Cancer Causes & Control最新文献

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Evaluation of follow-up colposcopy procedures after abnormal cervical screening result across a statewide study in Mississippi. 在密西西比州的一项全州研究中,对宫颈筛查结果异常后的阴道镜随访程序进行评估。
IF 2.2 4区 医学
Cancer Causes & Control Pub Date : 2024-11-01 Epub Date: 2024-08-17 DOI: 10.1007/s10552-024-01905-0
Sydney Reaves, Katherine C Hall, Mary W Stewart, Nicolas Wentzensen, Christina Ferrell, Carolann Risley, Jimmie Wells, Rhonda Rives, Fajada Bobo, Jon Daniels, Kathy Farrington, Jody C Morgan, Megan A Clarke
{"title":"Evaluation of follow-up colposcopy procedures after abnormal cervical screening result across a statewide study in Mississippi.","authors":"Sydney Reaves, Katherine C Hall, Mary W Stewart, Nicolas Wentzensen, Christina Ferrell, Carolann Risley, Jimmie Wells, Rhonda Rives, Fajada Bobo, Jon Daniels, Kathy Farrington, Jody C Morgan, Megan A Clarke","doi":"10.1007/s10552-024-01905-0","DOIUrl":"10.1007/s10552-024-01905-0","url":null,"abstract":"<p><strong>Purpose: </strong>Cervical screening is used to detect and treat precancers to prevent invasive cancers. However, successful prevention also requires adequate follow-up and treatment of individuals with abnormal screening results. The aim was to investigate demographics, clinical characteristics, and follow-up status for individuals needing colposcopy after an abnormal screening result.</p><p><strong>Methods: </strong>The STRIDES (Studying Risk to Improve DisparitiES) cohort comprises individuals undergoing cervical cancer screening and management at a Mississippi Health Department or University of Mississippi clinic. Follow-up status, demographics, and clinical data were assessed from electronic health records and, if necessary, patient navigation on individuals identified as needing a colposcopy after an abnormal screening.</p><p><strong>Results: </strong>Of the 1,458 individuals requiring colposcopy, 43.0% had the procedure within 4 months, 16.4% had a delayed procedure, and 39.5% had no documented colposcopy follow-up, with significant predictors of follow-up identified as age and cytology diagnosis. Individuals 30 + were more likely to have follow up with a colposcopy compared to individuals < 30 years (49% and 38.7%, respectively; p < .001). Individuals with cytology diagnoses of LSIL (52.9%), ASC-H (51.4%), and HSIL (62.3%) had higher percentages of adherence to follow-up guidelines (p < .001). In total, we found that 78% of individuals had some type of follow-up, including a repeat screening visit.</p><p><strong>Conclusion: </strong>Despite high cervical cancer screening rates among Mississippians, a substantial proportion did not have adequate next-step intervention. However, it is encouraging that highest risk individuals were more likely to have a colposcopy. Regardless, continuing to understand the underlying causes for incomplete follow-up is crucial for timely secondary targeted interventions to reduce cervical cancer burden, promote awareness, and improve health outcomes.</p>","PeriodicalId":9432,"journal":{"name":"Cancer Causes & Control","volume":" ","pages":"1487-1496"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11561063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141995359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparing SEER and NCDB: a case study using colorectal cancer. 比较 SEER 和 NCDB:以结直肠癌为案例的研究。
IF 2.2 4区 医学
Cancer Causes & Control Pub Date : 2024-11-01 Epub Date: 2024-08-06 DOI: 10.1007/s10552-024-01902-3
Po-Hong Liu, Sandi L Pruitt, Amit G Singal, Caitlin C Murphy
{"title":"Comparing SEER and NCDB: a case study using colorectal cancer.","authors":"Po-Hong Liu, Sandi L Pruitt, Amit G Singal, Caitlin C Murphy","doi":"10.1007/s10552-024-01902-3","DOIUrl":"10.1007/s10552-024-01902-3","url":null,"abstract":"<p><p>Nationwide datasets are frequently used to examine cancer trends and outcomes in the U.S. Understanding the strengths and limitations of the commonly used Surveillance, Epidemiology, and End Results (SEER) Program and the National Cancer Database (NCDB) is important when designing studies and interpreting results. We used colorectal cancer (CRC) as a case study to compare information available. We identified 575,128 (SEER) and 1,578,046 (NCDB) adults diagnosed with CRC between 2004 and 2021. The distribution of age, tumor location, stage, and treatment did not meaningfully differ between SEER and NCDB. SEER represents racially and ethnically diverse populations, including a higher proportion of Hispanic (11.7% vs 5.8%) and Asian/Pacific Islander (8.6% vs 3.3%) persons. SEER includes more information