立即乳房重建率增加但持续变化:来自人口研究 (2012-2022) 的实时数据
Eva Heeling1, Gaelle M Kramer1, José H Volders2
1Department of Surgical Oncology, Netherlands Cancer Institute Antoni van Leeuwenhoek, Amsterdam, The Netherlands.
Annals of surgical oncology
|November 19, 2024
概括
在2012-2022年期间,荷兰的乳腺癌患者增加了立即乳房重建 (IBR) 的使用. 然而,IBR应用在医院之间仍然存在显著的国家差异.
科学领域:
- 在瘤学瘤学.
- 整形外科 整形外科 整形外科
- 公共卫生 公共卫生
背景情况:
- 乳房切除术后的乳房重建显著改善了患者的生活质量.
- 立即的乳房重建 (IBR) 是乳腺癌患者的关键考虑因素.
研究的目的:
- 提供最近十年来荷兰IBR趋势的最新概述.
- 分析与IBR使用和医院变异相关的因素.
主要方法:
- 从2012年到2022年荷兰乳腺癌审计 (NBCA) 的全国数据分析.
- 包括接受了乳腺切除术的患者在位管道癌 (DCIS) 或侵袭性乳腺癌.
- 主要结局:IBR的发病率和趋势;次要结局:相关因素和医院变异.
主要成果:
- 针对DCIS的IBR使用率从39% (2012) 增加到48% (2022);与年轻和低年级相关.
- 针对侵袭性乳腺癌的IBR使用率从16% (2012) 增加到29% (2022);与年轻年龄,新辅助化疗和没有辅助放射治疗有关.
- 在荷兰医院中观察到IBR应用的显著差异.
结论:
- 虽然IBR的使用量有所增加,但在各医院的应用中仍然存在差异.
- 目前正在进行进一步的前性研究,以了解和解决这些国家差异.
- 其目标是促进IBR服务在全国范围内更公平地分配.
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