乳腺癌的长期生存和预后因素
Asiie Olfatbakhsh1, Leila Heidari1, Zahra Omidi1
1Breast Cancer Research Center, Motamed Cancer Institute, ACECR, Tehran, Iran.
Archives of Iranian medicine
|August 6, 2023
概括
这项研究发现,伊朗15年乳腺癌存活率为66%. 淋巴结参与,较大的瘤大小和较低的教育水平等因素会对乳腺癌存活率产生负面影响.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 乳腺癌生存率是评估治疗疗效的关键指标.
- 评估长期存活率对于了解乳腺癌护理治疗结果至关重要.
研究的目的:
- 在伊朗的一个转诊中心确定乳腺癌患者的15年生存率.
- 确定与乳腺癌存活率相关的人口,临床和治疗因素.
主要方法:
- 从1998年到2016年,对3443名乳腺癌患者进行了生存研究.
- 使用Kaplan-Meier方法来计算生存率.
- 考克斯的比例危险模型分析了影响整体生存 (OS) 的因素.
主要成果:
- 整体2年,5年,7年,10年和15年的生存率分别为93%,82%,78%,74%,66%.
- 乳腺癌存活率下降的独立预测因素包括淋巴结参与,瘤大小≥5厘米,单身/离婚/寡妇,以及教育水平低于高中毕业证.
- 随访时间中位数为48.4个月.
结论:
- 在这项研究中,乳腺癌的五年生存率高于之前的一些伊朗研究,可能是由于多学科治疗方法.
- 瘤大小和淋巴结参与是延迟诊断的指标,并显著影响乳腺癌的存活率.
- 教育水平和生存率之间的相关性凸显了伊朗妇女意识和早期诊断策略的重要性.
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