on area-level characteristics, such as county-level measures of poverty, unemployment, and migration and census tract-level measures of socioeconomic status. Age-adjusted incidence, mortality rates, and cause-specific survival are only available in SEER, facilitating detailed analyses of racial, ethnic, and socioeconomic differences in cancer incidence and mortality. NCDB provides information on tumor characteristics and treatment not available in SEER, including microsatellite instability, KRAS mutation, palliative treatment, unplanned readmissions, and 30-day mortality after surgery, facilitating analyses of treatment effectiveness and outcomes. Five-year overall survival was similar in SEER (55.6%) vs NCDB (57.5%).</p>","PeriodicalId":9432,"journal":{"name":"Cancer Causes & Control","volume":" ","pages":"1477-1485"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141892918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cancer health disparities in minority communities: peer support networks can bridge the gap. 少数族裔社区的癌症健康差异:同伴支持网络可以缩小差距。
IF 2.2 4区 医学
Cancer Causes & Control Pub Date : 2024-11-01 Epub Date: 2024-08-08 DOI: 10.1007/s10552-024-01903-2
Oyepeju Abioye, Lauren Kiel, Rebekah Kaufman, Narjust Florez
{"title":"Cancer health disparities in minority communities: peer support networks can bridge the gap.","authors":"Oyepeju Abioye, Lauren Kiel, Rebekah Kaufman, Narjust Florez","doi":"10.1007/s10552-024-01903-2","DOIUrl":"10.1007/s10552-024-01903-2","url":null,"abstract":"<p><strong>Purpose: </strong>Peer support networks have been suggested to have significant utility in the care of patients with cancer, especially among racial minorities. This article proposes an approach to integrate peer support networks into the care of racial minorities with cancer.</p><p><strong>Methods: </strong>Methods to integrate peer support groups across racial minorities with cancer include utilizing language and religion in strategic recruitment of peer supporters, recruiting minority peer supporters in online oncology peer support groups, and emphasizing relationship & trust building for participant retention.</p><p><strong>Results: </strong>Language concordance among peer support groups may enhance patient understandability, emotional expression, and create a sense of community and safety. Religious integration may also promote support group accessibility, particularly among Blacks, who tend to depend on their religious communities for cancer care guidance to a greater extent. In addition to providing knowledge, online opportunities may also decrease cancer-related stress, depression, and trauma. Trust between individuals and their sociocultural environment and healthcare system, as well as between the community and the healthcare system, is necessary, particularly for racial minorities who may harbor a historical mistrust of the healthcare system.</p><p><strong>Conclusions: </strong>To close the racial cancer care gap, a multi-pronged approach is crucial. This includes establishing tailored peer support networks within minority communities that account for language, religion, and cultural factors to build trust and meet psycho-social needs. However, peer support is just one tool. Other critical tools such as holding healthcare institutions accountable for providing equitable care to racial minorities is equally vital in reducing disparities and improving survival outcomes.</p>","PeriodicalId":9432,"journal":{"name":"Cancer Causes & Control","volume":" ","pages":"1407-1411"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141905930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Challenges in collecting information on sexual orientation and gender identity for cancer patients: perspectives of hospital and central cancer registry abstractors. 收集癌症患者性取向和性别认同信息的挑战:医院和中央癌症登记摘要员的观点。
IF 2.2 4区 医学
Cancer Causes & Control Pub Date : 2024-11-01 Epub Date: 2024-07-02 DOI: 10.1007/s10552-024-01897-x
J L Sorensen, M M West, A M Racila, O A Amao, B J Matt, S Bentler, A R Kahl, M E Charlton, A T Seaman, S H Nash
