Clinical Implications of Nonbiological Factors With Colorectal Cancer Patients Younger Than 45 Years
BackgroundTo evaluate the clinical implications of non-biological factors (NBFs) with colorectal cancer (CRC) patients younger than 45 years.MethodsIn the present study, we have conducted Cox proportional hazard regression analyses to evaluate the prognosis of different prognostic factors, the hazar...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-07-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2021.677198/full |
| _version_ | 1818458617004687360 |
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| author | Qi Liu Qi Liu Ruoxin Zhang Ruoxin Zhang Qingguo Li Qingguo Li Xinxiang Li Xinxiang Li |
| author_facet | Qi Liu Qi Liu Ruoxin Zhang Ruoxin Zhang Qingguo Li Qingguo Li Xinxiang Li Xinxiang Li |
| author_sort | Qi Liu |
| collection | DOAJ |
| description | BackgroundTo evaluate the clinical implications of non-biological factors (NBFs) with colorectal cancer (CRC) patients younger than 45 years.MethodsIn the present study, we have conducted Cox proportional hazard regression analyses to evaluate the prognosis of different prognostic factors, the hazard ratios (HRs) were shown with 95% confidence intervals (CIs). Kaplan–Meier method was utilized to compare the prognostic value of different factors with the log-rank test. NBF score was established according to the result of multivariate Cox analyses.ResultsIn total, 15129 patients before 45 years with known NBFs were identified from the SEER database. Only county-level median household income, marital status and insurance status were NBFs that significantly corelated with the cause specifical survival in CRC patients aged less than 45 years old (P < 0.05). Stage NBF 1 showed 50.5% increased risk of CRC-specific mortality (HR = 1.505, 95% CI = 1.411-1.606, P < 0.001). Stage NBF 0 patients were associated with significantly increased CRC-specific survival (CCSS) when compared with the stage NBF 1 patients in different AJCC TNM stages.ConclusionsNBF stage (defined by county-level median household income, marital status and insurance status) was strongly related to the prognosis of CRC patients. NBFs should arouse enough attention of us in clinical practice of patients younger than 45 years. |
| first_indexed | 2024-12-14T23:01:18Z |
| format | Article |
| id | doaj.art-ba8cf154a216483cbc21030bbfa4b455 |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-12-14T23:01:18Z |
| publishDate | 2021-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-ba8cf154a216483cbc21030bbfa4b4552022-12-21T22:44:26ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2021-07-011110.3389/fonc.2021.677198677198Clinical Implications of Nonbiological Factors With Colorectal Cancer Patients Younger Than 45 YearsQi Liu0Qi Liu1Ruoxin Zhang2Ruoxin Zhang3Qingguo Li4Qingguo Li5Xinxiang Li6Xinxiang Li7Department of Colorectal Surgery, Fudan University Shanghai Cancer Center, Shanghai, ChinaDepartment of Oncology, Shanghai Medical College, Fudan University, Shanghai, ChinaDepartment of Colorectal Surgery, Fudan University Shanghai Cancer Center, Shanghai, ChinaDepartment of Oncology, Shanghai Medical College, Fudan University, Shanghai, ChinaDepartment of Colorectal Surgery, Fudan University Shanghai Cancer Center, Shanghai, ChinaDepartment of Oncology, Shanghai Medical College, Fudan University, Shanghai, ChinaDepartment of Colorectal Surgery, Fudan University Shanghai Cancer Center, Shanghai, ChinaDepartment of Oncology, Shanghai Medical College, Fudan University, Shanghai, ChinaBackgroundTo evaluate the clinical implications of non-biological factors (NBFs) with colorectal cancer (CRC) patients younger than 45 years.MethodsIn the present study, we have conducted Cox proportional hazard regression analyses to evaluate the prognosis of different prognostic factors, the hazard ratios (HRs) were shown with 95% confidence intervals (CIs). Kaplan–Meier method was utilized to compare the prognostic value of different factors with the log-rank test. NBF score was established according to the result of multivariate Cox analyses.ResultsIn total, 15129 patients before 45 years with known NBFs were identified from the SEER database. Only county-level median household income, marital status and insurance status were NBFs that significantly corelated with the cause specifical survival in CRC patients aged less than 45 years old (P < 0.05). Stage NBF 1 showed 50.5% increased risk of CRC-specific mortality (HR = 1.505, 95% CI = 1.411-1.606, P < 0.001). Stage NBF 0 patients were associated with significantly increased CRC-specific survival (CCSS) when compared with the stage NBF 1 patients in different AJCC TNM stages.ConclusionsNBF stage (defined by county-level median household income, marital status and insurance status) was strongly related to the prognosis of CRC patients. NBFs should arouse enough attention of us in clinical practice of patients younger than 45 years.https://www.frontiersin.org/articles/10.3389/fonc.2021.677198/fullnon-biological factorscolorectal canceryoungscreeningprognosis |
| spellingShingle | Qi Liu Qi Liu Ruoxin Zhang Ruoxin Zhang Qingguo Li Qingguo Li Xinxiang Li Xinxiang Li Clinical Implications of Nonbiological Factors With Colorectal Cancer Patients Younger Than 45 Years Frontiers in Oncology non-biological factors colorectal cancer young screening prognosis |
| title | Clinical Implications of Nonbiological Factors With Colorectal Cancer Patients Younger Than 45 Years |
| title_full | Clinical Implications of Nonbiological Factors With Colorectal Cancer Patients Younger Than 45 Years |
| title_fullStr | Clinical Implications of Nonbiological Factors With Colorectal Cancer Patients Younger Than 45 Years |
| title_full_unstemmed | Clinical Implications of Nonbiological Factors With Colorectal Cancer Patients Younger Than 45 Years |
| title_short | Clinical Implications of Nonbiological Factors With Colorectal Cancer Patients Younger Than 45 Years |
| title_sort | clinical implications of nonbiological factors with colorectal cancer patients younger than 45 years |
| topic | non-biological factors colorectal cancer young screening prognosis |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2021.677198/full |
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