Cardiovascular disease related death among patients with esophagus cancer: A population-based competing risk analysis
The proportion of non-cancer death in patients with esophagus cancer (EC) still increasing, especially cardiovascular disease (CVD) related death. The aim of this study was assess non-cancer causes of death and identified independent risk factors of CVD related death in EC patients. Patients diagnos...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2022.976711/full |
| _version_ | 1828410462047305728 |
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| author | Yang Xia Min Lin Jin Huang Li Fan |
| author_facet | Yang Xia Min Lin Jin Huang Li Fan |
| author_sort | Yang Xia |
| collection | DOAJ |
| description | The proportion of non-cancer death in patients with esophagus cancer (EC) still increasing, especially cardiovascular disease (CVD) related death. The aim of this study was assess non-cancer causes of death and identified independent risk factors of CVD related death in EC patients. Patients diagnosed with EC were extracted from the Surveillance, Epidemiology, and End Result database (SEER) database for analysis. Standardized mortality rates (SMRs) for non-EC deaths were calculated, the risk of death were assessed and compared with US general population. Multivariate competitive risk analysis were performed to select independent risk factors for death from CVD in EC patients. A total of 43739 EC patients were enrolled and 35139 died during follow-up, of which 4248 died from non-cancer cause of death. The risk of non-cancer death in EC patients was 2.27-fold higher than in the general population (SMR=2.27; 95% CI, 2.20-2.34). CVD were the most important cause of non-cancer death in EC patients, accounting for 43.4% of non-cancer of deaths. Compare with the general population, EC patients have higher risk of death from disease of heart (SMR, 2.24; 95% CI, 2.13-2.35), pneumonia and influenza (SMR, 2.92; 95% CI, 2.50-3.39), septicemia (SMR, 5.01; 95% CI, 4.30-5.79), along with other causes. Patients with advanced age and patients who received radiotherapy has higher risk of death caused by CVD, patients with female sex, poor differentiated and undifferentiated, regional and distant stage, married, diagnosed between 2010-2016 has lower risk of CVD related death, compared with patients without any treatment measures, patients received chemotherapy alone has lower risk of death from CVD. Non-cancer cause of death has become an important cause of death in EC patients. Improving public awareness of the major risk factors for non-cancer death is beneficial to the prevention and treatment of malignant tumors. |
| first_indexed | 2024-12-10T12:11:52Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-12-10T12:11:52Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-6aba3dd494fd4eeda6042e277581b0ed2022-12-22T01:49:20ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-09-011210.3389/fonc.2022.976711976711Cardiovascular disease related death among patients with esophagus cancer: A population-based competing risk analysisYang XiaMin LinJin HuangLi FanThe proportion of non-cancer death in patients with esophagus cancer (EC) still increasing, especially cardiovascular disease (CVD) related death. The aim of this study was assess non-cancer causes of death and identified independent risk factors of CVD related death in EC patients. Patients diagnosed with EC were extracted from the Surveillance, Epidemiology, and End Result database (SEER) database for analysis. Standardized mortality rates (SMRs) for non-EC deaths were calculated, the risk of death were assessed and compared with US general population. Multivariate competitive risk analysis were performed to select independent risk factors for death from CVD in EC patients. A total of 43739 EC patients were enrolled and 35139 died during follow-up, of which 4248 died from non-cancer cause of death. The risk of non-cancer death in EC patients was 2.27-fold higher than in the general population (SMR=2.27; 95% CI, 2.20-2.34). CVD were the most important cause of non-cancer death in EC patients, accounting for 43.4% of non-cancer of deaths. Compare with the general population, EC patients have higher risk of death from disease of heart (SMR, 2.24; 95% CI, 2.13-2.35), pneumonia and influenza (SMR, 2.92; 95% CI, 2.50-3.39), septicemia (SMR, 5.01; 95% CI, 4.30-5.79), along with other causes. Patients with advanced age and patients who received radiotherapy has higher risk of death caused by CVD, patients with female sex, poor differentiated and undifferentiated, regional and distant stage, married, diagnosed between 2010-2016 has lower risk of CVD related death, compared with patients without any treatment measures, patients received chemotherapy alone has lower risk of death from CVD. Non-cancer cause of death has become an important cause of death in EC patients. Improving public awareness of the major risk factors for non-cancer death is beneficial to the prevention and treatment of malignant tumors.https://www.frontiersin.org/articles/10.3389/fonc.2022.976711/fullesophagus cancercause of deathcardiovascular diseasesurveillanceepidemiologyand end result |
| spellingShingle | Yang Xia Min Lin Jin Huang Li Fan Cardiovascular disease related death among patients with esophagus cancer: A population-based competing risk analysis Frontiers in Oncology esophagus cancer cause of death cardiovascular disease surveillance epidemiology and end result |
| title | Cardiovascular disease related death among patients with esophagus cancer: A population-based competing risk analysis |
| title_full | Cardiovascular disease related death among patients with esophagus cancer: A population-based competing risk analysis |
| title_fullStr | Cardiovascular disease related death among patients with esophagus cancer: A population-based competing risk analysis |
| title_full_unstemmed | Cardiovascular disease related death among patients with esophagus cancer: A population-based competing risk analysis |
| title_short | Cardiovascular disease related death among patients with esophagus cancer: A population-based competing risk analysis |
| title_sort | cardiovascular disease related death among patients with esophagus cancer a population based competing risk analysis |
| topic | esophagus cancer cause of death cardiovascular disease surveillance epidemiology and end result |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2022.976711/full |
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