{"title":"Challenges in collecting information on sexual orientation and gender identity for cancer patients: perspectives of hospital and central cancer registry abstractors.","authors":"J L Sorensen, M M West, A M Racila, O A Amao, B J Matt, S Bentler, A R Kahl, M E Charlton, A T Seaman, S H Nash","doi":"10.1007/s10552-024-01897-x","DOIUrl":"10.1007/s10552-024-01897-x","url":null,"abstract":"<p><strong>Purpose: </strong>Sexual and gender minority (SGM) populations experience cancer treatment and survival disparities; however, inconsistent sexual orientation and gender identity (SOGI) data collection within clinical settings and the cancer surveillance system precludes population-based research toward health equity for this population. This qualitative study examined how hospital and central registry abstractors receive and interact with SOGI information and the challenges that they face in doing so.</p><p><strong>Methods: </strong>We conducted semi-structured interviews with 18 abstractors at five Surveillance, Epidemiology, and End Results (SEER) registries, as well as seven abstractors from commission on cancer (CoC)-accredited hospital programs in Iowa. Interviews were transcribed, cleaned, and coded using a combination of a priori and emergent codes. These codes were then used to conduct a descriptive analysis and to identify domains across the interviews.</p><p><strong>Results: </strong>Interviews revealed that abstractors had difficulty locating SOGI information in the medical record: this information was largely never recorded, and when included, was inconsistently/not uniformly located in the medical record. On occasion, abstractors reported situational recording of SOGI information when relevant to the patient's cancer diagnosis. Abstractors further noticed that, where reported, the source of SOGI information (i.e., patient, physician) is largely unknown.</p><p><strong>Conclusion: </strong>Efforts are needed to ensure standardized implementation of the collection of SOGI variables within the clinical setting, such that this information can be collected by the central cancer registry system to support population-based equity research addressing LGBTQ + disparities.</p>","PeriodicalId":9432,"journal":{"name":"Cancer Causes & Control","volume":" ","pages":"1433-1445"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141490963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimizing tracking and completion of follow-up colonoscopy after abnormal stool tests at health systems participating in the Centers for Disease Control and Prevention's Colorectal Cancer Control Program. 在参与美国疾病控制和预防中心结直肠癌控制项目的医疗系统中,优化粪便检测异常后结肠镜检查的跟踪和完成情况。
IF 2.2 4区 医学
Cancer Causes & Control Pub Date : 2024-11-01 Epub Date: 2024-08-06 DOI: 10.1007/s10552-024-01898-w
Sujha Subramanian, Florence K L Tangka, Sonja Hoover, Anjali Mathews, Diana Redwood, Lauren Smayda, Esmeralda Ruiz, Rosario Silva, Victoria Brenton, Jane A McElroy, Brooke Lusk, Susan Eason
{"title":"Optimizing tracking and completion of follow-up colonoscopy after abnormal stool tests at health systems participating in the Centers for Disease Control and Prevention's Colorectal Cancer Control Program.","authors":"Sujha Subramanian, Florence K L Tangka, Sonja Hoover, Anjali Mathews, Diana Redwood, Lauren Smayda, Esmeralda Ruiz, Rosario Silva, Victoria Brenton, Jane A McElroy, Brooke Lusk, Susan Eason","doi":"10.1007/s10552-024-01898-w","DOIUrl":"10.1007/s10552-024-01898-w","url":null,"abstract":"<p><strong>Purpose: </strong>We present findings from an assessment of award recipients' partners from the Centers for Disease Control and Prevention's Colorectal Cancer Control Program (CRCCP). We describe partners' processes of identifying and tracking patients undergoing stool-based screening.</p><p><strong>Methods: </strong>We analyzed data from eight CRCCP award recipients purposively sampled and their partner health systems from 2019 to 2023. The data included number of stool-based tests distributed and returned; abnormal findings; referrals and completion of follow-up colonoscopies; and colonoscopy findings. We also report on strategies to improve tracking of stool-based tests and facilitation of follow-up colonoscopies.</p><p><strong>Results: </strong>Five of eight CRCCP award recipients reported that all or some partner health systems were able to report stool test return rates. Six had health systems that were able to report abnormal stool test findings. Two reported that health systems could track time to follow-up colonoscopy completion from date of referral, while four could report colonoscopy completion but not the timeframe. Follow-up colonoscopy completion varied substantially from 24.2 to 75.5% (average of 47.9%). Strategies to improve identifying and tracking screening focused mainly on the use of electronic medical records; strategies to facilitate follow-up colonoscopy were multi-level.</p><p><strong>Conclusion: </strong>Health systems vary in their ability to track steps in the stool-based screening process and few health systems can track time to completion of follow-up colonoscopy. Longer time intervals can result in more advanced disease. CRCCP-associated health systems participating in this study could support the implementation of multicomponent strategies at the individual, provider, and health system levels to improve tracking and completion of follow-up colonoscopy.</p>","PeriodicalId":9432,"journal":{"name":"Cancer Causes & Control","volume":" ","pages":"1467-1476"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11670815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141896775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mechanisms of stress-attributed breast cancer incidence and progression. 压力导致乳腺癌发病和恶化的机制。
