结肠和直肠癌的年龄相关变化:对国家癌症数据库的分析
Rachel Gefen1, Sameh Hany Emile2, Nir Horesh3
1Ellen Leifer Shulman and Steven Shulman Digestive Disease Center, Cleveland Clinic Florida, Weston, FL; Department of General Surgery, Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Israel. Electronic address: https://twitter.com/RachellGefen.
Surgery
|September 21, 2023
概括
年龄显著影响结直肠癌的特征,治疗和结果. 老年患者面临更高的死亡率和更短的生存期,突出了护理方面的差异.
科学领域:
- 在瘤学瘤学.
- 老年医学 老年医学
- 公共卫生 公共卫生
背景情况:
- 结肠直肠癌的特征和治疗可以随着患者的年龄而有很大差异.
- 了解这些与年龄相关的差异对于有效的癌症管理至关重要.
研究的目的:
- 评估结直肠癌特征和治疗的年龄相关变化.
- 评估年龄对结直肠癌患者结局的影响.
主要方法:
- 美国国家癌症数据库 (2005-2019) 的回顾性队列分析.
- 患者分为三个年龄组:<50,50-79岁和≥80岁.
- 跨年龄组的瘤特征,治疗方法和短期死亡率的比较.
主要成果:
- 老年患者 (≥80) 在诊断时转移性疾病的发病率较高.
- 非常老的患者经历了更长的住院时间和显著更高的30天和90天的死亡率对于结肠和直肠癌.
- 年龄较大与总体存活时间较短有关,不论是并发症或瘤阶段.
结论:
- 在结直肠癌的呈现,治疗和结果中存在与年龄相关的显著差异.
- 认识到这些差异对于制定有针对性的干预措施来减少基于年龄的治疗差距至关重要.
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