未知阶段癌症的特征,发病率和生存率:一项基于美国人口的研究
Ray M Merrill1, Alida J Johnson1
1Brigham Young University, Department of Public Health, College of Life Sciences, Provo, UT 84602, USA.
Cancer treatment and research communications
|June 3, 2025
概括
男性,老年人,黑人和西班牙裔人口面临更高的未分期癌症率,影响生存率. 这凸显了癌症分期和治疗方面的差异.
科学领域:
- 在瘤学瘤学.
- 癌症流行病学 癌症流行病学
- 公共卫生 公共卫生
背景情况:
- 癌症的分期对于治疗和预后至关重要.
- 了解未分期癌症的发病率对于识别医疗保健差异至关重要.
研究的目的:
- 检查美国24个癌症部位的未知阶段癌症发病率的程度和模式.
- 确定与未分期癌症相关的人口统计和报告来源因素.
主要方法:
- 分析了2015-2021年期间的5,447,023例恶性癌症病例.
- 在监测,流行病学和最终结果 (SEER) 计划中利用了22个基于人口的癌症注册表的数据.
- 使用波桑回归来估计调整后的利率比率.
主要成果:
- 大约9.4%的男性和7.2%的女性被诊断出患有未分期的癌症.
- 不分期的癌症发病率因报告来源而异,尸检和死亡证明显示的比例最高.
- 男性,老年人,黑人和西班牙裔人口以及收入较低的人群表现出更高的未分期癌症率. 在未分期的癌症和5年相对存活率之间观察到负相关性.
结论:
- 男性,老年人,黑人和西班牙裔患者更容易患有未分期的癌症.
- 导致未分期癌症的因素包括较高的并发病率,更具攻击性的癌症以及治疗的经济障碍.
- 解决这些差异对于改善不同人群的癌症结果至关重要.
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