可修改的因素影响癌症特异性存活率:来自大型基于人口的前性队列研究的发现
Xiong Chen1,2,3, Dongxi Zhu1,2,3, Chenchen Li4
1Department of Urology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, PR China.
Journal of translational medicine
|April 29, 2025
概括
像吸烟和体力活动这样的生活方式因素在诊断前和诊断后不同影响癌症存活率. 诊断后心理健康至关重要,需要有针对性的干预措施才能获得更好的结果.
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:
- 可修改的生活方式因素会影响癌症的存活率,但它们在诊断前后的影响不同.
- 了解这些特定阶段的影响对于优先考虑干预措施至关重要.
研究的目的:
- 评估可修改因素与癌症特异性存活率 (CSS) 在不同癌症前和癌症后队列中的关联.
- 评估生活方式领域对CSS在不同人口和癌症类型的联合效应和差异性影响.
主要方法:
- 使用英国生物库数据 (121,399名参与者) 的前性队列研究,分为癌症前期 (78,027) 和癌症后期 (43,372) 组.
- 分析包括加权标准化得分,相互作用分析,子组分析,以及为5年的CSS计算人口归因分数 (PAF).
主要成果:
- 在前癌症队列中,吸烟/酒精 (9.2%的PAF) 和日常活动 (10.6%的PAF) 显著影响了CSS.
- 在诊断后,不良心理健康占5年癌症死亡人数的18.6%.
- 男性的饮食习惯,日常活动和生活环境的风险比女性更高. 因素的影响因癌症部位而异.
结论:
- 针对可修改因素的有针对性的预防和早期干预策略对于减少与癌症相关的死亡率至关重要.
- 干预措施应根据癌症阶段,患者人口统计和特定的生活方式领域量身定制.
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