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利用法国全国医院行政数据库,对因男性乳腺癌住院的患者在法国的流行情况进行评估。

Prevalence of patients hospitalised for male breast cancer in France using the French nationwide hospital administrative database.

机构信息

Service de Biostatistique et d'Informatique Médicale (DIM), CHRU Dijon, Dijon, France.

Université de Bourgogne, Dijon, France.

出版信息

Eur J Cancer Care (Engl). 2019 Sep;28(5):e13117. doi: 10.1111/ecc.13117. Epub 2019 Jun 24.

Abstract

BACKGROUND

Breast cancer (BC) in men is a rare and neglected disease representing <1% of all cancers in men and only 1% of all incident BC in western countries.

OBJECTIVE

This study aimed to describe trends in the prevalence of patients hospitalised for male BC in France from 2009 to 2013, using the national administrative database (PMSI).

METHODS

We included all men aged ≥18 admitted to hospital for BC during this period and estimated the prevalence of male breast cancer hospitalised in France over 5 years. We also describe clinical characteristics and treatments in men with surgery for BC over the 5-year period of the study.

RESULTS

The prevalence of patients hospitalised for BC significantly decreased from 7.5 per 100,000 adult male inhabitants in 2009 to 6.3 per 100,000 in 2013. Considering the entire period, 2009-2013, we found a prevalence of 25.5 per 100,000 adult male inhabitants over 5 years. At 1 year of follow-up, we found a significant trend for at least one comorbidity (from 44.6% in 2009 to 51.2% in 2013, p = 0.04) but not for malignant nodes and metastasis.

CONCLUSIONS

Ours is the first study to analyse the prevalence of patients hospitalised for male breast cancer and its changes over time in the whole population of a country. Our study also provides data on the clinical characteristics and treatments of male BC in France.

摘要

背景

男性乳腺癌(BC)是一种罕见且被忽视的疾病,占男性所有癌症的比例<1%,仅占西方国家所有乳腺癌发病率的 1%。

目的

本研究旨在使用国家行政数据库(PMSI)描述 2009 年至 2013 年期间法国因男性 BC 住院患者的流行趋势。

方法

我们纳入了在此期间因 BC 住院的所有年龄≥18 岁的男性,并估计了法国在 5 年内男性乳腺癌住院的流行率。我们还描述了研究期间 5 年内接受 BC 手术的男性的临床特征和治疗方法。

结果

2009 年至 2013 年,因 BC 住院的患者比例从每 10 万成年男性居民 7.5 例显著下降至每 10 万 6.3 例。考虑到整个研究期间,即 2009 年至 2013 年,我们发现 5 年内每 10 万成年男性居民的患病率为 25.5 例。在 1 年的随访中,我们发现至少有一种合并症的趋势(从 2009 年的 44.6%到 2013 年的 51.2%,p=0.04),但恶性淋巴结和转移则无此趋势。

结论

我们的研究首次分析了男性乳腺癌住院患者的流行率及其在一个国家的整个人群中的随时间变化情况。我们的研究还提供了法国男性乳腺癌的临床特征和治疗数据。

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