Malignant Neoplasm of the Meninges: A 20-Year Retrospective Study to Assess Trends and Disparities in Place of Death.

Autor:	Senan ACC; Internal Medicine, Dr. NTR University of Health Sciences, Vijayawada, IND., John S; Internal Medicine, Southwestern University PHINMA, Cebu, PHL., Hyderi FA; Internal Medicine, Bangladesh Medical College, Bangladesh Medical Studies and Research Institute (BMSRI), Dhaka, BGD., Jean YH; General Medicine, Universite Notre Dame D'Haiti, Port-au-Prince, HTI., Godavarthi A; Internal Medicine, Shadow Creek High School Houston, Texas, USA., Adhikari R; Internal Medicine, Kathmandu Medical College, Kathmandu, NPL.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Sep 14; Vol. 16 (9), pp. e69424. Date of Electronic Publication: 2024 Sep 14 (Print Publication: 2024).
DOI:	10.7759/cureus.69424
Abstrakt:	Background: The site of death is a crucial factor associated with the tumor's progression and complications arising from it; therefore, analyzing nationwide patterns in place of death is essential. The present paper aims to evaluate the disparities in place of death for malignant neoplasm of the meninges using the CDC-WONDER (Centers for Disease Control and Prevention Wide-ranging ONline Data for Epidemiologic Research) database over 22 years (1999-2020). Methods: CDC-WONDER data from 1999 to 2020 were analyzed to investigate mortality trends related to malignant neoplasm of the meninges. Data selection ensured inclusivity of all races, with confidentiality and death count thresholds considered. Demographics encompassed Census Regions, all genders, races, and 10-year age groups, along with a five-year forecast. Microsoft Excel (Microsoft Corporation, Redmond, Washington) and R Software (R Foundation, Boston, Massachusetts) were used for data processing and statistical analysis, with visualization through ARIMA modeling. Results: Cumulative home and hospice deaths were analyzed based on overall age, gender, race, and region, demonstrating that home and hospice deaths increased overall, particularly in the 65-74 and 75-84 age groups, and more so in females. White individuals showed increasing trends, while Black or African American individuals remained stable. Regionally, the South had the highest increase, while the Northeast remained stagnant. Conclusion: There is a concerning upward trend in home or hospice deaths among individuals with malignant neoplasm of the meninges, particularly within the 65-84 age group, in females, among White individuals, and in the Southern region. More comprehensive data is needed, and further research must be conducted to understand the underlying causes for the rise in these demographics and to improve healthcare facilities. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Senan et al.)
Databáze:	MEDLINE
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