乳腺癌查间隔:影响诊断时晚期疾病的发生率和整体生存率
Margarita L Zuley1, Andriy I Bandos2, Stephen W Duffy3
1Department of Radiology, Division of Breast Imaging, School of Medicine & University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, PA.
概括
每年进行乳房X光检查显著减少晚期乳腺癌的诊断,并改善整体生存率. 这项研究支持每年对40岁及以上的女性进行查,以获得更好的乳腺癌结果.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 查性乳房造影对乳腺癌结果的影响仍在争论中.
- 现实世界的数据对于理解查间隔的有效性至关重要.
研究的目的:
- 为了评估不同查乳房扫描间隔和晚期乳腺癌诊断之间的关联.
- 评估查间隔对整体存活时间 (OS) 的影响.
主要方法:
- 对8,145名乳腺癌患者和预诊断查史 (2004-2019) 的回顾性分析.
- 查间隔的分类:每年 (≤15个月),每两年 (>15-≤27个月) 和间歇性 (>27个月).
- 主要终点:晚期癌症 (TNM IIB+阶段);次要终点:OS,使用多变量逻辑和比例危险回归分析.
主要成果:
- 晚期癌症诊断率随着查间隔的延长而增加:9% (一年一次),14% (两年一次),19% (间歇性) (P < .001).
- 与年度查相比,两年一次和间歇性查与明显更糟糕的生存状况有关.
- 这些趋势在不同年龄,种族和更年期状态子组中持续存在.
结论:
- 每年进行乳腺扫描查与晚期乳腺癌的风险降低和整体存活率的提高有关.
- 这些发现支持每年对40岁及以上的妇女进行查性乳房扫描的建议.
相关概念视频
Cancer Survival Analysis
334
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...
334
Actuarial Approach
68
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,...
68
Kaplan-Meier Approach
115
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,...
115
Comparing the Survival Analysis of Two or More Groups
162
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...
162


