乳腺癌患者心脏特异性死亡的风险
Yunbo Luo1,2, Long Zhao3, Peng Qu4,5,6
1Department of Breast Surgery, Plastic Surgery, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, 610041, Sichuan, P.R. China.
Scientific reports
|August 2, 2025
概括
与一般人群相比,乳腺癌幸存者面临心脏特异性死亡 (HSD) 的风险更高. 种族,年龄和瘤阶段等因素影响这种风险,需要针对性的医疗干预.
科学领域:
- 在瘤学瘤学.
- 心脏病学 心脏病学
- 流行病学 流行病学
背景情况:
- 改善乳腺癌 (BC) 治疗方法导致存活率增加.
- 幸存者越来越多地死于非癌症疾病,特别是心脏病 (HD).
研究的目的:
- 分析乳腺癌患者心脏特异性死亡 (HSD) 的风险.
- 为了确定这个人群中HSD的人口和临床病理风险因素.
主要方法:
- 使用了监测,流行病学和最终结果 (SEER) 数据库 (2000-2019).
- 对HSD计算的标准死亡率 (SMR).
- 雇员考克斯比例危险模型用于确定风险因素和95%信心区间 (CI).
主要成果:
- 包括655,552名乳腺癌患者;149,708人 (22.8%) 死亡.
- 心脏病导致15.2%的死亡,成为10年后的首要原因.
- HD的SMR为8.14,表明BC患者的风险明显更高.
- 种族,年龄,婚姻状况,收入,等级,阶段和亚型是HSD的独立风险因素.
结论:
- 乳腺癌患者心脏特异性死亡风险明显增加.
- 人口特征和瘤因素显著影响HSD风险.
- 医疗策略对于减轻乳腺癌幸存者的心脏病风险至关重要.
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