丸癌诊断后的死亡原因:美国基于人口的分析分析
Zhongyuan Wang1, Baochao Li1, Jiajun Xing1
1Department of Urology, First Affiliated Hospital of Nanjing Medical University, No. 300, Guangzhou Street, Nanjing, 210029, Jiangsu Province, China.
BMC urology
|September 2, 2023
概括
丸癌 (TC) 幸存者面临更高的死亡风险. 虽然TC是主要的死亡原因,但心脏病和意外等非癌症疾病也对死亡率有很大影响,特别是在长期内.
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:
- 西斯普拉丁化疗改善了丸癌 (TC) 存活率.
- 尽管取得了进展,但TC患者的死亡风险与普通人群相比仍然更高.
- 了解诊断后死亡原因对于TC幸存者护理至关重要.
研究的目的:
- 量化和分析丸癌 (TC) 患者死亡原因.
- 在诊断后的不同时间间隔中识别死亡率模式.
- 通过年龄和种族来检查死亡率的变化.
主要方法:
- 在使用SEER数据库分析了在美国 (2000-2018) 诊断出TC的44,975名男性.
- 计算各种死亡原因的标准化死亡率 (SMR).
- 根据年龄和种族进行分层分析,以确定特定的风险因素.
主要成果:
- 在研究期间发生了3,573例 (7.94%) 的死亡,其中38.20%发生在诊断后1-5年.
- 丸癌 (TC) 和其他癌症是导致死亡的主要原因.
- 对于非恶性疾病,事故在早期很常见,而心脏病在一年后变得更为普遍.
结论:
- 丸癌 (TC) 仍然是导致死亡的首要原因,但非TC原因很重要.
- 死亡风险随着时间的推移而变化,非癌症疾病对TC幸存者构成重大威胁.
- 调查结果使TC幸存者在随访期间了解各种健康风险.
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