瘤特征的性别差异,结直肠癌的治疗和生存:基于人口的研究
Felice N van Erning1, Nynke E M Greidanus2, Rob H A Verhoeven3
1Department of Research & Development, Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, the Netherlands; Department of Surgery, Catharina Hospital, Eindhoven, the Netherlands.
Cancer epidemiology
|August 26, 2023
概括
男性的结直肠癌发病率高于女性. 在瘤特征,治疗和存活率方面存在显著的性别差异,特别是在患有第四阶段结肠癌的老年女性中.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 人们越来越认识到性别和性别是影响健康和疾病的关键因素.
- 结肠直肠癌 (CRC) 的发病率,特征,治疗和生存率是性别差异的潜在领域.
研究的目的:
- 调查和量化结直肠癌 (CRC) 发病率中的性别差异.
- 分析CRC患者中瘤特征,治疗策略和相对存活率 (RS) 的性别特异变化.
主要方法:
- 在2010年至2020年期间诊断的荷兰CRC患者的基于人口的观察性研究.
- 分析按癌症部位 (结肠/直肠) 和年龄组 (18-55,56-70,≥71岁) 分层.
- 用多变量回归模型来评估性别对治疗和RS的影响.
主要成果:
- 与女性相比,在男性中观察到较高的结肠和直肠癌的年龄标准化发病率.
- 在患者和瘤特征,治疗分配和性别之间的相对存活率中发现了性别差异.
- 值得注意的是,患有第四阶段结肠癌的老年女性 (≥71岁) 接受的全身治疗少,接受的最佳支持性护理更多.
结论:
- 从统计学上显著和临床上相关的性别差异在CRC发病率,患者/瘤特征和治疗方面显而易见.
- 需要进一步的研究,以阐明基于性别的治疗分配观察到的差异的根本原因.
相关概念视频
Cancer Survival Analysis
381
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
381
Tumor Progression
6.4K
Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
6.4K
Comparing the Survival Analysis of Two or More Groups
222
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
222
The Tumor Microenvironment
6.7K
Every normal cell or tissue is embedded in a complex local environment called stroma, consisting of different cell types, a basal membrane, and blood vessels. As normal cells mutate and develop into cancer cells, their local environment also changes to allow cancer progression. The tumor microenvironment (TME) consists of a complex cellular matrix of stromal cells and the developing tumor. The cross-talk between cancer cells and surrounding stromal cells is critical to disrupt normal tissue...
6.7K


