美国神经内分泌瘤瘤的流行病学
Arvind Dasari1, Katrine Wallace2, Daniel M Halperin3
1Department of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston.
JAMA network open
|June 24, 2025
概括
神经内分泌瘤 (NENs) 的发病率和患病率正在上升,特别是在早期和分化的类型中. 随着时间的推移,NEN的生存率有了显著的改善,显示出患者结局的积极趋势.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 癌症研究 癌症研究
背景情况:
- 神经内分泌瘤 (NENs) 是一种异质的恶性瘤群,其发病率不断增加,诊断和治疗范式不断发展.
- 更新的流行病学数据和美国NEN的生存趋势对于了解疾病负担和改善患者护理至关重要.
研究的目的:
- 确定美国神经内分泌瘤 (NEN) 的流行病学趋势,包括发病率和流行率.
- 分析1975年至2021年美国NEN患者的整体生存 (OS) 趋势.
主要方法:
- 一项采用国家癌症研究所的监测,流行病学和最终结果 (SEER) 计划数据的横截面研究.
- 分析包括1975年至2021年间诊断的145,447例NEN病例,重点关注年龄调整的发病率,流行率和OS率.
- 从2000年到2021年,对整体队列和关键子组 (如胃肠道和胰腺NENs) 的生存趋势进行了具体评估.
主要成果:
- 从1975年到2021年,NEN的年龄调整后发病率增加了5.2倍,局部,差异很好和尾/直肠主要部位的显著增加.
- 2021年1月1日估计的20年流行率为243,896例;肺部和胃肠道瘤 (GEP) NEN显示了自2000年以来的最高发病率.
- 从2000-2006年到2014-2021年,NEN的总生存率显著改善 (HR,1.42),平均寿命为11.8年;生存率因年龄,阶段,等级和主要部位而异.
结论:
- 随着NEN的发病率和患病率的增加,主要归因于早期疾病的诊断增加.
- 在研究期间观察到NEN的总生存率有显著改善,这表明管理和治疗方面取得了进展.
- 持续的流行病学监测和对生存数据的分析对于优化NEN患者的护理策略至关重要.
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