婚姻状况作为男性乳腺癌的独立预后因素:基于SEER的队列研究
Ahmet Necati Sanli1, Bilal Turan2, Deniz Esin Tekcan Sanli3
1Department of General Surgery, Abdulkadir Yuksel State Hospital, Gaziantep, Turkey.
Breast cancer (Tokyo, Japan)
|June 16, 2025
概括
婚姻状况显著影响男性乳腺癌的生存率. 寡妇男性面临着最高的死亡风险,这凸显了在癌症护理中需要社会支持的需要.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 社会科学 社会科学 社会科学
背景情况:
- 男性乳腺癌 (MBC) 是罕见的,对预后因素的研究有限.
- 婚姻状况是其他癌症的已知预后因素,但其对MBC存活率的影响还未得到充分研究.
研究的目的:
- 研究男性乳腺癌患者的婚姻状况和生存结果之间的关联.
- 根据婚姻状况分析总生存率 (OS) 和疾病特异性生存率 (DSS).
主要方法:
- 使用SEER 17注册表数据库 (2010-2021) 进行的回顾性队列研究.
- 包括5994名男性乳腺癌患者,按婚姻状况分类:已婚,未婚,离婚和寡妇.
- 使用了卡普兰-梅尔曲线,日志等级测试和考克斯比例危险模型.
主要成果:
- 在婚姻状况组之间发现了OS和DSS的显著差异 (p < 0.001).
- 与已婚患者相比,在单变量 (HR=2.594) 和多变量 (HR=1.724) 分析中,寡妇患者的生存率最差,死亡风险明显高.
- 未婚和离婚的患者也表现出比已婚患者更差的生存结果.
结论:
- 婚姻状况是男性乳腺癌的独立预后因素.
- 寡妇身份与最糟糕的生存结果有关,强调了社会和心理支持的作用.
- 整合心理社会支持和以患者为中心的护理可以减轻男性乳腺癌的生存差异.
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