通过登记分析了解急性髓性白血病的死亡原因:儿童、青少年和青年患者的回顾性队列研究》。

IF 1.6 Q2 MEDICINE, GENERAL & INTERNAL Journal of clinical medicine research Pub Date : 2024-06-01 Epub Date: 2024-06-30 DOI:10.14740/jocmr5205
Anas Elgenidy, Mohammed Al-Mahdi Al-Kurdi, Hoda Atef Abdelsattar Ibrahim, Eman F Gad, Ahmed K Awad, Rebecca Caruana, Sheriseane Diacono, Aya Sherif, Tasneem Elattar, Islam E Al-Ghanam, Asmaa M Eldmaty, Tareq M Abubasheer, Ahmed M Afifi, Amira Elhoufey, Hamad Ghaleb Dailah, Amira M Osman, Mohamed Ezzat, Doaa Ali Gamal, Rady Elmonier, Ahmed El-Sayed Hammour, Maged T Abougabal, Khaled Saad
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引用次数: 0

摘要

背景:我们的目标是确定导致儿童、青少年和年轻人死亡的非恶性因素,旨在改善患者随访,降低死亡率,获得更好的生存结果:我们的目的是找出导致儿童、青少年和年轻成人死亡的非恶性因素,旨在改善患者随访并降低死亡率,从而获得更好的生存结果:我们分析了2000年至2019年期间在美国确诊的8239例急性髓性白血病(AML)病例。我们使用8.4.0.1版的监测、流行病学和最终结果(SEER)*Stat软件,计算了每种死因的标准化死亡率(SMR)和95%置信区间(CI):在研究人群中观察到的3165例死亡中,大多数(2245例;70.9%)归因于急性髓细胞性白血病本身,其次是非急性髓细胞性白血病癌症(573例;18.1%)和非癌症原因(347例;10.9%):结论:急性髓细胞白血病患者罹患其他类型癌症和粒细胞缺乏症的风险较高,这增加了患者死于感染等非癌症原因的风险。此外,治疗急性髓细胞性白血病还可能引发心脏问题。急性髓细胞性白血病男性多于女性。
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Mapping the Grounds for Mortalities in Acute Myeloid Leukemia Through Registry Analyses: A Retrospective Cohort Study of Children, Adolescents, and Young Adults Patients.

Background: Our objective was to identify non-malignant factors that contribute to mortality in children, adolescents and young adults, aiming to improve patient follow-up and reduce mortality rates to achieve better survival outcomes.

Methods: We analyzed 8,239 acute myeloid leukemia (AML) cases diagnosed between 2000 and 2019 in the USA. Using version 8.4.0.1 of the Surveillance, Epidemiology, and End Results (SEER)*Stat software, we calculated the standardized mortality ratios (SMRs) and 95% confidence intervals (CIs) for each cause of death.

Results: Out of the 3,165 deaths observed in the study population, the majority (2,245;70.9%) were attributed to AML itself, followed by non-AML cancers (573; 18.1%) and non-cancerous causes (347; 10.9%).

Conclusions: Patients with AML are at a higher risk of developing other types of cancer and granulocyte deficiencies, which increases the risk of death from non-cancerous causes such as infections. Moreover, treatment for AML carries the risk of cardiac problems. AML is commoner in males than females.

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