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基于监测、流行病学和最终结果(SEER)数据库的原发性气管癌竞争风险分析

Competing risk analysis of primary tracheal carcinoma based on SEER database.

作者信息

Gao HongXiang, He Xuan, Du JianFei, Yang SanHu, Wang Yang, Zhang JunWei, Zhao ChenNian

机构信息

Department of Oncology, Chang'An Hospital, Xi'an, Shaanxi, China,

Department of Thoracic Surgery, Tangdu Hospital, Xi'an, Shaanxi, China.

出版信息

Cancer Manag Res. 2019 Jan 24;11:1059-1065. doi: 10.2147/CMAR.S190124. eCollection 2019.

Abstract

PURPOSE

To analyze the prognostic factors of primary tracheal carcinoma.

PATIENTS AND METHODS

All patients of primary tracheal carcinoma were extracted from the Surveillance, Epidemiology, and End Results database during 1973-2015. The potential prognostic factors were analyzed by using the competing risk analysis of R statistical software.

RESULTS

A total of 485 eligible patients were enrolled. The univariate analysis indicated that age, sex, diagnostic confirmation, extension, lymph node, metastasis, multiple primary tumors, primary site surgery, and lymph node dissection were statistically significant for the patients' death due to tracheal tumor. The multivariate analysis indicated that age (=0.0000, CI: 1.0255-1.0630), lymph node (=0.0000, CI: 1.6031-3.4890), metastasis (=0.0100, CI: 1.1342-2.5790), multiple primary tumors (=0.0000, CI: 0.0276-0.1090), and primary site surgery (=0.0001, CI: 0.3565-0.7110) were independent prognostic factors affecting survival, and there were significant differences in the stratification of each prognostic factors.

CONCLUSION

Age, lymph node, metastasis, multiple primary tumors, and primary site surgery were independent prognostic factors of primary tracheal carcinoma.

摘要

目的

分析原发性气管癌的预后因素。

患者与方法

从监测、流行病学和最终结果数据库中提取1973 - 2015年期间所有原发性气管癌患者。使用R统计软件的竞争风险分析对潜在的预后因素进行分析。

结果

共纳入485例符合条件的患者。单因素分析表明,年龄、性别、诊断确认、病变范围、淋巴结、转移、多原发性肿瘤、原发部位手术和淋巴结清扫对因气管肿瘤导致的患者死亡具有统计学意义。多因素分析表明,年龄(=0.0000,CI:1.0255 - 1.0630)、淋巴结(=0.0000,CI:1.6031 - 3.4890)、转移(=0.0100,CI:1.1342 - 2.5790)、多原发性肿瘤(=0.0000,CI:0.0276 - 0.1090)和原发部位手术(=0.0001,CI:0.3565 - 0.7110)是影响生存的独立预后因素,且各预后因素分层存在显著差异。

结论

年龄、淋巴结、转移、多原发性肿瘤和原发部位手术是原发性气管癌的独立预后因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab32/6353024/5d41c232f92d/cmar-11-1059Fig1.jpg

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