甲状腺癌患者自杀风险增加:通过使用监测,流行病学和最终结果 (SEER) 数据确定死亡率和确定预测因素
Jiaojiao Ma1,2,3, Xi Wang1,2, Shanshan Wang2
1Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Translational cancer research
|September 15, 2025
概括
甲状腺癌患者面临自杀风险增加,特别是年轻男性和最近被诊断出来的人. 预测工具可以帮助识别有风险的个人,以获得有针对性的心理健康支持.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 对于甲状腺癌患者的自杀风险,人口层面的数据有限.
- 由于诊断和治疗的不确定性,心理痛苦是常见的.
- 甲状腺癌的积极监测需要了解心理健康风险.
研究的目的:
- 为量化美国甲状腺癌患者的自杀死亡率.
- 确定自杀风险的人口和临床预测因素.
- 为高风险个体开发一个预测工具.
主要方法:
- 来自SEER数据库 (2000-2021) 的328,264名甲状腺癌患者的分析.
- 与一般人口相比,标准化死亡率 (SMRs) 的计算.
- 对于人口和临床预测因素的考克斯回归分析;名图的开发和验证.
主要成果:
- 在甲状腺癌患者中观察到1.24的SMR.
- 在男性 (HR=1.93) 和年轻患者 (10-39岁) 中,发现自杀风险较高.
- 最近的诊断 (2016-2020年) 显示显着更高的风险 (HR=6.17);诺莫格拉姆达到0.795C指数.
结论:
- 甲状腺癌患者具有较高的自杀风险,特别是年轻男性和最近被诊断的患者.
- 一个开发的名图表显示了识别高风险子组的预测准确性.
- 临床实用性需要外部验证和与心理社会评估的整合.
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