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来自基于人口的膀癌登记册的经验教训:探索为什么生存率没有提高
Jake A Tempo1,2, Samuel Sii3, Joseph Ischia2
1College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.
BJU international
|February 27, 2024
概括
膀癌的生存率已经下降了40多年,主要是由于人口老龄化. 老年人的诊断增加有助于这一趋势,影响整体生存率.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 膀癌的生存率在过去的40年里显示出令人担忧的下降.
- 了解导致这种下降的因素对于改善患者的治疗结果至关重要.
研究的目的:
- 在40年时间内调查膀癌存活率观察到的下降背后的原因.
- 分析与人口变化相关的膀癌发病率和生存率的趋势.
主要方法:
- 利用来自南澳大利亚癌症登记处的数据,涵盖1977年1月至2020年12月的时间.
- 包括8356名被诊断患有侵入性膀癌 (≥pT1疾病) 的患者.
- 分析了发病率,诊断时的年龄和生存率的变化,调整了年龄和其他因素.
主要成果:
- 侵袭性膀癌的发病率下降,但诊断时的平均年龄显著增加 (从68岁增加到76岁).
- 总体生存率下降,但在调整年龄后,这一趋势逆转,表明年龄是关键因素.
- 在老年人中没有观察到膀癌特异性死亡率的显著变化,尽管非癌症特异性死亡率下降.
结论:
- 侵袭性膀癌存活率的下降受到老龄化人口结构的显著影响.
- 虽然整体发病率有所下降,但老年人中诊断的增加是降低生存率的主要驱动因素.
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