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Do peripartum and postmenopausal women with primary liver cancer have a worse prognosis? A nationwide cohort in Taiwan

引用

World Journal of Hepatology 2021年第11期13卷 1766-1776页

作者： Guan-Woei Tseng Mei-Chen Lin Shih-Wei Lai Cheng-Yuan Peng Po-Heng Chuang Wen-Pang Su Jung-TaKao Hsueh-Chou Lai Department of Medicine China Medical UniversityTaichung 40402Taiwan Management Office for Health Data China Medical University HospitalTaichung 404Taiwan Department of Family Medicine China Medical University HospitalTaichung 404Taiwan Center for Digestive Disease Department of Internal Medicine China Medical University HospitalTaichung 404Taiwan School of Chinese Medicine China Medical UniversityTaichung 404Taiwan

BACKGROUND While primary liver cancer(PLC)is one of the most common cancers around the world,few large-scale population-based studies have been reported that evaluated the clinical survival outcomes among peripartum and postmenopausal women with *** To investigate whether peripartum and postmenopausal women with PLC have lower overall survival rates compared with women who were not peripartum and *** The Taiwan National Health Insurance claims data from 2000 to 2012 was used for this propensity-score-matched study.A cohort of 40 peripartum women with PLC and a reference cohort of 160 women without peripartum were *** the women with PLC with/without menopause study,a study cohort of 10752 menopausal females with PLC and a comparison cohort of 2688 women without menopause were *** Patients with peripartum PLC had a non-significant risk of death compared with the non-peripartum cohort[adjusted hazard ratios(aHR)=1.40,95%confidence intervals(CI):0.89-2.20,P=0.149].The survival rate at different follow-up durations between peripartum PLC patients and those in the non-peripartum cohort showed a non-significant *** who were diagnosed with PLC younger than 50 years old(without menopause)had a significant lower risk of death compared with patients diagnosed with PLC at or older than 50 years(postmenopausal)(aHR=0.64,95%CI:0.61-0.68,Pwomenwomen with PLC when followed for 0.5(72.44%vs 64.16%),1(60.57%vs 51.66%),3(42.92%vs 31.28%),and 5 year(s)(37.02%vs 21.83%),respectively(Pperipartum females with PLC have no difference in survival rates compared with those patients without *** females with PLC have worse survival rates compared with those patients without menopause.

关键词： Primary liver cancer peripartum and postmenopausal women Prognosis Nationwide cohort peripartum women postmenopausal women

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