结直肠癌患者自杀的危险因素:监测,流行病学和最终结果数据库分析
Justin Dourado1, Sameh Hany Emile2, Anjelli Wignakumar3
1Ellen Leifer Shulman and Steven Shulman Digestive Disease Center, Cleveland Clinic Florida, Weston, FL. Electronic address: https://twitter.com/DouradoJMD.
Surgery
|October 25, 2024
概括
患有转移性疾病和低收入的男性结肠直肠癌患者面临更高的自杀风险. 近年来,自杀率有所下降,但针对性查对高危人群至关重要.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 结直肠癌患者的自杀风险因素尚未得到很好的定义.
- 了解这些因素对于患者护理和预防策略至关重要.
研究的目的:
- 在被诊断为结直肠癌的患者中确定与自杀相关的特定危险因素.
- 分析随着时间的推移,该人口中自杀率的趋势.
主要方法:
- 从2000年到2020年使用国家癌症研究所的SEER数据库对结直肠癌患者的回顾性队列分析.
- 将因自杀而死亡的患者与幸存者进行比较,以确定独立的风险因素.
主要成果:
- 总共分析了309,561名患者;1,052名 (0.34%) 患者死于自杀.
- 关键的危险因素包括男性性别,非西班牙裔种族,家庭收入低于75,000美元,以及转移性疾病.
- 自杀率从2000-2010年到2011-2020年大幅下降 (从1%到0.05%).
结论:
- 男性,非西班牙裔结直肠癌患者的低收入和转移性疾病的自杀风险较高.
- 在过去的十年中,人们观察到自杀率显著下降.
- 建议在高风险结直肠癌患者中针对自杀倾向进行有针对性的查,作为常规瘤治疗的一部分.
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