Epidemiology and survival of non-malignant and malignant meningiomas in middle-aged females, 2004-2018

Background: The incidence of meningioma is disparate to sex: meningiomas are more common in women than in men, especially in middle-aged women. Understanding the epidemiology and survival of middle-aged women with meningiomas would help estimate their public health impacts and optimize risk stratifi...

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Hauptverfasser: Cao, Junguo (VerfasserIn) , Yan, Weijia (VerfasserIn) , Hong, Xinyu (VerfasserIn) , Yan, Hong (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 26 April 2023
In: Frontiers in oncology
Year: 2023, Jahrgang: 13, Pages: 1-11
ISSN:2234-943X
DOI:10.3389/fonc.2023.1157182
Online-Zugang:Resolving-System, kostenfrei, Volltext: https://doi.org/10.3389/fonc.2023.1157182
Verlag, kostenfrei, Volltext: https://www.frontiersin.org/articles/10.3389/fonc.2023.1157182
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Verfasserangaben:Junguo Cao, Weijia Yan, Xinyu Hong and Hong Yan

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520 |a Background: The incidence of meningioma is disparate to sex: meningiomas are more common in women than in men, especially in middle-aged women. Understanding the epidemiology and survival of middle-aged women with meningiomas would help estimate their public health impacts and optimize risk stratification. Methods: Data on middle-aged (35-54 years) female patients with meningiomas between 2004 and 2018 were obtained from the SEER database. Age-adjusted incidence rates per 100 000 population-years were calculated. Kaplan-Meier and multivariate Cox proportional hazard models were utilized in the overall survival (OS) analysis. Results: Data from 18302 female patients with meningioma were analyzed. The distribution of patients increased with age. Most patients were White and non-Hispanic, according to race and ethnicity, respectively. Over the past 15 years, non-malignant meningiomas have shown an increasing trend; however, malignant meningiomas have shown an opposite trend. Older age, Black population, and large non-malignant meningiomas tend to have worse prognoses. Surgical resection improves OS, and the extent of resection is a critical prognostic factor. Conclusions: This study observed an increase in non-malignant meningiomas and a decrease in the incidence of malignant meningiomas in middle-aged females. The prognosis deteriorated with age, in Black people, and with large tumor size. Additionally, the extent of tumor excision was found to be a significant prognostic factor. 
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