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  • 學位論文

台灣腸胃道基質瘤之存活率分析

The Survival Analysis of Taiwan Gastrointestinal Stromal Tumor Patients

指導教授 : 蔣以仁

摘要


腸胃道基質瘤是腸胃道疾病中常見的間葉細胞瘤,好發於50歲以上成人。本研究擬探討台灣腸胃道基質瘤病患之存活率。我們使用台灣健保資料庫篩選2004至2011年間診斷為腸胃道基質瘤之病患;以雲端技術、非關聯式資料庫MongoDB與JavaScript運算資料;以統計軟體R進行存活分析。我們依性別、年齡與標靶藥物(基利克與舒癌特)治療方式將病患分組並推估存活率。研究結果發現共7,357¬ 位病患罹患腸胃道基質瘤 (男性4,179人、平均64.30歲;女性3,178人、平均61.21歲)。女性的存活率優於男性 (p < .05)。兩種標靶藥物對延長病患存活時間有相同的效果 (p > .05)。

並列摘要


Gastrointestinal Stromal Tumor (GIST) is a common mesenchymal tumor of gastrointestinal tract and occurs in patients aged over 50 years. This research analyzed GIST patient survival rates following target therapies. We used Taiwan National Health Insurance Research Database to identify GIST cases in 2004. These GIST patients were followed up until 2011. We used JavaScript, MongoDB, and cloud-based server to manage data and statistic R to analyze survivals. We compared GIST patients’ survivals by gender, age, and therapy therapies -- Glivec and Sutent. Results showed that a total of 7,357 GIST patients (4,179 males, mean age: 64.30 years; 3,178 females, mean age 61.21 years) were enrolled in the study. Female GIST patients had better survival rates (p < .05). The target therapies had same effects in lengthening GIST patients’ life span (p > .05).

參考文獻


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