在初始诊断时常见的固体癌症中骨转移的患病率和预后:基于人口的研究
Jing Zhang1, Dongfeng Cai1, Song Hong2
1Department of Orthorpedic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.
BMJ open
|October 21, 2023
概括
骨转移在晚期癌症中很常见,肺癌患病率最高. 骨转移显著恶化了许多固体瘤的存活率,凸显了早期查和向治疗的必要性.
科学领域:
- 在瘤学瘤学.
- 癌症转移研究 癌症转移研究
- 流行病学 流行病学
背景情况:
- 骨是晚期癌症传播的常见场所.
- 了解骨转移的患病率和影响对于患者的治疗结果至关重要.
研究的目的:
- 在12种常见的固体瘤中确定骨转移的患病率和预后.
- 分析骨转移对患者生存率的影响.
主要方法:
- 使用监测,流行病学和最终结果 (SEER) 数据库进行回顾性队列研究.
- 分析了2010年至2015年期间诊断的1,425,332名患者.
- 卡普兰-梅尔法和Cox逻辑回归用于生存分析.
主要成果:
- 89,782名患者在诊断时有骨转移.
- 肺癌患病率最高 (18.05%);乳腺癌,前列腺癌,甲状腺癌和鼻癌的5年生存率高于20%,与孤立的骨相比.
- 骨转移显著增加死亡风险 (例如,前列腺癌HR:18.24) 和生存率恶化,特别是在额外的转移.
结论:
- 这项研究量化了常见固体癌症的骨转移发病率和预后.
- 骨转移显著降低了生存率,强调了它们的临床重要性.
- 这些发现支持早期查,临床试验设计和骨转移的预后评估.
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