阿尔伯塔省儿童癌症幸存者研究计划
Andrew Harper1, Fiona Schulte2,3, Gregory M T Guilcher2,4
1Department of Cancer Epidemiology and Prevention Research, Cancer Care Alberta, Alberta Health Services, Calgary, AB T2S 3C3, Canada.
Cancers
|August 12, 2023
概括
这项研究在加拿大阿尔伯塔省建立了一个大型儿童癌症幸存者队列,以跟踪长期健康结果并改善护理. 该研究旨在减少不良影响,并加强对年轻癌症幸存者的三级预防策略.
科学领域:
- 儿科瘤学 儿科瘤学
- 癌症流行病学 癌症流行病学
- 公共卫生 公共卫生
背景情况:
- 关于儿童癌症结果的现有研究往往是历史性的,只关注5年生存率.
- 需要对儿童癌症幸存者的长期不良结果提供全面的基于人口的数据.
研究的目的:
- 描述阿尔伯塔省儿童癌症幸存者研究计划及其基础队列.
- 建立一个链接的数据库来跟踪健康结果,并为临床护理提供信息.
主要方法:
- 在2001年至2018年期间,2581名阿尔伯塔居民被诊断患有癌症 (年龄为0至17岁).
- 链接阿尔伯塔癌症登记,加拿大年轻人癌症计划,行政健康数据库和患者报告的结果.
- 持续手动抽象处理数据以确保完整性.
主要成果:
- 该队列包括2581名幸存者,其中53.7%是5年幸存者;中位数随访时间为5.6年 (5年幸存者为10.3年).
- 在随访期间,发生了94种随后的原发性癌症,16669例住院和445150例门诊事件,并记录了408例死亡.
- 白血病 (25.3%),中枢神经系统瘤 (24.2%) 和淋巴瘤 (14.9%) 是最常见的诊断.
结论:
- 阿尔伯塔省儿童癌症生存研究计划为研究长期结果提供了坚实的基础.
- 结果将为改善临床护理和三级预防策略提供信息,以减少儿童癌症幸存者的后果.
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