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北卡纳塔克邦一家三级医疗中心的前列腺癌发病率。

Incidence of prostate cancer at a single tertiary care center in North Karnataka.

作者信息

Ghagane S C, Nerli R B, Hiremath M B, Wagh A T, Magdum P V

机构信息

Department of Biotechnology and Microbiology, Karnatak University, Dharwad, Karnataka, India.

Department of Urology, KLES Kidney Foundation, KLES Dr. Prabhakar Kore Hospital, Belagavi, Karnataka, India.

出版信息

Indian J Cancer. 2016 Jul-Sep;53(3):429-431. doi: 10.4103/0019-509X.200671.

Abstract

CONTEXT

Prostate cancer (PC) remains one of the most common cancers affecting men today. Thus, understanding the prevalence, disease characteristics, and changing demographics of Indian PC patients has emerged as an important aspect of study.

AIMS

We aimed to present the case series of PC patients from single tertiary care center in North Karnataka.

SETTINGS AND DESIGN

The study designed over a period of 8 years from 2007 to 2015 was conducted in the Department of Urology, KLES Dr. Prabhakar Kore Hospital, Belagavi, Karnataka.

MATERIALS AND METHODS

A total of 471 newly diagnosed patients with PC from 2007 to 2015 were included in the study. Sociodemographic, clinical characteristics, radiological and histopathological findings of all patients were collected and analyzed for the risk of PC.

STATISTICAL ANALYSIS USED

The statistical analysis used in this study was IBM SPSS Statistics software Inc., version 20.0.

RESULTS

A total of 471 patients were diagnosed with PC, the mean age at presentation was 70 years, and mean prostate-specific antigen (PSA) level was 37.71 ng/mL. Digital rectal examination (DRE) was abnormal in 87.5% of 471 cases. Significant correlation was observed between PSA level and DRE (P = 0.0005), correlation of PSA and Gleason's score was P = 0.0006, and histopathological results showed high risk in patients (P = 0.0001).

CONCLUSIONS

This is the first hospital-based study of PC incidence with clinical and histopathological features. PC remains an important public health problem with increasing incidence and significant burden on health-care resources in India.

摘要

背景

前列腺癌(PC)仍是当今影响男性的最常见癌症之一。因此,了解印度前列腺癌患者的患病率、疾病特征和不断变化的人口统计学特征已成为研究的一个重要方面。

目的

我们旨在呈现来自北卡纳塔克邦单一三级医疗中心的前列腺癌患者病例系列。

设置与设计

该研究于2007年至2015年的8年期间在卡纳塔克邦贝拉加维的KLES普拉巴卡尔·科雷博士医院泌尿外科进行。

材料与方法

本研究纳入了2007年至2015年期间共471例新诊断的前列腺癌患者。收集并分析了所有患者的社会人口统计学、临床特征、放射学和组织病理学检查结果,以评估前列腺癌风险。

所用统计分析方法

本研究使用的统计分析软件为IBM SPSS Statistics软件公司的版本20.0。

结果

共471例患者被诊断为前列腺癌,就诊时的平均年龄为70岁,平均前列腺特异性抗原(PSA)水平为37.71 ng/mL。在471例病例中,87.5%的患者直肠指检(DRE)异常。PSA水平与DRE之间存在显著相关性(P = 0.0005),PSA与 Gleason评分的相关性为P = 0.0006,组织病理学结果显示患者存在高风险(P = 0.0001)。

结论

这是第一项基于医院的前列腺癌发病率及临床和组织病理学特征的研究。在印度,前列腺癌仍是一个重要的公共卫生问题,其发病率不断上升,给医疗资源带来了巨大负担。

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