老年患者细胞癌的预后因素:基于人口的队列研究
Heini Pajunen1, Thea Veitonmäki2, Heini Huhtala3
1Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland. heini.e.pajunen@gmail.com.
Scientific reports
|March 16, 2024
概括
细胞癌 (RCC) 的死亡率在老年人中很高. 痴呆症和心力衰竭显著恶化预后,但选定的老年患者从治愈治疗中受益.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 老年瘤学 老年瘤学
- 癌症流行病学 癌症流行病学
背景情况:
- 细胞癌 (RCC) 的死亡率在老年患者中特别高.
- 伴随性疾病对老年人RCC的整体预后的影响要大于年轻患者.
研究的目的:
- 在老年患者中确定细胞癌 (RCC) 死亡率的预后因素.
- 使用并发症来开发RCC死亡率的预测模型.
主要方法:
- 来自芬兰癌症登记处的74岁以上 (1995-2018) 个体的RCC病例分析.
- 利用Cox和Fine/Gray回归模型分析整体和RCC特异性死亡率,并纳入查尔森并发症指数 (CCI).
- 开发了一个名谱,以根据显著的预后因素和CCI组件预测RCC死亡率.
主要成果:
- 对于RCC死亡的显著预后因素包括瘤形态,性别,手术治疗,年龄,瘤范围和CCI.
- 总体死亡率最强的预测因素是瘤的扩展,形态和手术治疗.
- 痴呆症,心力衰竭和病是预测死亡率的最有影响力的并发症.
结论:
- 在老年人群中,RCC的死亡率仍然很高,痴呆和心力衰竭是关键的预后因素.
- 治愈治疗可以在特定的老年患者中有效,这些老年患者具有有限的并发症,可以容忍它.
- 登记册数据的局限性包括低估并发病率和缺乏身体表现状态数据.
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