Journal article
Incidental Cancer Diagnoses in Trauma Patients: A Case–Control Study Evaluating Long-term Outcomes
The Journal of surgical research, v 242, pp 304-311
01 Oct 2019
PMID: 31128411
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
This study evaluates whether trauma patients who incidentally learned about a malignancy have similar long-term outcomes as patients who organically learned about their malignancy.
Incidental findings (IF) patients were matched to noninjured cancer controls on age group, sex, cancer site, stage, and year of diagnosis. Unadjusted covariates included race, insurance type, rural residence, and time from diagnosis to first cancer intervention. Cox proportional hazard regression models were used to measure adjusted all-cause and cancer-specific mortality risk.
Adjusted long-term mortality risk among IF cases was 1.42 (95% confidence interval [1.11-1.81]) compared with noninjured cancer controls. There was no statistically significant difference in all-cause mortality among IF cases who survived at least 30 d (1.24 [0.88-1.74]). IF cases had no increased risk of cancer-related mortality compared with controls (1.26 [0.96-1.64]).
Long-term mortality risks among trauma patients with incidental cancer diagnoses are no different than the cancer population as a whole among patients who survive at least 30 d after injury. IF trauma patients are not more susceptible to cancer-related causes of death as a result of a physiological stress response due to injury.
Metrics
Details
- Title
- Incidental Cancer Diagnoses in Trauma Patients: A Case–Control Study Evaluating Long-term Outcomes
- Creators
- Nathaniel Bell - University of South CarolinaAmanda Arrington - University of ArizonaSwann Arp Adams - University of South CarolinaMark Jones - University of South CarolinaJoseph V. Sakran - Johns Hopkins MedicineAmbar Mehta - Columbia University Irving Medical CenterJan M. Eberth - University of South Carolina
- Publication Details
- The Journal of surgical research, v 242, pp 304-311
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000477948800042
- Scopus ID
- 2-s2.0-85065890026
- Other Identifier
- 991021855181904721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Surgery