肝细胞癌流行病学的变化在卡林西亚,奥地利,2012-2023年
Florian Hucke1, Heleen Emmer1, Roberto Emmer1
1Department of Internal Medicine and Gastroenterology (IMuG), Hepatology, Endocrinology, Rheumatology and Nephrology Including Emergency Medicine (ZAE), Klinikum Klagenfurt am Wörthersee, 9020 Klagenfurt, Austria.
Cancers
|November 14, 2023
概括
肝细胞癌 (HCC) 发病率正在上升,年轻患者的诊断越来越多,非酒精性脂肪肝炎 (NASH) 病例增加. 在没有肝硬化的患者中,早期检测至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 肝细胞癌 (HCC) 是一个重大的全球健康挑战,其发病率正在上升.
- 尽管取得了进展,但HCC仍然是全球癌症相关死亡的主要原因.
研究的目的:
- 分析2012-2023年间Klinikum Klagenfurt am Wörthersee医院HCC病因和生存率的流行病学转变.
- 为了比较两个不同的时间间隔 (2012-2017年和2018-2023年) 的HCC患者人口统计和结果.
主要方法:
- 追溯性,单中心队列研究设计.
- 使用IBM SPSS.使用患者数据的统计分析.
- 两个五年期的比较,以确定趋势.
主要成果:
- 在后期 (2018-2023) 增加了HCC诊断,患者的平均年龄较小.
- 酒精仍然是主要病因,但非酒精性脂肪肝炎 (NASH) 病例显示出显著的上升趋势.
- 生存结果保持一致,尽管晚期HCC的增加和诊断的肝硬化患者数量越来越多,但肝硬化通常与NASH有关.
结论:
- 肝硬化症是一个持续的公共卫生问题,在没有先前存在肝硬化的人群中病例显著增加,通常与NAFLD/NASH有关.
- 预防策略和查必须适应HCC不断变化的流行病学,强调在非肝硬化人群中检测.
- 针对性的查和预防工作对于应对HCC日益增长的负担至关重要,特别是在与生活方式相关的疾病的背景下.
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