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[肺癌:流行病学与生存率的变化]

[Lung cancer: changes in epidemiology and survival].

作者信息

Gullón J A, Suárez I, Medina A, Martín A, Cabrera C, González I J

机构信息

Unidad de Gestión Clínica de Neumología, Hospital San Agustín, Avilés, Asturias, España.

出版信息

Rev Clin Esp. 2012 Jan;212(1):18-23. doi: 10.1016/j.rce.2011.06.004. Epub 2011 Dec 27.

Abstract

BACKGROUND AND OBJECTIVE

In the last decades, variations have been described in the epidemiology of lung cancer. In our study, we have analyzed if changes have occurred in the epidemiology and survival of lung cancer.

PATIENTS AND METHODS

All the cases with the diagnosis of lung cancer having cytohistological confirmation between May 1997 and December 2008 were included. To compare the variables, the study period was divided into three cohorts, respectively including the years 1997-2000, 2001-2004 and 2005-2008.

RESULTS

A total of 905 patients, 776 males (85.7%) were included with a mean age (± SD) of 64.4 ± 11.6 years. The number of cases in females went from 11.2% in 1997-2000 to 16.2% in 2005-2008, and adenocarcinoma from 29.3% to 34.5% (P=.2). Survival was associated independently with the performance status, treatment, comorbidity and weight loss.

CONCLUSIONS

In our area, there is been an increasing number of cases of lung cancer in females. The histological type of adenocarcinoma has increased and we have observed a slight increase in survival.

摘要

背景与目的

在过去几十年中,肺癌的流行病学特征出现了一些变化。在我们的研究中,我们分析了肺癌的流行病学和生存率是否发生了变化。

患者与方法

纳入所有在1997年5月至2008年12月间经细胞组织学确诊为肺癌的病例。为比较各变量,研究期被分为三个队列,分别包括1997 - 2000年、2001 - 2004年和2005 - 2008年。

结果

共纳入905例患者,其中776例男性(85.7%),平均年龄(±标准差)为64.4 ± 11.6岁。女性病例数从1997 - 2000年的11.2%增至2005 - 2008年的16.2%,腺癌从29.3%增至34.5%(P = 0.2)。生存率与体能状态、治疗、合并症和体重减轻独立相关。

结论

在我们所在地区,女性肺癌病例数呈上升趋势。腺癌的组织学类型有所增加,且我们观察到生存率略有提高。

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