相关实验视频
Updated: Jul 2, 2025

08:49
A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
15.8K
改善晚期黑色素瘤患者的生存率:从2013年到2021年的趋势分析
Olivier J van Not1,2, Alfons J M van den Eertwegh3, John B Haanen4
1Scientific Bureau, Dutch Institute for Clinical Auditing, Rijnsburgerweg 10, Leiden 2333AA, the Netherlands.
EClinicalMedicine
|February 19, 2024
概括
晚期黑色素瘤患者的生存率改善到2019年. 然而,在2020年和2021年诊断的患者表现较差,可能与COVID-19有关. 在调整已知的预后因素后,这种趋势仍然存在.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 晚期黑色素瘤的预后有所改善.
- 根据诊断年份评估生存趋势至关重要.
研究的目的:
- 评估诊断年对晚期黑色素瘤患者存活率的影响.
- 为了识别随着时间的推移,整体生存 (OS) 的趋势.
主要方法:
- 利用了来自荷兰黑色素瘤治疗注册表 (2013-2021) 的数据.
- 包括6260个系统治疗的晚期黑色素瘤患者.
- 采用多变量Cox比例危险模型来根据诊断年来分析OS.
主要成果:
- 中位数OS从11.2个月 (2013) 增加到32.0个月 (2019).
- 在2020年 (26.6个月) 和2021年 (24.0个月) 诊断的患者中,中位数的生存能力下降.
- 与2019年相比,2020-2021年诊断的死亡风险较高,尽管在统计学上并不显著.
结论:
- 晚期黑色素瘤患者的治疗结果从2013年至2019年有所改善.
- 在2020-2021年诊断的患者中出现了较差的生存率的令人担忧的趋势.
- 未测量的因素,可能与COVID-19有关,可能解释了近年来生存率的下降.
相关概念视频
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
Tumor Immunotherapy
524
Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
524
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
Tumor Progression
6.3K
Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
6.3K
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

