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基于人群的核心结合因子急性髓细胞白血病患者生存差异:SEER 数据库分析。

Population-based disparities in survival among patients with core-binding factor acute myeloid leukemia: a SEER database analysis.

机构信息

Massachusetts General Hospital/Harvard Medical School, Boston, MA, United States; Dana Farber Cancer Institute, Boston, MA, United States.

Dana Farber Cancer Institute, Boston, MA, United States.

出版信息

Leuk Res. 2014 Jul;38(7):773-80. doi: 10.1016/j.leukres.2014.04.001. Epub 2014 Apr 12.

Abstract

We performed a retrospective population-based study using the SEER database to assess survival trends in CBF-AML between 2000 and 2010. Median OS increased from 16 months in 2000-2002 to 25 months in 2006-2008 (P=0.002). The 3-year OS rate for patients with inv(16) was 57.3%, but in t(8;21) was only 35.5%. Patients aged 75-84 had worse survival than patients aged 15-44 (HR 5.61, P=0.0002). Black race was associated with higher mortality (HR 1.50, P=0.03). Compared to clinical trial outcomes, CBF-AML survival is poorer in the general population, particularly among African Americans and the elderly, and in t(8;21) compared to inv(16) AML.

摘要

我们使用 SEER 数据库进行了一项回顾性基于人群的研究,以评估 2000 年至 2010 年 CBF-AML 的生存趋势。中位 OS 从 2000-2002 年的 16 个月增加到 2006-2008 年的 25 个月(P=0.002)。inv(16)患者的 3 年 OS 率为 57.3%,而 t(8;21)患者仅为 35.5%。75-84 岁的患者比 15-44 岁的患者生存更差(HR 5.61,P=0.0002)。黑人种族与更高的死亡率相关(HR 1.50,P=0.03)。与临床试验结果相比,CBF-AML 在普通人群中的生存率较差,尤其是在非裔美国人和老年人中,以及 t(8;21)与 inv(16)AML 相比。

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