多种疾病负担对结肠癌幸存者的死亡风险的影响
Su-Hung Wang1, Mitsuhiro Koseki1,2, Ming-Jen Sheu1,2
1Division of Gastroenterology and Hepatology, Department of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Journal of Cancer
|January 2, 2025
概括
长期患有轻度或重度并发症的结肠癌幸存者面临着明显更高的死亡风险. 有效的并发症管理对于改善这些患者的生存结果至关重要.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 多种疾病,多种慢性疾病的存在,在癌症幸存者中很常见.
- 了解并发症风险对于改善结肠癌幸存者的长期结果至关重要.
研究的目的:
- 调查长期结肠癌幸存者的并发症负担和死亡风险之间的关联.
- 通过使用现实世界的数据,确定该人口中死亡率的风险因素.
主要方法:
- 一项利用台湾癌症登记 (2016-2021) 的队列研究确定了13,209名五年结肠癌幸存者.
- 查尔森并发症指数 (CCI) 将患者分为没有 (CCI=0),轻度 (CCI=1-2) 和严重 (CCI≥3) 的并发症组.
- 考克斯回归模型被用来分析死亡风险因素.
主要成果:
- 82.23%的幸存者没有并发病,10.03%有轻度,7.74%有严重的并发病.
- 较高的CCI得分与死亡风险增加有显著的关联 (轻度CCI:HR 4.56;严重CCI:HR 12.67).
- 这种关联在包括性别,年龄,临床阶段和治疗类型在内的子组中持续存在.
结论:
- 同病症显著影响长期结肠癌幸存者的生存率.
- 积极的并发症管理对于提高生存结果至关重要,特别是在高风险人群中.
- 解决多种慢性疾病是结肠癌患者生存护理的关键组成部分.
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