首页|基于SEER数据库分析婚姻状况对肝癌患者预后的影响

基于SEER数据库分析婚姻状况对肝癌患者预后的影响

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目的 研究婚姻状况与肝癌患者预后的关系。方法 从美国SEER数据库共提取9759名患者数据,采用Log-rank单因素和多因素Cox风险比例模型评估婚姻状况与肝癌患者预后的关系。结果 离婚或分居患者(MHR = 1。24,95%CI(1。14,1。34),P<0。001)、单身患者(MHR = 1。22,95%CI(1。13,1。32),P<0。001)、寡居患者(MHR = 1。21,95%CI(1。09,1。33),P<0。001)比已婚患者的死亡风险都高,此外已婚患者的生存率高于离婚或分居、单身、寡居患者。在不同年龄、人种、肿瘤分期和肿瘤分化程度的组别下肝癌患者的婚姻状况影响有所差异,中年组(χ2 = 99。6,P<0。001)、白种人(χ2 = 84。6,P<0。001)、肿瘤Ⅰ期(χ2 = 87。7,P<0。001)、高分化(χ2 = 67。1,P<0。001)和中分化组(χ2 = 65。0,P<0。001)内婚姻状况的影响差异具有统计学意义。结论 婚姻状况在一定程度上可以作为肝癌患者的独立预后因素,且已婚肝癌患者的死亡风险系数低于其他婚姻状态患者。
Analysis of Association Between Marital Status and Prognosis of Liver Cancer Patients Based on SEER Database
Objective To investigate the influence of marital status on the prognosis of patients with liver cancer.Methods Information from 9759 patients was extracted from the SEER database,and univariate Log-rank and multivariate Cox risk scale models were used to evaluate the relationship between marital status and the prognosis of liver cancer.Results The death risk of divorced or separated patients(MHR = 1.24,95%CI(1.14,1.34),P<0.001),single patients(MHR = 1.22,95%CI(1.13,1.32),P<0.001),widowed patients(MHR = 1.21,95%CI(1.09,1.33),P<0.001)was higher than that of married patients,and the survival rate of married patients was higher than that of divorced,separated,single,and widowed patients.There were significant differences in the effects of marital status among HCC patients with different ages,races,tumor stages,and degrees of tumor differentiation,and there were statistically significant differences in the effects of marital status among the middle-aged group(χ2 = 99.6,P<0.001),White group(χ2 = 84.6,P<0.001),tumor stage I group(χ2 = 87.7,P<0.001),highly differentiated group(χ2 = 67.1,P<0.001)and moderately differentiated group(χ2 = 65.0,P<0.001).Conclusion Marital status can be an independent prognostic factor for patients with liver cancer to a certain extent,and the death risk coefficient of married patients with liver cancer is lower than that of patients with other marital statuses.

liver cancermarital statusprognosisSEER database

陈铭、陈恒、王东、徐金华、刘钰晨、柳昀熠

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江汉大学 医学部,湖北 武汉 430056

南华大学 基础医学院,湖南 衡阳 421001

江汉大学 肿瘤研究所,湖北 武汉 430056

武汉生物工程学院 生命科学与技术学院,湖北 武汉 431400

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肝癌 婚姻状况 预后 SEER数据库

国家自然科学基金湖北省教育厅指导项目江汉大学基础性科研项目江汉大学高层次人才培育项目

81602642B20192332021jczx-0023015/06210046

2024

江汉大学学报(自然科学版)
江汉大学

江汉大学学报(自然科学版)

影响因子:0.413
ISSN:1673-0143
年,卷(期):2024.52(2)
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