前列腺癌老年男性的化疗和心脏特异性死亡率:倾向性得分匹配分析
Chenghao Zhanghuang1,2,3,4,5, Huake Wang1,2, Jinkui Wang3,4
1Department of Urology, Kunming Children's Hospital (Children's Hospital affiliated to Kunming Medical University), Kunming, PR China.
PloS one
|April 11, 2025
概括
老年前列腺癌患者的化疗不会增加心脏病特异性死亡率. 事实上,接受化疗的患者与没有接受化疗的患者相比,心脏特异性死亡率较低,这表明长期生存益处.
科学领域:
- 在瘤学瘤学.
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
背景情况:
- 前列腺癌 (PC) 是男性常见的恶性瘤.
- 动脉样性心血管疾病 (ASCVD) 是PC患者非癌症死亡的主要原因.
- 研究化疗对老年PC患者心脏特异性死亡率 (HSM) 的影响至关重要.
研究的目的:
- 确定化疗是否会增加前列腺癌 (PC) 的老年患者心脏特异性死亡率 (HSM).
主要方法:
- 利用了来自监测,流行病学和最终结果 (SEER) 数据库 (2010-2018) 的数据.
- 采用多变量逻辑回归和1:1倾向分数匹配来分析影响化疗使用的因素及其对HSM和其他原因死亡率 (OCM) 的影响.
- 分析使用了竞争性风险模型和累积发病率图.
主要成果:
- 分析了135183名老年PC患者;1361人接受化疗.
- 化疗使用与年龄较大,婚姻状况较高,TNM阶段较高和瘤组织学等级较高有关.
- 在倾向分数匹配后,没有化疗的患者与接受化疗的患者相比,HSM显著更高 (HR 2.54;P=0.002).
结论:
- 化疗不会增加老年前列腺癌患者的心脏特异性死亡率.
- 化疗可能有助于长期生存,尽管潜在的心脏毒性.
- 在没有接受化疗的老年PC患者中,发现HSM显著更高.
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