IF 2.2 4区 医学
Cancer Causes & Control Pub Date : 2024-11-01 Epub Date: 2024-07-16 DOI: 10.1007/s10552-024-01884-2
Elizabeth Reznik, Ava Torjani
{"title":"Mechanisms of stress-attributed breast cancer incidence and progression.","authors":"Elizabeth Reznik, Ava Torjani","doi":"10.1007/s10552-024-01884-2","DOIUrl":"10.1007/s10552-024-01884-2","url":null,"abstract":"<p><p>Breast cancer is the most commonly diagnosed cancer and the second leading cause of cancer deaths in women, with psychosocial stress commonly cited by patients as one of its causes. While there is conflicting epidemiological evidence investigating the association between psychosocial stress and breast cancer incidence and progression, there is reason to believe that interventions aimed at reducing stress pharmacologically or psychologically may improve breast cancer outcomes. The aim of this review is to discuss the molecular and biological mechanisms of stress-attributed breast cancer incidence and progression, including the induction of the hypothalamic-pituitary-adrenal (HPA) axis and the sympathetic nervous system (SNS), as well as decreased immune function and stress hormone-induced resistance to chemotherapy. Moreover, these mechanisms have been cited as potential therapeutic targets of pharmacologic and psychological interventions that may improve the care, well-being and survival of breast cancer patients. Further research is recommended to investigate whether interventions in the primary care setting for women with risk factors for breast cancer development may lead to a decreased incidence of invasive breast tumors.</p>","PeriodicalId":9432,"journal":{"name":"Cancer Causes & Control","volume":" ","pages":"1413-1432"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141619304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The association between the mental health disorders, substance abuse, and tobacco use with head & neck cancer stage at diagnosis. 精神疾病、药物滥用和吸烟与头颈癌诊断阶段的关系。
IF 2.2 4区 医学
Cancer Causes & Control Pub Date : 2024-10-28 DOI: 10.1007/s10552-024-01921-0
Joanna Woersching, Janet H Van Cleave, Jason P Gonsky, Chenjuan Ma, Judith Haber, Deborah Chyun, Brian L Egleston
{"title":"The association between the mental health disorders, substance abuse, and tobacco use with head & neck cancer stage at diagnosis.","authors":"Joanna Woersching, Janet H Van Cleave, Jason P Gonsky, Chenjuan Ma, Judith Haber, Deborah Chyun, Brian L Egleston","doi":"10.1007/s10552-024-01921-0","DOIUrl":"https://doi.org/10.1007/s10552-024-01921-0","url":null,"abstract":"<p><strong>Purpose: </strong>Mental health disorders, substance abuse, and tobacco use are prevalent in the US population. However, the association between these conditions and head and neck cancer (HNC) stage is poorly understood. This research aims to uncover the relationship between pre-existing mental health disorders, substance abuse, and tobacco use and HNC stage at diagnosis in patients receiving care in an integrated, public safety-net healthcare system.</p><p><strong>Methods: </strong>This study was a secondary data analysis of linked hospital tumor registries and electronic health record (EHR) data. The study's primary independent variables were the comorbidities of mental health disorders, substance abuse, and tobacco use. The dependent variable was HNC stage at diagnosis, operationalized as early stage (i.e., stages I, II, and III) and advanced stage (stage IV, IVA, IVB, or IVC). The analysis included multivariable logistic regression adjusted for covariates of demographic variables, tumor anato RESULTS: The study population consisted of 357 patients with median age of 59 years, and was primarily male (77%), diverse (Black or African American 41%; Hispanic 22%), and from neighborhoods with low income (median average annual household income $39,785). Patients with a history of mental health disorders with or without tobacco use had significantly lower odds of advanced stage HNC at diagnosis (adjusted OR = 0.35, 95% Confidence Interval [CI]: 0.17-0.72.) while patients with a history of substance abuse with or without tobacco use had significantly higher odds of advanced stage HNC at diagnosis (adjusted OR 1.41, 95% CI: 1.01-1.98) than patients with no history of mental health disorders, substance abuse, or tobacco use.