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美国人群中皮肤黑色素瘤患者的死因分析:一项基于人群的研究。

Causes of death among patients with cutaneous melanoma: a US population-based study.

机构信息

Faculty of Medicine, Misr University for Science and Technology, 6th of October, Giza, Egypt.

School of Medicine, New Giza University (NGU), Giza, Egypt.

出版信息

Sci Rep. 2023 Jun 24;13(1):10257. doi: 10.1038/s41598-023-37333-4.


DOI:10.1038/s41598-023-37333-4
PMID:37355743
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10290704/
Abstract

Research on mortality outcomes and non-cancer-related causes of death in patients with cutaneous melanoma (CM) remains limited. This study aimed to identify the prevalence of non-cancer-related deaths following CM diagnosis. The data of 224,624 patients diagnosed with malignant CM in the United States between 2000 and 2019 were extracted from the Surveillance, Epidemiology, and End Results (SEER) database. We stratified our cohort based on their melanoma stage at diagnosis and further calculated standardized mortality ratios (SMRs) for each cause of death, comparing their relative risk to that of the general US population. The total number of fatalities among melanoma patients was 60,110, representing 26.8% of the total cases. The percentage of deaths is directly proportional to the disease stage, reaching 80% in distant melanoma. The highest fatalities among the localized melanoma group (25,332; 60.5%) occurred from non-cancer causes, followed by melanoma-attributable deaths (10,817; 25.8%). Conversely, melanoma is the leading cause of death in regional and distant melanoma cohorts. Cardiovascular and cerebrovascular diseases were the most prevalent non-cancer causes of death among the three disease-stage cohorts. Compared to the general population, we did not observe an increased risk of death due to non-cancer causes in the localized CM cohort, while patients diagnosed with regional and distant CMs had a statistically significant higher risk of death from all the reported major causes of death.

摘要

对患有皮肤黑色素瘤 (CM) 患者的死亡率和非癌症相关死因的研究仍然有限。本研究旨在确定诊断为 CM 后非癌症相关死亡的发生率。从美国监测、流行病学和最终结果 (SEER) 数据库中提取了 2000 年至 2019 年间诊断为恶性 CM 的 224624 名患者的数据。我们根据他们的诊断时的黑色素瘤分期对队列进行分层,并进一步计算了每种死因的标准化死亡率比 (SMR),将其相对风险与美国一般人群进行比较。黑色素瘤患者的总死亡人数为 60110 人,占总病例数的 26.8%。死亡人数与疾病阶段直接成正比,远处黑色素瘤达到 80%。局部黑色素瘤组 (25332 人;60.5%) 的死亡率最高,其中非癌症原因导致的死亡人数最多,其次是归因于黑色素瘤的死亡人数 (10817 人;25.8%)。相反,黑色素瘤是区域性和远处黑色素瘤队列中死亡的主要原因。心血管和脑血管疾病是非癌症死亡的最常见原因,在三个疾病阶段队列中。与一般人群相比,我们没有观察到局部 CM 队列中非癌症原因导致的死亡风险增加,而诊断为区域性和远处 CMs 的患者死于所有报告的主要死因的风险统计学上显著更高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2453/10290704/6f8afc5b5f57/41598_2023_37333_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2453/10290704/6f8afc5b5f57/41598_2023_37333_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2453/10290704/6f8afc5b5f57/41598_2023_37333_Fig1_HTML.jpg

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本文引用的文献

[1]
Association of type II diabetes mellitus with characteristics and outcomes for patients undergoing sentinel lymph node biopsy for cutaneous melanoma.

J Surg Oncol. 2022-12

[2]
Relationship between Type 2 diabetes mellitus and aggressiveness of melanoma.

J Dermatol Sci. 2022-4

[3]
Pembrolizumab-Induced Type 1 Diabetes in a 95-Year-Old Veteran With Metastatic Melanoma.

Fed Pract. 2021-11

[4]
Types of second primary cancer influence overall survival in cutaneous melanoma.

BMC Cancer. 2021-10-19

[5]
Vascular events with immune checkpoint inhibitors in melanoma or non-small cell lung cancer: A systematic review and meta-analysis.

Cancer Treat Rev. 2021-11

[6]
Melanoma pathology: new approaches and classification.

Br J Dermatol. 2021-8

[7]
Immunotherapy-related pneumonitis and bacterial pneumonia after the successful treatment of metastatic malignant melanoma with pembrolizumab: A case report.

Medicine (Baltimore). 2021-1-8

[8]
The risk of cardiac events in patients receiving immune checkpoint inhibitors: a nationwide Danish study.

Eur Heart J. 2021-4-21

[9]
A central nervous system metastasis of melanoma with stroke-like onset of left-lower quadrantanopsia.

J Gen Fam Med. 2020-2-11

[10]
Left ventricular ejection fraction decrease related to BRAF and/or MEK inhibitors in metastatic melanoma patients: A retrospective analysis.

Cancer Med. 2020-4

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