Five-year survival analysis and influencing factors of elderly lung cancer patients with chronic obstructive pulmonary disease in Mianyang City
10.3969/j.issn.1006-2483.2026.01.029
- VernacularTitle:绵阳市老年肺癌合并慢阻肺5年生存分析及影响因素
- Author:
Haishi XUE
1
;
Ling HUANG
2
;
Junjie XIA
2
;
Yu QIU
2
;
Ke GE
3
;
Jincheng WANG
4
;
Yuting CHEN
2
;
Runjiao CHEN
2
;
Lingna LI
2
;
An LAN
2
;
Yan HOU
2
Author Information
1. Department of Respiratory and Critical Care Medicine, Clinical Medical College, Southwest Medical University, Luzhou, Sichuan 646000, China
2. Respiratory and Critical Care, Mianyang Third People's Hospital, Mianyang, Sichuan 621000, China
3. Respiratory and Critical Care Department of Sichuan Science City Hospital, Mianyang, Sichuan 621000, China
4. Respiratory and Critical Care Department of Zhongjiang County People's Hospital, Deyang, Sichuan 618300, China
- Publication Type:Journal Article
- Keywords:
Elderly lung cancer;
Chronic obstructive pulmonary disease;
Five-year survival analysis;
Prospective study
- From:
Journal of Public Health and Preventive Medicine
2026;37(1):138-141
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the five-year survival status and influencing factors of elderly patients with lung cancer complicated with chronic obstructive pulmonary disease (COPD). Methods A cohort study was conducted to follow up 450 patients with lung cancer and chronic obstructive pulmonary disease who were hospitalized in our hospital from January 2018 to December 2023. The endpoint of the follow-up was the end of a five-year period or death. The Life Tables method was used to calculate survival rates and plot survival curves. The Cox proportional hazards model was used to analyze the influencing factors of five-year survival. Results The results indicated that the overall five-year survival rate of patients was 4.89%, and it decreased year by year. Cox regression analysis showed that age, gender, family functioning, and psychological status significantly influenced patient survival rate (all P<0.05). Stratified analysis found that the smoking status, family functioning, and psychological status of male patients all had an impact on survival rate (all P<0.05), while the psychological status of female patients had a more significant impact on survival (P=0.008). Conclusion This study provides a scientific basis for comprehensive intervention of elderly lung cancer patients with COPD. It is recommended that clinical attention should be paid to psychological and family factors to improve patient prognosis.
