癌症作为慢性血栓栓塞性肺高血压的独立死亡风险
Junichi Nakamura1, Ichizo Tsujino1, Kohei Masaki2
1Department of Respiratory Medicine, Faculty of Medicine, Hokkaido University, Sapporo, Japan.
概括
在患有慢性血栓栓塞性肺高血压 (CTEPH) 的患者中,癌症史是常见的. 癌症独立地增加了接受当前治疗的CTEPH患者的死亡风险.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 肺部医学 肺部医学
背景情况:
- 慢性血栓栓塞性肺高血压 (CTEPH) 管理得到改善,但癌症对结果的影响尚不清楚.
- 癌症并发症可能会影响CTEPH患者的预后和临床过程.
- 调查癌症患病率及其对CTEPH结果的影响至关重要.
研究的目的:
- 为了确定CTEPH患者癌症的患病率.
- 评估伴随性癌症对CTEPH预后和临床过程的影响.
主要方法:
- 分析来自日本前性队列研究的数据.
- 评估癌症患病率和原发性癌症部位.
- 评估癌症病史与复合终点 (死亡,肺移植,CTEPH恶化),静脉瘤和出血之间的关联.
主要成果:
- 在1270名CTEPH患者中,有10.6%的患者有癌症史 (最常见的是乳腺癌和前列腺癌).
- 癌症病史与复合结局的更高发病率和全因死亡率相关 (p < 0.001).
- 在静脉血栓栓塞或出血事件中没有观察到显著差异.
结论:
- 在CTEPH患者中癌症的患病率为10.6%.
- 癌症史是CTEPH患者死亡的独立风险因素.
- 目前的CTEPH治疗方法并不能否定与癌症相关的死亡风险增加.
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