根据瘤阶段的肺癌患者心血管疾病和癌症死亡率的纵向模式
Zhengyi Deng1, Minji Jung1, Mingyi Li2
1Department of Urology, Stanford School of Medicine, Stanford, California, USA.
JACC. CardioOncology
|August 21, 2025
概括
随着时间的推移,心血管疾病 (CVD) 的死亡率超过细胞癌 (RCC) 的死亡率,特别是在早期癌症患者中. 为了改善RCC患者的存活率,必须对这两种情况进行量身定制的治疗.
科学领域:
- 癌症学
- 心脏病学
- 流行病学
背景情况:
- 心血管疾病是细胞癌患者非癌症死亡的主要原因.
- 了解心血管疾病和RCC死亡率之间的相互作用对于改善患者的结果至关重要.
研究的目的:
- 分析诊断后心血管疾病和RCC死亡率的时间趋势.
- 确定不同RCC瘤阶段的时间依赖性死亡风险因素.
主要方法:
- 使用了监测,流行病学和最终结果 (SEER) 数据库 (2004-2020年) 对116,836名成年RCC患者.
- 在风险因子分析中使用波桑回归模型死亡率和精细灰色竞争风险模型.
- 根据瘤阶段分层,确定了心血管疾病死亡率超过RCC死亡率的交叉时间.
主要成果:
- 总体而言,心血管疾病死亡人数超过了RCC死亡人数在13.7年.
- 对于I阶段的RCC,这种交叉发生在2.8年之前.
- 75岁以上的患者和非西班牙裔黑人患者在所有阶段都呈现出交叉性;社会人口统计学和临床因素影响了死亡率.
结论:
- 在I期RCC患者中,心血管疾病死亡率明显超过RCC死亡率.
- 针对癌症和心血管健康的综合管理策略对于提高生存率至关重要.
- 建议根据瘤阶段和患者特征制定个性化的生存护理计划.
更多相关视频
06:38A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
13.7K
06:46Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
376
相关概念视频
Cancer Survival Analysis
453
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
453
Tumor Progression
6.5K
Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
6.5K
Longitudinal Research
12.5K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
12.5K
Adaptive Mechanisms in Cancer Cells
5.9K
Cancer cells accumulate genetic changes at an abnormally rapid rate due to the defects in the DNA repair mechanisms. From an evolutionary perspective, such genetic instability is advantageous for cancer development. Mutant cell lines accumulate a series of beneficial mutations that contribute to their progression into cancer.
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
5.9K
