1. Short-term mortality risks among patients with non-metastatic bladder cancer
- Author
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Chenye Tang, Ming Li, Chun Sun, Yigang Jin, Zhiling Tang, Kean Chen, Xiangjun Ying, Xiao Wang, Xiao Guo, Menghe Zhai, Yuntao Wu, and Xin Chen
- Subjects
Male ,Cancer Research ,Time Factors ,Short-term survival ,030232 urology & nephrology ,Survivorship ,0302 clinical medicine ,Risk Factors ,Surgical oncology ,Cause of Death ,Epidemiology ,Child ,Causes of death ,Cause of death ,education.field_of_study ,Bladder cancer ,Neoplasms, Second Primary ,Middle Aged ,Prognosis ,Combined Modality Therapy ,Survival Rate ,Oncology ,Child, Preschool ,030220 oncology & carcinogenesis ,Marital status ,Female ,Research Article ,Adult ,medicine.medical_specialty ,Adolescent ,Population ,Young Adult ,03 medical and health sciences ,Internal medicine ,Survivorship curve ,Genetics ,medicine ,Humans ,education ,Retrospective Studies ,business.industry ,Infant, Newborn ,Infant ,Cancer ,medicine.disease ,SEER ,Urinary Bladder Neoplasms ,business ,Follow-Up Studies ,SEER Program - Abstract
Background Population-based analysis for the short-term non-bladder cancer related mortality among patients with non-metastatic bladder cancer is currently lacking. The objective of the current study was to assess and quantify cause of death after bladder cancer diagnosis. Methods The custom Surveillance, Epidemiology, and End Results (SEER) dataset for standardized mortality ratios (SMRs) was utilized to identify 24,074 patients who were diagnosed with nonmetastatic (M0) bladder cancer from 2014 to 2015. SMRs for causes of death were calculated. Risk factors for bladder cancer-specific mortality, competing mortality, second-cancer mortality, and noncancer mortality were determined using either multivariable Cox or competing risk regression models. Results Among all the 4179 (17.4%) deaths occurred during the follow-up period, almost half of them (44.2%) were attributed to non-bladder cancer cause, including second non-bladder cancer (10%) and other non-cancer causes (34.2%). The most common noncancer causes of death were heart diseases followed by chronic obstructive pulmonary disease. Patients had a higher risk of death from second malignancies (SMR, 1.59; 95% CI, 1.47–1.74) compared with death from first malignancies in the US general population, and also had higher risks of death from heart diseases (SMR, 1.29; 95% CI, 1.18–1.40) and chronic obstructive pulmonary disease (SMR, 1.52; 95% CI, 1.29–1.79) compared with the US general population. Additionally, some risk factors for competing second malignancies or noncancer mortality were determined, such as age, gender, marital status and treatment modalities. Conclusions Death from non-bladder cancer cause contributed to almost half of all deaths in bladder cancer survivors during the short-term follow-up period. These findings can inform medical management and assist clinicians in counseling those survivors regarding their short-term health risks.
- Published
- 2020
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