21世纪前立腺瘤管理的演变:一项国家数据库研究
Victoria C Dreyer1, Ryan L Neill2, Peter N Harris1
1Department of Neurosurgery, George Washington University Hospital, Washington, DC, United States.
Surgical neurology international
|December 18, 2025
概括
在过去的20年里,患者参与改变了前庭神经瘤 (VS) 管理. 观察越来越受欢迎,特别是在年轻的患者中,而放射治疗在老年人中减少了.
科学领域:
- 神经外科 神经外科
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 患者参与显著影响医疗决策.
- 在过去的二十年中,前庭神经瘤 (VS) 管理趋势发生了变化.
- 对VS管理趋势进行全面分析至关重要.
研究的目的:
- 为了调查前置神经瘤 (VS) 的管理趋势.
- 分析VS病例的人口和临床数据.
- 评估患者参与对VS管理决策的影响.
主要方法:
- 使用了国家监测,流行病学和最终结果 (SEER) 数据库.
- 分析了23488例VS病例 (2004-2021) 的人口统计和临床数据.
- 采用奇平方和逻辑回归来分析瘤大小和年龄关系以及时间趋势.
主要成果:
- 观察管理显著增加,特别是在年轻患者 (<65岁) 中.
- 年轻患者的手术率下降,老年患者的放射治疗率下降了一半.
- 年龄仍然是瘤大小管理选择的重要因素.
结论:
- 21世纪初明显影响了VS管理趋势.
- 虽然治疗选择仍然是一致的,但它们的利用已经发展.
- 在过去的20年里,VS的管理策略已经适应了变化.
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