肺癌放射治疗的使用变化 - 挪威2000年至2020年人口研究
Gustav Graabak1, Tarje Onsøien Halvorsen2, Bjørn Henning Grønberg2
1Department of Clinical and Molecular Medicine, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.
Lung cancer (Amsterdam, Netherlands)
|August 24, 2025
概括
在挪威,肺癌的放射治疗 (RT) 从2000年至2020年增加,转向更具治愈性的治疗方法,如立体性身体RT和较少的息护理. 这一趋势与患者的存活率有所改善.
科学领域:
- 癌症学
- 辐射瘤学
- 癌症流行病学
背景情况:
- 放射治疗 (RT) 是一种至关重要的癌症治疗,需要大量的资源和精心的能力规划.
- 肺癌医疗管理的进步可能会影响RT的需求.
- 了解肺癌RT利用趋势对于资源配置和治疗策略至关重要.
研究的目的:
- 调查2000年至2020年挪威肺癌患者使用放射治疗的变化.
- 分析治疗与缓解RT的趋势以及新RT技术的影响.
- 将RT使用模式与肺癌整体存活率的改善联系起来.
主要方法:
- 来自挪威癌症登记处 (2000-2020年) 的肺癌患者数据的回顾性分析.
- 包括55048名患者的几乎完整的放射治疗和生存数据.
- 统计分析RT比例,治疗类型 (治愈性,缓解性,体型RT) 和生存结果.
主要成果:
- 肺癌的整体RT使用量增加,治疗RT的显著增加 (10%至22%),主要是受体RT的采用.
- 息性RT的使用最初增加,但到2020年减少,胸部和全脑RT的使用减少.
- 肺癌患者的平均整体存活时间从6. 2个月 (2000 - 2004) 大大提高到14. 0个月 (2016 - 2020).
结论:
- 在2000年至2020年期间,挪威的肺癌患者从缓解性放射治疗转向了更具治愈性的放射治疗.
- 在此期间,肺癌放射治疗的应用范围扩大.
- 在肺癌患者中,改善的生存结果可能与不断发展的RT策略有关.
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