Cancer specific survival in patients with sickle cell disease.
Ann M BrunsonTheresa H M KeeganAnjlee MahajanSusan PaulukonisTed WunPublished in: British journal of haematology (2018)
Sickle cell disease (SCD) patients have a higher incidence of certain cancers, but no studies have determined the impact of cancer on survival among SCD patients. SCD patients (n = 6423), identified from state-wide hospitalisation data, were linked to the California Cancer Registry (1988-2014). Multivariable Cox proportional hazards regression was used to examine survival. Among SCD patients, a cancer diagnosis was associated with a 3-fold increased hazard of death. Compared to matched cancer patients without SCD, SCD was associated with worse overall survival, but not cancer-specific survival, suggesting that SCD cancer patients should be treated with similar therapeutic intent.
Keyphrases
- end stage renal disease
- papillary thyroid
- sickle cell disease
- newly diagnosed
- ejection fraction
- chronic kidney disease
- prognostic factors
- peritoneal dialysis
- squamous cell
- patient reported outcomes
- machine learning
- free survival
- risk factors
- young adults
- childhood cancer
- electronic health record
- lymph node metastasis
- data analysis