患者检测到的乳腺癌随着时间的推移而持续: 1990-2019年
Judith A Malmgren1,2, Mary K Atwood3, Henry G Kaplan3
1HealthStat Consulting, Inc., Seattle, Washington, USA.
Cancer
|August 8, 2023
概括
患者检测到的乳腺癌 (BC) 比例下降,但随着时间的推移,病例数量和阶段增加. 这凸显了改善乳腺癌诊断和认识的必要性,特别是在年轻人和少数群体中.
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:
- 患者检测到的乳腺癌 (BC) 趋势和特征随着时间的推移被研究不足.
- 了解这些趋势对于改善查和诊断策略至关重要.
研究的目的:
- 分析患者检测的乳腺癌 (PtDBC) 的时间变化及其相关的患者和瘤特征.
- 在30年的时间里,确定与PtDBC相关的因素.
主要方法:
- 从1990年至2019年,对15,827名患有0-IV期乳腺癌患者的大型机构队列进行了回顾性审查.
- 分析了诊断方法 (PtDBC,乳房图检测[MamDBC],医生检测[PhysDBC]) 和患者/瘤特征.
- 统计分析包括皮尔森千平方测试和后勤回归.
主要成果:
- PtDBC的比例从44% (1990-1999) 降至34% (2010-2019),但病例数量增加.
- 与乳房镜检测的癌症相比,PtDBC病例在更高的阶段 (II-IV) 始终被诊断出来.
- 年龄较小 (<40岁) 和黑人种族与PtDBC的几率增加有关.
结论:
- 尽管进行了乳房镜检查,但PtDBC仍然显著,呈现出更高阶段的疾病.
- 需要提高乳腺健康意识,及时介绍,并针对年轻人和少数群体进行有针对性的宣传.
- 改善的诊断途径和专业护理对于症状性PtDBC至关重要.
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