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Fatal renal diseases among patients with hematological malignancies: A population-based study

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单位: [1]Department of Urology, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China. [2]Department of Orthopedics,Tongji Hospital,Tongji Medical College Huazhong University of Science and Technology Wuhan China. [3]Department of Obstetrics and Gynecology,Tongji Hospital,Tongji Medical College Huazhong University of Science and Technology Wuhan China. [4]Department of Hematology, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China. [5]Cancer Center, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China. [6]Department of Ultrasound, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China. [7]Department of Breast and Thyroid Surgery,Tongji Hospital,Tongji Medical College Huazhong University of Science and Technology Wuhan China.
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关键词: hematological malignancies mortality renal diseases standardized mortality ratio

摘要:
Patients with hematological malignancies might be at high risk for renal diseases as evidenced by earlier studies. We aim to investigate the mortality and risk factors of deaths due to renal diseases in this population. A total of 831 535 patients diagnosed with hematological malignancies in the Surveillance, Epidemiology, and End Results (SEER) database in the United States from 1975 to 2016 were identified. Standardized mortality ratio (SMR) was evaluated based on the general population's mortality data gathered by the National Center for Health Statistics. The mortality rate associated with renal diseases was 94.22/100 000 person-years among patients with hematological malignancies (SMR = 3.59; 95% CI, 3.48-3.70]). The highest mortality rate of dying from renal diseases was observed among multiple myeloma (MM) patients (307.99/100 000 person-years; SMR = 7.98; 95% CI, 7.49-8.50), followed by those with chronic myeloid leukemia (142.57/100 000 person-years; SMR = 6.54; 95% CI, 5.63-7.60) and chronic lymphocytic leukemia (103.66/100 000 person-years; SMR = 2.51; 95% CI, 2.27-2.77). The SMRs increased with time and were found to be the highest 10 years after cancer diagnosis. Independent predictors associated with death from renal diseases were found to be older age, male gender, blacks, unmarried, and MM, using the Cox proportional hazards model. We call for enhanced coordinated multidisciplinary care between hematologists and nephrologists to reduce the mortality rate of renal diseases among patients with hematological malignancies.© 2020 The Authors. eJHaem published by British Society for Haematology and John Wiley & Sons Ltd.

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第一作者单位: [1]Department of Urology, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China.
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通讯机构: [*1]CancerCenter,Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, China
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