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单身状态在差异化甲状腺癌中显示了年龄依赖的双向效应
Xiangyi Xiao1,2, Ruixin Zhou1,2, Xiaolin Dou1,2
1Department of General Surgery, Xiangya Hospital, Central South University, Changsha, 410008, Hunan Province, China.
Scientific reports
|November 18, 2025
概括
单身婚姻状况根据年龄不同影响差异化甲状腺癌 (DTC) 存活率. 虽然对年轻患者有保护作用,但对老年人来说变得有害,影响预后和风险评估.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 社会流行病学 社会流行病学
背景情况:
- 差异化甲状腺癌 (DTC) 的预后受瘤特征和婚姻状况等社会决定因素的影响.
- 了解这些社会因素对于全面的患者风险分层至关重要.
研究的目的:
- 调查单身婚姻状况与差异化甲状腺癌 (DTC) 疾病特异性生存率 (DSS) 之间的关联.
- 检查单身婚姻状况和年龄对DTC预后的相互作用影响.
主要方法:
- 从SEER数据库 (2000-2021) 中分析了153,299个DTC案件.
- 使用未调整和多变量考克斯回归,以及细灰竞争风险模型.
- 评估了婚姻状况和年龄对生存结果的相互作用.
主要成果:
- 单个患者较年轻,瘤较大,晚期,但整体TNM阶段较为有利.
- 未经调整的分析显示,单一身份具有保护作用,在调整后反转 (HR 1.32).
- 年龄显著改变了效果:在55岁以下的患者中具有保护性作用,在55岁以上的患者中具有有害作用.
结论:
- 单身婚姻状况对差异化甲状腺癌预后有年龄相关的影响.
- 这种年龄相互作用值得在临床风险评估和DTC患者的管理策略中考虑.
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