美国与胸腺瘤存活率相关的社会经济因素
Enoch Yeung1, Emma K Satchell2, Apar S Patel2
1Division of Cardiac Surgery, Department of Surgery, Guthrie/Robert Packer Hospital, Sayre, Pennsylvania; Department of Biomedical Engineering, Cornell University, Ithaca, New York.
The Journal of surgical research
|October 5, 2023
概括
收入和年龄等社会经济因素显著影响胸腺瘤患者的生存率. 更高的收入和年轻的年龄与这种罕见的前中瘤的更好的生存结果相关.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 胸腺瘤是最常见的前端中瘤,通常需要手术切除.
- 社会经济因素对胸腺瘤患者存活率的影响仍未得到充分研究.
- 了解这些因素对于改善治疗策略和患者治疗结果至关重要.
研究的目的:
- 调查社会经济变量与胸腺瘤患者的存活率之间的关联.
- 分析人口和社会经济因素对整体和癌症特异性生存率的影响.
- 确定胸腺瘤护理和结果中的潜在差异.
主要方法:
- 利用了来自监测,流行病学和最终结果 (SEER) 注册表 (1975-2019) 的数据.
- 包括1821名被诊断患有胸腺瘤的成年患者.
- 采用卡普兰-梅尔分析和考克斯比例危险模型来评估基于年龄,收入,种族,种族,性别和地区的生存率.
主要成果:
- 胸膜瘤的整体死亡风险每年减少3.5% (P < 0.001).
- 年龄较大显著增加了死亡风险 (52.8%为50-65岁,339%为65岁以上).
- 较高收入 (>75,000美元) 与较低收入 (<50,000美元) (P=0.029) 相比,与40.1%的较低死亡风险有关.
结论:
- 在过去的40年里,医学进步改善了胸腺瘤存活率.
- 人口因素 (年龄) 和社会经济因素 (收入) 显著影响患者的生存率.
- 对社会经济差异的进一步研究可以优化胸腺瘤管理.
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