</p><p><strong>Conclusions: </strong>The relationship between HNC stage at diagnosis and the comorbidities of mental health disorders, substance abuse, or tobacco differs depending on the type and co-occurrence of these comorbidities. These findings demonstrate the need for innovative care delivery models and education initiatives tailored to meet the needs of patients with mental health disorders, substance abuse, and tobacco use that facilitate early detection of HNC.</p>","PeriodicalId":9432,"journal":{"name":"Cancer Causes & Control","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142495663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lymphoma in Sub-Saharan Africa: a scoping review of the epidemiology, treatment challenges, and patient pathways. 撒哈拉以南非洲地区的淋巴瘤:流行病学、治疗挑战和患者途径的范围界定综述。
IF 2.2 4区 医学
Cancer Causes & Control Pub Date : 2024-10-17 DOI: 10.1007/s10552-024-01922-z
Obsie T Baissa, Tomer Ben-Shushan, Ora Paltiel
{"title":"Lymphoma in Sub-Saharan Africa: a scoping review of the epidemiology, treatment challenges, and patient pathways.","authors":"Obsie T Baissa, Tomer Ben-Shushan, Ora Paltiel","doi":"10.1007/s10552-024-01922-z","DOIUrl":"https://doi.org/10.1007/s10552-024-01922-z","url":null,"abstract":"<p><strong>Purpose: </strong>Improving cancer outcomes in Sub-Saharan Africa (SSA) requires effective implementation of evidence-based strategies. This scoping review maps the evidence on lymphoma epidemiology, treatment challenges, and patient pathways in SSA from 2011 to 2022.</p><p><strong>Methods: </strong>A comprehensive three-step search was conducted without language restrictions.</p><p><strong>Results: </strong>Eighty-four publications were included, 83% published after 2017. Southern and Eastern Africa led in output. Most studies were chart reviews (47.6%) and cohort studies (25%). NHL accounted for over 80% of cases, with an age-standardized rate (ASR) reaching 10.9/100,000, while HL had an ASR of 0.4-2.3/100,000. Compared to studies in Europe and US, SSA studies reported lower incidence rates, higher HIV comorbidity, and younger median ages. Diagnosis is often delayed, incomplete and lacks sub-classification with HIV and tuberculosis further complicating care. One-year survival rates are around 50% for NHL and over 75% for HL. Treatment is well-tolerated with an acceptable treatment-related mortality rate. However, outcomes are affected by diagnostic delays, late presentations, and treatment abandonment. Non-clinical aspects of care such as financial constraints negatively impact patient pathways.</p><p><strong>Conclusion: </strong>Addressing diagnostic delays, misdiagnosis, and treatment abandonment is crucial. Strengthening care access, diagnostics, and integrating innovative strategies including a multidisciplinary approach and re-designing efficient clinical diagnostic pathways are vital.</p>","PeriodicalId":9432,"journal":{"name":"Cancer Causes & Control","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142458616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Time-varying associations of patient and tumor characteristics with cancer survival: an analysis of SEER data across 14 cancer sites, 2004-2017. 患者和肿瘤特征与癌症生存期的时变关联:2004-2017 年 14 个癌症病例的 SEER 数据分析。
IF 2.2 4区 医学
Cancer Causes & Control Pub Date : 2024-10-01 Epub Date: 2024-05-29 DOI: 10.1007/s10552-024-01888-y
Emily K Roberts, Lingfeng Luo, Alison M Mondul, Mousumi Banerjee, Christine M Veenstra, Angela B Mariotto, Matthew J Schipper, Kevin He, Jeremy M G Taylor, Andrew F Brouwer
{"title":"Time-varying associations of patient and tumor characteristics with cancer survival: an analysis of SEER data across 14 cancer sites, 2004-2017.","authors":"Emily K Roberts, Lingfeng Luo, Alison M Mondul, Mousumi Banerjee, Christine M Veenstra, Angela B Mariotto, Matthew J Schipper, Kevin He, Jeremy M G Taylor, Andrew F Brouwer","doi":"10.1007/s10552-024-01888-y","DOIUrl":"10.1007/s10552-024-01888-y","url":null,"abstract":"<p><strong>Purpose: </strong>Surveillance, Epidemiology, and End Results (SEER) cancer registries provides information about survival duration and cause of death for cancer patients. Baseline demographic and tumor characteristics such as age, sex, race, year of diagnosis, and tumor stage can inform the expected survival time of patients, but their associations with survival may not be constant over the post-diagnosis period.