Characteristics and outcomes of cholangiocarcinoma by region in Thailand: A nationwide study.

Characteristics and outcomes of cholangiocarcinoma by region in Thailand: A nationwide study.
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DOI:
10.3748/wjg.v23.i39.7160
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发表时间:
2017-10-21
影响因子:
4.3
通讯作者:
Phaosawasdi K
Phaosawasdi K
中科院分区:
医学2区
文献类型:
--
作者:
Chaiteerakij R;Pan-Ngum W;Poovorawan K;Soonthornworasiri N;Treeprasertsuk S;Phaosawasdi K

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为了确定胆管癌的潜在危险因素,我们确定了泰国5个不同地区胆管癌患者的特征。2008年至2013年期间诊断为胆管癌的所有患者均使用全国医院入院数据登记处(n = 39421)进行识别。提取基线特征、合并症和生存率。在研究期间,所有区域的年发病率保持稳定。大多数患者居住在东北部(62.8%),其次是北部(16.9%)、中部(12.3%)、曼谷(5.4%)和南部(n = 2.6%)地区(P < 0.0001)。胆管癌患者中糖尿病、肝硬化和慢性病毒性B/C型肝炎感染者明显多于非胆管癌患者(糖尿病:11.42% vs 5.28%;肝硬化:4.81% vs 0.92%; B型肝炎:0.74% vs 0.12%;丙型肝炎:0.50% vs 0.10%,P均< 0.0001)。总体1年死亡率为81.7%,随时间推移呈稳定趋势。在泰国人群中,糖尿病和慢性肝病可能与胆管癌有关。
To identify the potential risk factors of cholangiocarcinoma, we determined the characteristics of cholangiocarcinoma patients among 5 different regions of Thailand. All patients diagnosed with cholangiocarcinoma between 2008 and 2013 were identified using the Nationwide Hospital Admission Data registry (n = 39421). Baseline characteristics, comorbidities and survival were abstracted. The annual incidence during the study period was stable in all regions. Most patients lived in the Northeast (62.8%), followed by the North (16.9%), Central (12.3%), Bangkok (5.4%), and South (n = 2.6%) regions (P < 0.0001). Significantly more cholangiocarcinoma patients had diabetes, cirrhosis, and chronic viral hepatitis B/C infection than non-cholangiocarcinoma participants (diabetes: 11.42% vs 5.28%; cirrhosis: 4.81% vs 0.92%; hepatitis B: 0.74% vs 0.12%; and hepatitis C: 0.50% vs 0.10%, P < 0.0001 for all, respectively). The overall 1-year mortality rate was 81.7%, with a stable trend over time. Diabetes and chronic liver diseases may be associated with cholangiocarcinoma in the Thai population.
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