少数群体中肉瘤患者的流行病学和生存因素:一项SEER回顾性研究
Victoria Dahl1, Yonghoon Lee1, Jaxon D Wagner1
1Department of Education, The University of Miami Leonard M. Miller School of Medicine, Miami, Florida, United States.
概括
种族差异影响了肉瘤的生存率,美国原住民/阿拉斯加原住民和黑人患者面临更高的死亡风险. 这些结果与转移率的增加和少数群体手术干预的减少有关.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 流行病学研究表明,种族影响瘤结果.
- 监测,流行病学和最终结果 (SEER) 数据库被用来调查种族对癌症治疗和生存的影响.
研究的目的:
- 检查种族如何影响骨和软组织肉瘤患者的瘤结果.
- 确定治疗差异及其对少数癌症患者生存率的影响.
主要方法:
- 来自SEER数据库的骨和软组织肉瘤病例的回顾性分析.
- 卡普兰-梅尔曲线用于5年生存率 (SR),皮尔森的千平方测试,以及对分类变量的克莱默V.
- 考克斯回归分析以确定死亡风险的危险比率 (HRs).
主要成果:
- 美国原住民/阿拉斯加原住民 (NA/AN) 和黑人患者死亡风险增加 (HR分别为1.36和1.17).
- NA/AN个体的5年生存率最低 (70.9%).
- 少数群体,包括西班牙裔和黑人患者,在诊断时的转移率更高,外科切除率更低.
结论:
- 种族是NA/AN和黑人患有四肢肉瘤的患者死亡的独立风险因素.
- 获得医疗保健,治疗延迟和社会经济因素可能导致少数群体患者转移和手术干预率的差异.
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