Bimodal mortality dynamics for uveal melanoma: a cue for metastasis development traits?
By: Demicheli, Romano, Fornili, Marco, Biganzoli, Elia

BioMed Central Ltd
2014-06-02; doi: 10.1186/1471-2407-14-392
Abstract

Background

The study estimates mortality dynamics (event-specific hazard rates over a follow-up time interval) for uveal melanoma.

Methods

Three thousands six hundred seventy two patients undergoing radical or conservative treatment for unilateral uveal melanoma, whose yearly follow-up data were reported in three published datasets, were analysed. Mortality dynamics was studied by estimating with the life-table method the discrete hazard rate for death. Smoothed curves were obtained by a Kernel-like smoothing procedure and a piecewise exponential regression model. The ratio deaths/patients at risk per year was the main outcome measure.

Results

The three explored hazard rate curves display a common bimodal pattern, with a sudden increase peaking at about three years, followed by reduction until the sixth-seventh year and a second surge peaking at about nine years after treatment.







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