皮肤病随访与黑色素瘤存活率之间的关联:基于人口的队列研究
Yuanshen Huang1, Patrick Fleming2, Kinwah Fung3
1Division of Dermatology, Department of Medicine, Queen's University, Kingston, Ontario, Canada.
Journal of the American Academy of Dermatology
|February 18, 2024
概括
在被诊断为黑色素瘤后,每年进行皮肤病检查的坚持率很低,只有28%的患者遵循指导方针. 增加对这些后续预约的坚持可能会提高黑色素瘤存活率.
科学领域:
- 皮肤病学 皮肤病学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 指南建议每年对黑色素瘤患者进行皮肤学检查.
- 对随访护理的坚持及其对生存的影响仍然不清楚.
研究的目的:
- 确定初级皮肤黑色素瘤患者每年皮肤学随访的遵守情况.
- 确定更好的坚持的预测因素.
- 评估坚持和黑色素瘤相关死亡率之间的关联.
主要方法:
- 追溯初始队列分析.
- 在加拿大安大略省 (2010-2013) 诊断为初级侵入性黑色素瘤的成年人.
- 后续数据截至2018年12月31日.
主要成果:
- 只有28.0%的患者坚持每年进行皮肤病随访.
- 坚持的预测因素包括年轻的年龄,女性性别,更高的收入,更好的护理机会,晚期黑色素瘤阶段,先前的皮肤癌症,较少的并发症和最近的门诊.
- 更高的坚持与减少黑色素瘤特异性死亡率有关 (aHR 0.64,95% CI 0.52-0.78).
结论:
- 黑色素瘤诊断后每年进行皮肤病检查的坚持很低.
- 增加坚持可能会改善患者的生存率.
- 需要进一步的研究,包括随机试验,来证实这些发现.
相关概念视频
Assumptions of Survival Analysis
127
Survival models analyze the time until one or more events occur, such as death in biological organisms or failure in mechanical systems. These models are widely used across fields like medicine, biology, engineering, and public health to study time-to-event phenomena. To ensure accurate results, survival analysis relies on key assumptions and careful study design.
127
Cancer Survival Analysis
346
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
346
Skin Cancer
4.1K
Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
4.1K
Comparing the Survival Analysis of Two or More Groups
186
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
186
Kaplan-Meier Approach
138
The Kaplan-Meier estimator is a non-parametric method used to estimate the survival function from time-to-event data. In medical research, it is frequently employed to measure the proportion of patients surviving for a certain period after treatment. This estimator is fundamental in analyzing time-to-event data, making it indispensable in clinical trials, epidemiological studies, and reliability engineering. By estimating survival probabilities, researchers can evaluate treatment effectiveness,...
138
Actuarial Approach
78
The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
78


