炎作为生命最后一年恶性瘤的预测因素-不同癌症类型之间的比较
Johan Fridegren1,2, Linda Björkhem-Bergman1,3, Torbjörn Schultz3
1Department of Neurobiology, Care Sciences and Society (NVS), Division of Clinical Geriatrics, Karolinska Institutet, Huddinge, Sweden.
Journal of palliative medicine
|October 23, 2024
概括
与恶性瘤相关的瘤需要造,往往表明几个月内即将死亡,特别是在上部肠道癌症中. 然而,其预测价值在不同类型的癌症 (如卵巢和尾癌) 上有很大差异.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医学统计 医学统计
背景情况:
- 癌症患者的炎是一种常见的并发症,与预后不佳有关.
- 炎及其治疗 (形) 对生存的预测价值因癌症类型而异.
- 了解体的时间模式可以提供对生命终结轨迹的见解.
研究的目的:
- 分析生命最后一年患有恶性瘤的患者的形切除术的频率和时间.
- 评估炎作为不同类型癌症生存的预测因素.
- 绘制一个时间关系的地图,介于体和死亡时间之间的关系.
主要方法:
- 使用瑞典斯德哥尔摩地区 (七年) 登记册数据进行的回顾性研究.
- 纳入标准:已故的受试者,在生命的最后一年中至少进行过一次形手术.
- 对各种癌症类型的死亡相对的体频率和时间的分析.
主要成果:
- 8.0% (1863/23,056) 的癌症死亡发生在生命的最后一年.
- 在尾癌 (38%),卵巢癌 (35%),胆管癌 (26%),肝细胞癌 (19%) 和胰腺癌 (17%) 中观察到的最高的抛物线频率.
- 从第一个体形成到死亡的中位时间从248天到20天不等;对于上部肠道癌 (30天) 和卵巢癌 (81天) 显着更短.
结论:
- 在晚期癌症中,光体通常是几个月内临近死亡的信号,特别是在上部肠道癌症中.
- 炎是卵巢和尾癌生存的不太可靠的预测指标.
- 体检的时间提供了有价值的预后信息,因恶性瘤类型而异.
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