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美国原发性脑肿瘤成人患者的质子束治疗应用情况。

Proton beam therapy utilization in adults with primary brain tumors in the United States.

作者信息

Stross William C, Malouff Timothy D, Waddle Mark R, Miller Robert C, Peterson Jennifer, Trifiletti Daniel M

机构信息

Department of Radiation Oncology, Mayo Clinic, Jacksonville, FL, USA.

Department of Radiation Oncology, Mayo Clinic, Jacksonville, FL, USA.

出版信息

J Clin Neurosci. 2020 May;75:112-116. doi: 10.1016/j.jocn.2020.03.011. Epub 2020 Mar 14.

Abstract

The utilization of proton beam therapy (PBT) as the primary treatment of adults with primary brain tumors (APBT) was evaluated through query of the National Cancer Database (NCDB) between the years 2004 and 2015. International Classification of Diseases for Oncology code for each patient was stratified into six histology categories; high-grade gliomas, medulloblastomas, ependymomas, other gliomas, other malignant tumors, or other benign intracranial tumors. Demographics of the treatment population were also analyzed. A total of 1,296 patients received PBT during the 11-year interval for treatment of their primary brain tumor. High-grade glioma, medulloblastoma, ependymoma, other glioma, other malignant, and other benign intracranial histologies made up 39%, 20%, 13%, 12%, 13%, and 2% of the cohort, respectively. The number of patients treated per year increased from 34 to 300 in years 2004 to 2015. Histologies treated with PBT varied over the 11-year interval with high-grade gliomas comprising 75% and 45% at years 2004 and 2015, respectively. The majority of the patient population was 18-29 years of age (59%), Caucasian race (73%), had median reported income of over $63,000 (46%), were privately insured (68%), and were treated at an academic institution (70%). This study characterizes trends of malignant and benign APBT histologies treated with PBT. Our data from 2004 through 2015 illustrates a marked increase in the utilization of PBT in the treatment of APBT and shows variability in the tumor histology treated over this time.

摘要

通过查询2004年至2015年间的国家癌症数据库(NCDB),评估了质子束治疗(PBT)作为原发性脑肿瘤成人患者(APBT)主要治疗方法的使用情况。将每位患者的肿瘤学国际疾病分类代码分为六个组织学类别:高级别胶质瘤、髓母细胞瘤、室管膜瘤、其他胶质瘤、其他恶性肿瘤或其他良性颅内肿瘤。还分析了治疗人群的人口统计学特征。在这11年期间,共有1296例患者接受了PBT治疗原发性脑肿瘤。高级别胶质瘤、髓母细胞瘤、室管膜瘤、其他胶质瘤、其他恶性肿瘤和其他良性颅内组织学类型分别占该队列的39%、20%、13%、12%、13%和2%。2004年至2015年每年接受治疗的患者数量从34例增加到300例。在这11年期间,接受PBT治疗的组织学类型有所变化,2004年高级别胶质瘤占75%,2015年占45%。大多数患者年龄在18 - 29岁(占59%),为白种人(占73%),报告的收入中位数超过63,000美元(占46%),有私人保险(占68%),并在学术机构接受治疗(占7o%)。本研究描述了接受PBT治疗的恶性和良性APBT组织学类型的趋势。我们2004年至2015年的数据表明,PBT在APBT治疗中的使用显著增加,并且显示出这段时间内治疗的肿瘤组织学类型存在差异。

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