Nguyen Leonard Tu, Guo Maggie, Naugler Christopher, Rashid-Kolvear Fariborz
Department of Pathology and Laboratory Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Departments of Family Medicine and Community Health, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
BMC Res Notes. 2018 Nov 1;11(1):780. doi: 10.1186/s13104-018-3890-8.
The epidemiology of chronic myeloid leukemia is shifting due to the aging global population and the recent discovery and availability of targeted treatment options. This study provides recent data regarding the incidence of CML in Calgary, a major Canadian city. Data from patients diagnosed with CML by bone marrow sample analysis from 2011 to 2015 were collected from the database of the sole centralized cytogenetics facility in service of Calgary and its surrounding area.
With an average of 10.2 newly diagnosed cases per year in Calgary from 2011 to 2015, the incidence rate was calculated to be 0.75 cases per 100,000 person-years (95% CI 0.57-0.99). With age standardization, the incidence was 0.87 cases per 100,000 person-years (95% CI 0.82-0.91) for the Canadian population, which was low compared to other developed Western nations. The highest incidence rates were observed in the older patient categories, however there was a broad age distribution for incident cases and the median age at diagnosis was 48. There was a general male bias for CML most pronounced at the younger ages. Our description of CML incidence will help to inform healthcare planners amidst the dramatically altered treatment of this hematological neoplasm.
由于全球人口老龄化以及近期靶向治疗方案的发现和应用,慢性髓性白血病的流行病学正在发生变化。本研究提供了加拿大主要城市卡尔加里慢性髓性白血病发病率的最新数据。从服务于卡尔加里及其周边地区的唯一集中细胞遗传学设施的数据库中收集了2011年至2015年通过骨髓样本分析诊断为慢性髓性白血病患者的数据。
2011年至2015年卡尔加里平均每年有10.2例新诊断病例,发病率计算为每10万人年0.75例(95%可信区间0.57 - 0.99)。经年龄标准化后,加拿大人群的发病率为每10万人年0.87例(95%可信区间0.82 - 0.91),与其他西方发达国家相比偏低。在老年患者类别中观察到最高发病率,然而发病病例的年龄分布广泛,诊断时的中位年龄为48岁。慢性髓性白血病总体上存在男性偏倚,在较年轻年龄段最为明显。我们对慢性髓性白血病发病率的描述将有助于在这种血液肿瘤治疗发生巨大变化的情况下为医疗规划者提供信息。