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巴西马托格罗索州大库亚巴的结直肠癌生存状况。

Colorectal cancer survival in Greater Cuiabá, state of Mato Grosso, Brazil.

机构信息

Universidade Federal de Mato Grosso, Instituto de Saúde Coletiva, Programa de Pós-Graduação em Saúde Coletiva - Cuiabá (MT), Brasil.

Instituto Nacional de Câncer - Rio de Janeiro (RJ), Brasil.

出版信息

Rev Bras Epidemiol. 2023 Mar 27;26:e230022. doi: 10.1590/1980-549720230022.2. eCollection 2023.

Abstract

OBJECTIVE

To analyze the specific five-year survival of colorectal cancer (CRC) diagnosed between 2008 and 2013, according to sex and age group, of residents in Greater Cuiabá, state of Mato Grosso, Brazil.

METHODS

This is a retrospective cohort study. Specific survival of CRC was considered as the time between disease diagnosis and death from CRC, in months. Data from the Population-Based Cancer Registry and the Brazilian Mortality Information System were used. To estimate the probability of survival by sex and age group, the Kaplan-Meier estimator was used, and to estimate the effect of age group on the survival of participants, the Cox model stratified by sex was adjusted.

RESULTS

From 2008 to 2013, 683 new cases and 193 deaths from CRC were registered. The median time between diagnosis and death from CRC was 44.8 months (95%CI 42.4- 47.3) for women and 46.1 months (95%CI 43.4-48.6) for men, and the five-year survival probabilities of 83.5% (95%CI 79.9-87.2%) and 89.6% (95%CI 86.4-93.0%), respectively. Men aged 70-79 years (HR=2.97; 95%CI 1.11-3.87) and 80 years or older (HR=3.09; 95%CI 1.31-7.27) were at higher risk of mortality, and we verified no difference for women.

CONCLUSION

Women had a shorter time between the diagnosis of CRC and death from the disease as well as a lower probability of survival. Conversely, men were at higher risk of mortality after 70 years of age.

摘要

目的

分析巴西马托格罗索州大库亚巴地区 2008 年至 2013 年间诊断出的结直肠癌(CRC)患者的特定五年生存率,按性别和年龄组进行分析。

方法

这是一项回顾性队列研究。CRC 的特定生存率被定义为从疾病诊断到 CRC 死亡的时间(以月为单位)。使用基于人群的癌症登记处和巴西死亡率信息系统的数据。使用 Kaplan-Meier 估计器来估计生存率按性别和年龄组的分布,使用 Cox 模型按性别分层来估计年龄组对参与者生存率的影响。

结果

2008 年至 2013 年间,共登记了 683 例新的 CRC 病例和 193 例 CRC 死亡病例。女性 CRC 诊断至死亡的中位时间为 44.8 个月(95%CI 42.4-47.3),男性为 46.1 个月(95%CI 43.4-48.6),女性的五年生存率为 83.5%(95%CI 79.9-87.2%),男性为 89.6%(95%CI 86.4-93.0%)。70-79 岁的男性(HR=2.97;95%CI 1.11-3.87)和 80 岁及以上的男性(HR=3.09;95%CI 1.31-7.27)的死亡率更高,而女性没有差异。

结论

女性从 CRC 诊断到死亡的时间更短,生存率更低。相反,男性在 70 岁以上时死亡率更高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75dc/10069455/81de6211b3f7/1980-5497-rbepid-26-e230022-gf04.jpg

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