The U-Shaped association between age and distant metastasis in patients with papillary thyroid carcinoma

被引:1
作者
Huang, Hui [1 ]
Ni, Song [1 ]
Liu, Wensheng [1 ]
Wang, Xiaolei [1 ]
Liu, Shaoyan [1 ]
机构
[1] Chinese Acad Med Sci & Peking Union Med Coll, Dept Head & Neck Surg Oncol, Natl Canc Ctr, Natl Clin Res Ctr Canc,Canc Hosp, 17 Panjiayuan Nanli, Beijing, Peoples R China
关键词
Thyroid cancer; Papillary carcinoma; Distant metastasis; Age; Risk factor; CANCER; SYMPORTER; DISEASE; RISK;
D O I
10.1007/s12020-023-03676-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose To investigate the association between age distribution and synchronous distant metastasis of papillary thyroid carcinoma.Method Patients with PTC who were treated from January 2013 to December 2018 at a single institute in a cancer referral center in China were retrospectively reviewed. A logistic regression model with restricted cubic splines (RCS) was used to examine the association between age at diagnosis and synchronous distant metastasis.Results A total of 111 patients (0.7%) were diagnosed with distant metastasis. The logistic regression model with RCS revealed a "U-shape" association between age and distant metastasis. The RCS curve suggested a U-shaped pattern. The multivariable regression analysis showed that patients in the age groups <= 21 years (OR 2.33, 95% CI 1.09-4.68, P = 0.022) and >55 years (OR 3.32, 95% CI 1.99-5.46, P < 0.001) had a significantly higher incidence of distant metastasis than patients in the age group of 22 to 55 years.Conclusions A U-shaped association was observed between age at diagnosis and synchronous distant metastasis in papillary thyroid carcinoma patients.
引用
收藏
页码:258 / 266
页数:9
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