在第一和第二次原发性癌症患者中,自杀率较高
Yanting Jiang1,2, Yiqi Wang1,2, Xiaofei Cheng3
1Department of Radiation Oncology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, P.R. China.
Epidemiology and psychiatric sciences
|September 15, 2023
概括
患有第二种原发性癌症 (SPC) 的患者自杀风险低于患有第一种原发性癌症 (FPC) 的患者,但这种风险每年都在增加. 女性生殖系统癌症在SPC患者中显示了最高的自杀率.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 精神病学是一个精神病学.
背景情况:
- 由于治疗的进步,癌症的生存率正在增加.
- 这导致第二次原发性癌症 (SPC) 患者人数越来越多.
- 在SPC患者中自杀的发生率仍然未经检查.
研究的目的:
- 评估SPC患者中自杀的发生率.
- 为了比较SPC患者与第一原发性癌症 (FPC) 患者的自杀率.
主要方法:
- 追溯,基于人口的队列研究.
- 使用了国家癌症研究所的监测,流行病学和最终结果 (SEER) 17个注册表的数据库.
- 在2000年至2019年期间被诊断患有FPC和SPC的患者进行了随访.
主要成果:
- 诊断时85岁以上的患者的自杀死亡率更高 (HR,1.727).
- 在SPC患者中,女性生殖系统癌症的自杀死亡率最高 (HR,3.042).
- 自杀事件主要发生在SPC患者的诊断后5-15年.
结论:
- 一般来说,SPC患者的自杀风险低于FPC患者,但这种风险每年都在增加.
- 持续的心理支持对于瘤学家和医疗保健专业人员来说至关重要,以减轻自杀的发生率.
- 女性生殖系统癌症与SPC患者的自杀死亡率最高有关.
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