对于改善整体存活率也很重要.
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