胰腺癌切除术后患者报告的结果和存活率--一项横断面研究的结果

C. Toms, C. Sandroussi, D. Yeo, James Morkaya, C. Pulitano, Daniel Steffens
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引用次数: 0

摘要

本研究旨在评估患者报告的结果以及胰腺癌根治性切除术后患者的生存情况。2014年4月至2019年4月期间在悉尼六家大型医院接受胰腺癌根治性切除术的成年患者受邀填写了短表36(SF-36v2)和癌症治疗肝胆功能评估(FACT-Hep)问卷。手术后的时间分为四个不同的时间点:3-11、12-23、24-35 和 36-62 个月。生存期分析采用卡普兰-梅耶(Kaplan-Meier)检验和对数秩检验。共有 278 名患者接受了根治性切除术。平均(标清)年龄为65.0(13.2)岁,50.7%(n = 141)为男性。在 205 名(74%)存活的患者中,128 名(62%)完成了研究调查。身体部分得分和 FACT-Hep 总分没有随着时间的推移而发生显著变化。精神部分的得分从 3-11 个月提高到 12-23 个月(p = 0.009),从 3-11 个月提高到 36-62 个月(p = 0.007)。生存期在恶性肿瘤组、恶性肿瘤前期组和良性疾病组之间存在显著差异,分别为45.8个月(95%CI:42.4-49.1)、40.3个月(95%CI:36.4-44.2)和41.3个月(95%CI:37.9-44.9)。对于接受胰腺癌根治性切除术的患者来说,随着时间的推移,精神成分评分会有所改善,而总体生存结果似乎会受到癌症病理的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient-Reported Outcomes and Survival Following Pancreatic Cancer Resection—Results from a Cross-Section Study
The aims of this study were to assess patient-reported outcomes and the survival of patients following curative resection for pancreas cancer. Adult patients undergoing curative pancreatic resection between April 2014 and April 2019 across six major hospitals in Sydney were invited to complete the Short-Form 36 (SF-36v2) and the Functional Assessment Cancer Therapy—Hepatobiliary (FACT-Hep) questionnaires. Time from surgery was categorised into four different time points: 3–11, 12–23, 24–35, and 36–62 months. Survival analyses were performed using Kaplan–Meier and log-rank tests. A total of 278 patients underwent curative resection. Mean (SD) age was 65.0 (13.2), and 50.7% (n = 141) were males. Out of the 205 (74%) alive patients, 128 (62%) completed the study surveys. The physical component score and total FACT-Hep scores showed no significant changes over time. The mental component score improved from 3–11 months to 12–23 months (p = 0.009) and from 3–11 months to 36–62 months (p = 0.007). Survivorship showed a significant difference between malignancy, pre-malignancy, and benign disease groups, with 45.8 months (95%CI: 42.4–49.1), 40.3 months (95%CI: 36.4–44.2), and 41.3 months (95%CI: 37.9–44.9), respectively. For patients undergoing curative resection for pancreatic cancer, mental component scores improved over time, whereas overall survival outcomes seem to be influenced according to cancer pathology.
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