流行病学特征和与粘膜性结直肠癌患者的整体存活率相关的危险因素:基于人口的研究
Jiao Jiang1, Xiao-Wei Tang1, Shu Huang2
1Department of Gastroenterology, the Affiliated Hospital of Southwest Medical University, Luzhou 646099, Sichuan Province, China.
World journal of gastrointestinal oncology
|September 4, 2023
概括
粘膜腺癌 (MC) 的发生率总体上下降,除了附录病例. 一个新的名图有效地预测了这种结肠直肠癌亚型的患者存活率.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 流行病学 流行病学
背景情况:
- 粘性腺癌 (MC) 是一种独特的结直肠癌亚型,具有有限的流行病学和预后数据.
- 监测,流行病学和最终结果 (SEER) 计划数据的分析是为了解决这一知识差距而进行的.
- 了解MC特征对于改善患者的治疗结果至关重要.
研究的目的:
- 确定粘膜腺癌的流行病学趋势.
- 确定MC的临床病理特征和预后因素.
- 为患有MC的患者开发一个预测性生存模型.
主要方法:
- 用于分析MC发病率趋势的Joinpoint回归程序.
- 多变量考克斯回归分析确定了与整体存活 (OS) 相关的因素.
- 开发了一个名图表来预测个体患者的生存概率.
主要成果:
- 在2000年至2018年期间,MC发病率从每10万人口中的4.50下降到1.54.
- 尾MC发生率增加,而其他部位显示下降.
- 年龄,种族,瘤阶段,手术和化疗是OS的重要预后因素.
结论:
- 脑筋硬化症的发病率正在下降,尾是一个值得注意的例外.
- 开发的诺米图表在预测MC患者的存活率方面表现良好.
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