甲状腺结节的老年人部超声波:考虑其他原因死亡风险
Nina Francis-Levin1, Edward Shao2, Jacob Ortlieb3
1Division of Metabolism, Endocrinology & Diabetes, University of Michigan, Ann Arbor, Michigan.
概括
患有甲状腺结节的老年人很少死于癌症. 部超声监测应个性化,考虑患者的健康和预期寿命,以实现最佳的甲状腺结节管理.
科学领域:
- 老年医学 老年医学
- 内分泌学 在内分泌学.
- 诊断成像 诊断成像 诊断成像
背景情况:
- 甲状腺结节在老年人中很普遍,大多数是良性的.
- 部超声波在这个人口群体中监测的最佳使用,特别是伴随性疾病,尚不清楚.
研究的目的:
- 评估部超声波用于老年人 (≥65岁) 甲状腺结节监测.
- 评估监测和死亡原因之间的关联.
主要方法:
- 利用了医疗保险和密歇根大学医学院的数据 (2016-2021年).
- 分析了18,001名患有甲状腺结节的患者的人口因素,并发病率,部超声波频率和死亡原因.
主要成果:
- 只有0.2%的患者死于甲状腺癌;13.3%死于其他原因.
- 由于其他原因而死亡的患者患上了更多的并发症,并接受了较少的部超声波 (平均1.31对2.41,P <.001).
结论:
- 患有甲状腺结节的老年人更有可能死于非癌症原因.
- 部超声波监测策略应根据患者的并发症和预期寿命来个性化.
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