婚姻状况,种族/族裔,以及老年人区分良好的甲状腺癌的结果
Ryan C Higgins1, David C Moffatt2, Christopher S Hollenbeak3
1Department of Otolaryngology, University of Nebraska Medical Center, Omaha, NE, USA.
Gland surgery
|September 15, 2025
概括
寡妇地位显著影响了老年患者的存活率,这些老年患者患有明显分化的甲状腺癌. 这包括未婚白人非西班牙裔患者的整体和疾病特异性存活率较差,以及未婚黑人非西班牙裔患者的整体存活率较差.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 老年医学 老年医学
背景情况:
- 关于甲状腺癌 (WDTC) 患者,特别是老年人和少数群体的婚姻状况影响的研究有限.
- 了解这些差异对于改善WDTC患者的治疗结果至关重要.
- 年龄,种族和婚姻状况的相互作用显著影响WDTC的预后.
研究的目的:
- 调查婚姻状况对WDTC患者结局的影响.
- 分析年龄,种族和婚姻状况对WDTC预后的综合影响.
- 根据婚姻状况确定WDTC生存率的特定种族/民族和年龄相关差异.
主要方法:
- 对12779名年龄≥55岁的WDTC患者 (1988-2013) 的回顾性分析.
- 使用的监测,流行病学和最终结果 (SEER) 注册表数据.
- 生存分析 (疾病特异性和整体) 检查了婚姻状况和种族/种族的影响,控制了临床因素.
主要成果:
- 寡妇身份,晚年,男性性别,远期,局部切除和外部光束辐射与更糟糕的疾病特异性存活率有关.
- 与已婚患者相比,65岁以上的寡妇患者的整体存活率更差.
- 寡妇黑人非西班牙裔和白人非西班牙裔患者的整体存活率明显降低;寡妇白人非西班牙裔患者的疾病特异性存活率也降低.
结论:
- 寡妇的婚姻状况和种族/种族显著影响老年WDTC患者的死亡率.
- 在未亡的白人非西班牙裔和黑人非西班牙裔老年人中观察到特定的生存劣势.
- 调查结果强调了需要在WDTC护理中考虑婚姻状况和种族的量身定制干预措施.
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