年龄作为结肠直肠癌总体存活率的预测因素
Berenice Carbajal-López1, Jossimar Coronel-Hernández2, Marytere Herrera1
1Unidad Funcional de gastroenterología, Instituto Nacional de Cancerología, Tlalpan 14080, Mexico.
Diagnostics (Basel, Switzerland)
|November 27, 2024
概括
结肠直肠癌 (CRC) 在年轻成年人中越来越多地被诊断出,这些人患有晚期疾病和较差的整体存活率 (OS). 这项研究强调了针对这一群体进行有针对性的查和生活方式干预的必要性.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 临床研究 临床研究
背景情况:
- 在年轻人群中结肠直肠癌 (CRC) 诊断在全球范围内越来越令人担忧.
- 早期发病的CRC在预后和治疗策略方面提出了独特的挑战.
- 了解影响年轻CRC患者生存的临床病理特征至关重要.
研究的目的:
- 描述被诊断患有CRC的墨西哥年轻成年人的临床病理学特征.
- 评估这些特征对该种群的整体存活时间 (OS) 的影响.
- 在16年的时间内确定早期CRC的趋势.
主要方法:
- 在国家癌症研究所 (2004-2020) 进行了回顾性观察性研究.
- 统计分析包括X2,t测试,卡普兰-梅尔,日志排名和考克斯回归.
- 患者分为年轻人 (≤30),成年人 (31-70),老年人 (>70) 组.
主要成果:
- 早期发病的CRC病例增加,患者的中位数年龄下降.
- 年轻的患者 (≤30) 主要是男性,转移性疾病和右侧瘤的发病率更高.
- 与成人和老年人相比,年轻患者 (29个月) 的中位 OS 显著较低,特别是在转移病例中.
结论:
- 年轻人中CRC发病率的增加与生活方式和查差距有关.
- 年轻的CRC患者表现出不良的预后特征,包括转移性疾病.
- 这些因素导致这一人口群体的整体存活率大幅下降.
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