治疗模式变化对口腔状癌生存的影响 - 一项人口级研究
Natarajan Ramalingam1, Nithyanand Chidambaranathan2, Shivakumar Thiagarajan3
1Department of Head and Neck Oncology, Christian Medical College, Vellore, India.
Indian journal of surgical oncology
|January 8, 2024
概括
最近口腔癌治疗的进步使得生存率有所提高. 这项研究证实,这些治疗改进对口腔癌患者的人口生存结果产生了积极的影响.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 癌症研究 癌症研究
背景情况:
- 口腔癌的治疗已经取得了重大进展.
- 评估这些改善对存活率的种群层面影响至关重要.
研究的目的:
- 评估最近的口腔癌治疗改善是否转化为人口水平的生存益处.
- 分析治疗方式的趋势及其与生存结果的关联.
主要方法:
- 对SEER 19定制数据库 (1995-2015) 的回顾性分析.
- 包括被诊断患有口腔癌的患者,分析诸如阶段,年龄,性别和治疗等共变量.
- 患者被分为四个诊断年龄队伍进行比较分析.
主要成果:
- 通过辅助疗法进行手术的显著增加和非手术治疗的减少在各队伍中观察到.
- 最新的队列 (2011-2015年) 与早期队列相比,显著改善了中位数整体存活率 (OS) 和疾病特异性存活率 (DSS).
- 治疗方式显著影响了OS和DSS,特别是在后期的队列中 (p<0.001).
结论:
- 口腔癌治疗模式的改进,包括手术技术和基于证据的实践,导致了更好的人口生存结果.
- 虽然存在地理差异,但这项研究提供了现代治疗方法对延长存活的益处的证据.
- 建议进行进一步的本地研究以验证这些发现.
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