过去二十年中各结肠癌部位和分期的肿瘤治疗结果和趋势:SEER 登记的启示。

IF 2.7 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
C Benlice, A H Elhan, M E Seker, E Gorgun, M A Kuzu
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引用次数: 0

摘要

研究背景本研究的主要目的是根据特定的结肠解剖学分段,并根据淋巴结对非转移性结肠癌接受根治性切除术的患者的预后情况,逐期全面评估人群生存水平的差异:这项研究是根据美国的监测、流行病学和最终结果(SEER)计划进行的。研究对象为 2000 年至 2019 年期间接受结肠腺癌手术的患者。根据不同的结肠段、分期和时间段,对人口统计学、临床和病理学因素进行了比较:共确定了 482 672 名患者,其中 195 105 人符合纳入标准。近端癌症患者的年龄明显偏大,更有可能是女性,淋巴结数量更多,结节阳性率更高(p 结论:近端癌症患者的年龄明显偏大,更有可能是女性,淋巴结数量更多,结节阳性率更高(p研究结果表明,在一个全国性数据库中,接受非转移性原发性结肠癌根治性治疗的患者在所有结肠部位和阶段的总生存率和癌症特异性生存率都有显著提高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Oncologic outcomes and trends in each colon cancer location and stages over the last two decades: insights from the SEER registry.

Background: The main purpose of the study is to comprehensively evaluate population-level survival disparities stage-by-stage, according to specific anatomical colon segments, and based on prognosis as defined by lymph nodes among patients who have undergone curative resection for non-metastatic colon cancer.

Methods: The study was conducted from the Surveillance Epidemiology and End Result (SEER) program from the USA. Patients who underwent surgery for colon adenocarcinoma between 2000 and 2019 were identified. Demographics and clinical and pathologic factors were compared amongst each other according to different colon segments, stages, and time periods.

Results: A total of 482,672 patients were identified and 195,105 of them met the inclusion criteria. Patients with proximal cancers were significantly older, more likely to be female, had a higher number of lymph nodes, and node positivity (p < 0.001). During the study period, an almost 10% improvement in overall survival rate was observed at 3 and 5 years for each colon site and stage (p < 0.05).

Conclusions: The study's findings revealed a notable improvement in overall and cancer-specific survival rates across all colon segments and stages in patients who underwent curative treatment for non-metastatic primary colon cancer from a nationwide database.

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来源期刊
Techniques in Coloproctology
Techniques in Coloproctology GASTROENTEROLOGY & HEPATOLOGY-SURGERY
CiteScore
5.30
自引率
9.10%
发文量
176
审稿时长
1 months
期刊介绍: Techniques in Coloproctology is an international journal fully devoted to diagnostic and operative procedures carried out in the management of colorectal diseases. Imaging, clinical physiology, laparoscopy, open abdominal surgery and proctoperineology are the main topics covered by the journal. Reviews, original articles, technical notes and short communications with many detailed illustrations render this publication indispensable for coloproctologists and related specialists. Both surgeons and gastroenterologists are represented on the distinguished Editorial Board, together with pathologists, radiologists and basic scientists from all over the world. The journal is strongly recommended to those who wish to be updated on recent developments in the field, and improve the standards of their work. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1965 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted. Reports of animal experiments must state that the Principles of Laboratory Animal Care (NIH publication no. 86-23 revised 1985) were followed as were applicable national laws (e.g. the current version of the German Law on the Protection of Animals). The Editor-in-Chief reserves the right to reject manuscripts that do not comply with the above-mentioned requirements. Authors will be held responsible for false statements or for failure to fulfill such requirements.
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