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巴林王国直肠癌患者的流行病学:一项回顾性队列研究。

Epidemiology of Rectal Cancer Patients in the Kingdom of Bahrain: A Retrospective Cohort Study.

作者信息

Juma Isam M, Saeed Mirza F, Hamel Leonie R, Ali Zahra, Sinan Israa, Alkhlofi Saud, Ibrahim Zainab, Surmeli Zeki

机构信息

Department of General Surgery, King Hamad University Hospital, Busaiteen, Muharraq, Bahrain.

Department of Pediatrics Surgery, John Radcliffe Hospital, Oxford, United Kingdom.

出版信息

Euroasian J Hepatogastroenterol. 2024 Jul-Dec;14(2):205-209. doi: 10.5005/jp-journals-10018-1454. Epub 2024 Dec 27.

DOI:10.5005/jp-journals-10018-1454
PMID:39802842
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11714114/
Abstract

AIM AND BACKGROUND

As rectal cancer diagnosis becomes more prevalent due to the increased awareness caused by campaigns, this study aims to focus on the demographics of patients diagnosed with rectal cancer in the Kingdom of Bahrain.

METHODS

A retrospective cross-sectional study design was conducted on 184 patients diagnosed with primary or second primary rectal cancer. Stage and site of tumor at diagnosis, gender, BMI, family history, histology, and metastasis are discussed throughout the paper.

RESULTS

The majority of the population (85.9%) were Bahraini, with males (57.6%) being more prevalent. A little over 50% of patients diagnosed with rectal cancer were aged 60 years or younger. In most cases, the tumors were spotted in the lower rectum (48.9%) and were diagnosed by the appearance of symptoms (91.8%). Kaplan-Meier Survival analysis showed that the overall survival for males is 95.3% and for females 93.6% for 1 year.

CONCLUSION

The high number of Bahraini males diagnosed with rectal cancer highlights the importance of early screening and detection. The prevalence of the tumor in the lower rectum suggests the need for improved education on recognizing symptoms and seeking medical attention. Further research is required to establish a comprehensive national screening program for rectal cancer in Bahrain.

CLINICAL SIGNIFICANCE

Understanding the demographic and clinical characteristics of rectal cancer patients in the Kingdom of Bahrain is required to target early screening and public awareness. The findings of this study provide a solid foundation for future developments in rectal cancer diagnosis and treatment to improve survival outcomes.

HOW TO CITE THIS ARTICLE

Juma IM, Saeed MF, Hamel LR, Epidemiology of Rectal Cancer Patients in the Kingdom of Bahrain: A Retrospective Cohort Study. Euroasian J Hepato-Gastroenterol 2024;14(2):205-209.

摘要

目的与背景

随着宣传活动提高了人们的认知度,直肠癌诊断变得更加普遍,本研究旨在关注巴林王国直肠癌确诊患者的人口统计学特征。

方法

对184例原发性或继发性原发性直肠癌确诊患者进行了回顾性横断面研究设计。本文讨论了诊断时肿瘤的分期和部位、性别、体重指数、家族史、组织学和转移情况。

结果

大多数患者(85.9%)为巴林人,男性(57.6%)更为常见。超过50%的直肠癌确诊患者年龄在60岁及以下。在大多数情况下,肿瘤发现于直肠下段(48.9%),且通过症状出现得以诊断(91.8%)。卡普兰 - 迈耶生存分析显示,男性1年总生存率为95.3%,女性为93.6%。

结论

大量巴林男性被诊断为直肠癌凸显了早期筛查和检测的重要性。肿瘤在直肠下段的高发性表明需要加强对症状识别和就医的教育。需要进一步研究以建立巴林全国性的直肠癌综合筛查项目。

临床意义

了解巴林王国直肠癌患者的人口统计学和临床特征对于开展早期筛查和提高公众意识至关重要。本研究结果为直肠癌诊断和治疗的未来发展提供了坚实基础,以改善生存结果。

如何引用本文

Juma IM, Saeed MF, Hamel LR, 巴林王国直肠癌患者的流行病学:一项回顾性队列研究。《欧亚肝脏胃肠病学杂志》2024;14(2):205 - 209。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49df/11714114/5418bc085522/ejohg-14-205-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49df/11714114/50de0ce2c283/ejohg-14-205-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49df/11714114/6c4a9ad5d45d/ejohg-14-205-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49df/11714114/4b83eded9da8/ejohg-14-205-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49df/11714114/b3e021b184c6/ejohg-14-205-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49df/11714114/5418bc085522/ejohg-14-205-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49df/11714114/50de0ce2c283/ejohg-14-205-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49df/11714114/6c4a9ad5d45d/ejohg-14-205-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49df/11714114/4b83eded9da8/ejohg-14-205-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49df/11714114/b3e021b184c6/ejohg-14-205-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49df/11714114/5418bc085522/ejohg-14-205-g005.jpg

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本文引用的文献

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Cancers (Basel). 2023 Jan 31;15(3):889. doi: 10.3390/cancers15030889.
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Author Correction: Current and future colorectal cancer screening strategies.作者更正:当前及未来的结直肠癌筛查策略。
Nat Rev Gastroenterol Hepatol. 2022 Aug;19(8):551. doi: 10.1038/s41575-022-00661-3.
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Evaluation of Demographics and Management of Rectal Cancer by Age Group: A Retrospective Propensity Matched Cohort Analysis of the National Cancer Database.
按年龄组评估直肠癌的人口统计学特征与管理:一项基于国家癌症数据库的回顾性倾向匹配队列分析
Cureus. 2021 Nov 9;13(11):e19412. doi: 10.7759/cureus.19412. eCollection 2021 Nov.
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Prognostic Factors Affecting Short- and Long-Term Recurrence-Free Survival of Patients with Rectal Cancer using Cure Models: A Cohort Study.使用治愈模型分析影响直肠癌患者短期和长期无复发生存的预后因素:一项队列研究
Iran J Med Sci. 2020 Sep;45(5):333-340. doi: 10.30476/ijms.2020.72735.0.
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Demographics Predict Stage III/IV Colorectal Cancer in Individuals Under Age 50.人口统计学可预测 50 岁以下人群的 III/IV 期结直肠癌。
J Clin Gastroenterol. 2020 Sep;54(8):714-719. doi: 10.1097/MCG.0000000000001374.
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The diagnostic value of a change in bowel habit for colorectal cancer within different age groups.不同年龄组中排便习惯改变对结直肠癌的诊断价值。
United European Gastroenterol J. 2020 Mar;8(2):211-219. doi: 10.1177/2050640619888040. Epub 2019 Nov 6.
7
Epidemiology of colorectal cancer: incidence, mortality, survival, and risk factors.结直肠癌的流行病学:发病率、死亡率、生存率及危险因素。
Prz Gastroenterol. 2019;14(2):89-103. doi: 10.5114/pg.2018.81072. Epub 2019 Jan 6.
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Cancers (Basel). 2019 Apr 30;11(5):609. doi: 10.3390/cancers11050609.
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