</p><p><strong>Methods: </strong>Using SEER data, we examined if there were time-varying associations of patient and tumor characteristics on survival, and we assessed how these relationships differed across 14 cancer sites. Standard Cox proportional hazards models were extended to allow for time-varying associations and incorporated into a competing-risks framework, separately modeling cancer-specific and other-cause deaths. For each cancer site and for each of the five factors, we estimated the relative hazard ratio and absolute hazard over time in the presence of competing risks.</p><p><strong>Results: </strong>Our comprehensive consideration of patient and tumor characteristics when estimating time-varying hazards showed that the associations of age, tumor stage at diagnosis, and race/ethnicity with risk of death (cancer-specific and other-cause) change over time for many cancers; characteristics of sex and year of diagnosis exhibit some time-varying patterns as well. Stage at diagnosis had the largest associations with survival.</p><p><strong>Conclusion: </strong>These findings suggest that proportional hazards assumptions are often violated when examining patient characteristics on cancer survival post-diagnosis. We discuss several interesting results where the relative hazards are time-varying and suggest possible interpretations. Based on the time-varying associations of several important covariates on survival after cancer diagnosis using a pan-cancer approach, the likelihood of the proportional hazards assumption being met or corresponding interpretation should be considered in survival analyses, as flawed inference may have implications for cancer care and policy.</p>","PeriodicalId":9432,"journal":{"name":"Cancer Causes & Control","volume":" ","pages":"1393-1405"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11461102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141174689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between inflammatory factors and melanoma: a bidirectional Mendelian randomization study. 炎症因素与黑色素瘤之间的关系:一项双向孟德尔随机研究。
IF 2.2 4区 医学
Cancer Causes & Control Pub Date : 2024-10-01 Epub Date: 2024-06-06 DOI: 10.1007/s10552-024-01890-4
Jiamin Lu, Yuqian Feng, Kaibo Guo, Leitao Sun, Kai Zhang
{"title":"Association between inflammatory factors and melanoma: a bidirectional Mendelian randomization study.","authors":"Jiamin Lu, Yuqian Feng, Kaibo Guo, Leitao Sun, Kai Zhang","doi":"10.1007/s10552-024-01890-4","DOIUrl":"10.1007/s10552-024-01890-4","url":null,"abstract":"<p><strong>Purpose: </strong>This study performed a bidirectional Mendelian randomization (MR) analysis to elucidate the causal relationships of C-reactive protein and 41 inflammatory regulators with melanoma, including data from UK Biobank, Cardiovascular Risk in Young Finns Study, and Cohorts for Inflammation Work Group.</p><p><strong>Methods: </strong>We selected the inverse variance weighting (IVW) to merge the estimated causal effects of multiple SNPs into a weighted average. To evaluate the heterogeneities of IVW, the Cochran Q statistic, and I<sup>2</sup> index were used. What's more, several sensitivity analyses were employed, including IVW, MR-Egger, weighted median, and Mendelian Randomization Pleiotropy RESidual Sum and Outlier (MR-PRESSO).</p><p><strong>Results: </strong>With SNPs reaching P < 5 × 10<sup>-8</sup>, the analyses findings revealed that IL-16 had a significant positively association with genetically risk of melanoma (OR<sub>IVW</sub>: 1.05; 95% CI: 1.03-1.07; P < 0.001), and high levels of MCP1 (OR<sub>IVW</sub>: 1.13; 95% CI: 1.03-1.23; P = 0.01) were suggestively associated with melanoma susceptibility. What's more, TNF-β (OR<sub>IVW</sub>: 1.07; 95% CI: 1.01-1.13; P = 0.02) and IL-8 (OR<sub>IVW</sub>: 1.08, 95% CI: 1.01-1.16; P = 0.03) were demonstrated a positive association with the risk of melanoma under a less stringent cut-off (P < 5 × 10<sup>-6</sup>). Conversely, we found a facilitative effect of melanoma susceptibility on IP-10 and inhibitory effects on IL-6, IL-1b, and GRO-α.</p><p><strong>Conclusion: </strong>The genetic evidence that we have uncovered indicates a potential association between the levels of specific inflammatory markers (IL-16, IL-8, MCP-1, and TNF-β) and the risk of melanoma. Further research is imperative to translate these findings into clinical applications.</p>","PeriodicalId":9432,"journal":{"name":"Cancer Causes & Control","volume":" ","pages":"1333-1342"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141261111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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