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Incidence, treatmentand survival ofpatients withcraniopharyngioma inthe surveillance,epidemiology and endresults program Brad E. ZachariaSally S. BruceHannah E. Goldstein2012 год

Incidence, treatment and survival of patients with craniopharyngioma in the surveillance, epidemiology and end results program
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Аннотация: Craniopharyngioma is a rare primary central nervous system neoplasm. Our objective was to determine factors associated with incidence, treatment, and survival of craniopharyngiomas in the United States. We used the surveillance, epidemiology and end results program (SEER) database to identify patients who received a diagnosis of craniopharyngioma during 2004–2008. We analyzed clinical and demographic information, including age, race, sex, tumor histology, and treatment. Age-adjusted incidence rates and age, sex, and race-adjusted expected survival rates were calculated. We used Cox proportional hazards models to determine the association between covariates and overall survival. We identified 644 patients with a diagnosis of craniopharyngioma. Black race was associated with an age-adjusted relative risk for craniopharyngioma of 1.26 (95% confidence interval [CI], 0.98–1.59), compared with white race. One- and 3-year survival rates of 91.5% (95% CI, 88.9%–93.5%), and 86.2% (95% CI, 82.7%–89.0%) were observed for the cohort; relative survival rates were 92.1% (95% CI, 89.5%–94.0%) and 87.6% (95% CI, 84.1%–90.4%) for 1- and 3-years, respectively. In the multivariable model, factors associated with prolonged survival included younger age, smaller tumor size, subtotal resection, and radiation therapy. Black race, on the other hand, was associated with worse overall survival in the final model. We demonstrated that >85% of patients survived 3 years after diagnosis and that subtotal resection and radiation therapy were associated with prolonged survival. We also noted a higher incidence rate and worse 1- and 3-year survival rates in the black population. Future investigations should examine these racial disparities and focus on evaluating the efficacy of emerging treatment paradigms.
Год издания: 2012
Авторы: Brad E. Zacharia, Sally S. Bruce, Hannah E. Goldstein, Hani Malone, Alfred I. Neugut, J. N. Bruce
Издательство: Oxford University Press
Источник: Neuro-Oncology
Ключевые слова: Pituitary Gland Disorders and Treatments, Glioma Diagnosis and Treatment, Adrenal and Paraganglionic Tumors
Другие ссылки: Neuro-Oncology (PDF)
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Europe PMC (PubMed Central) (PDF)
Europe PMC (PubMed Central) (HTML)
PubMed Central (HTML)
PubMed (HTML)