长期癌症存活率趋势通过更新的总结阶段趋势
Gonçalo Forjaz1, Lynn Ries2, Theresa P Devasia3
1Public Health Practice, Westat, Inc., Rockville, Maryland.
概括
癌症存活率趋势在大多数部位和阶段都得到改善,特别是局部胰腺和食道癌以及远程皮肤黑色素瘤. 这些进展突显了历史上预后不佳的癌症的临床管理方面的进展.
科学领域:
- 在瘤学瘤学.
- 癌症流行病学 癌症流行病学
- 生物统计学 生物统计学
背景情况:
- 癌症分期对预后至关重要,但不断发展的系统使长期趋势分析复杂化.
- 摘要阶段 (SS) 分类癌症的传播 (在现场,局部,区域,远程).
- 为了准确的生存趋势比较,需要一致的分期.
研究的目的:
- 通过在多个癌症部位上使用一致的总结阶段分类来分析癌症生存趋势.
- 为25个癌症部位使用连接点生存 (JPSurv) 模型呈现生存趋势.
主要方法:
- 开发了一个长期特定地点的总结阶段变量,以实现一致的分期.
- 将JPSurv模型应用于1975-2018年相对生存数据 (SEER-8),追踪到2019年.
- 利用结合点模型分析发病率和死亡率趋势,以帮助解释生存趋势.
主要成果:
- 大多数癌症部位和癌症阶段的5年相对存活率有所改善.
- 在局部胰腺癌,远程皮肤黑色素瘤和局部食道癌症中观察到显著的年生存率改善.
- 在关键癌症类型和癌症阶段报告的具体年均百分点增加.
结论:
- 这项研究提供了第一个按总结阶段对生存趋势的多站点分析.
- 最显著的生存率增长是在预后不佳,缺乏有组织的查的癌症中,这表明临床管理取得了进展.
- 这些发现对评估治疗对人口水平的影响和识别健康差异趋势有价值.
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