癌症患者的长期生存:监测,流行病学和基于最终结果的分析
Rokia A Sakr1, Abdelrahman A Nasr2, Eman I Zineldin3
1Department of Pathology, Menoufia University, Menoufia, Egypt.
Sultan Qaboos University medical journal
|September 1, 2023
概括
随着时间的推移,癌症患者的存活率显著改善,与血液癌症相比,实体瘤的长期存活率更高. 这一趋势突显了癌症护理和治疗疗效方面的进步.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 生物统计学 生物统计学
背景情况:
- 长期生存是评估癌症患者结果的关键终点.
- 评估长期存活率 (10年和20年) 是一个挑战,因为后续限制.
- 监测,流行病学和最终结果 (SEER) 计划为生存分析提供了有价值的历史数据.
研究的目的:
- 分析现实世界的长期癌症患者生存数据.
- 报告各种癌症类型的5年,10年和20年的生存率.
- 研究癌症存活率的趋势,根据时间,年龄和瘤类型.
主要方法:
- 使用SEER*Stat软件进行数据采集.
- 从SEER 9 Regs数据库 (2019年11月) 提取的数据.
- 分析了1975年至2014年期间诊断的4,412,024名患者的记录.
主要成果:
- 随着时间的推移,总体生存时间的中位数显著增加 (P <0.001).
- 固体瘤的20年生存率 (50.8%) 与血液恶性瘤 (38%) 相比较高.
- 甲状腺癌 (95.2%),生殖细胞瘤 (90.3%) 和黑色素瘤 (86.8%) 的20年相对存活率最高.
结论:
- 大多数癌症类型都表现出较高的20年相对生存率.
- 随着时间的推移,癌症生存率呈现出积极的趋势,特别是在固体瘤中.
- SEER数据提供了对长期癌症存活率的关键见解.
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