Evidence map›Paper›PMID 41174074›Full record

ArticleScientific reports2025

Tumor behavior disparities in all-cause and cause-specific mortality among patients with central nervous system tumors.

Youjun Gan, Yun Zeng, Xutong Song, Ye Yuan, Yongheng Li, Xiaodong Niu

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Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Youjun Gan *Department of Neurosurgery, Medical Center Hospital of Qionglai City, Qionglai, China.
Yun Zeng *Department of Thyroid and Breast Surgery, Medical Center Hospital of Qionglai City, Qionglai, China.
Xutong SongDepartment of Thyroid and Breast Surgery, Medical Center Hospital of Qionglai City, Qionglai, China.
Ye YuanDepartment of Neurosurgery, Medical Center Hospital of Qionglai City, Qionglai, China.
Yongheng LiDepartment of Neurosurgery, Medical Center Hospital of Qionglai City, Qionglai, China. 65466767@qq.com.
Xiaodong NiuDepartment of Thoracic Surgery/Lung Cancer Center, Department of Neurosurgery, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang, Chengdu, 610041, China. allen_niuxd10@163.com.ORCID http://orcid.org/0000-0003-4750-812X

Funding

China Postdoctoral Science Foundation 2022M712255National Natural Science Foundation of China 82203456Project of Science & Technology Department of Sichuan Province 2023NSFSC1868
6 · The paper itself

Abstract

The tumor behavior disparities (nonmalignant vs. malignant) in all-cause and cause-specific mortality among patients with central nervous system (CNS) tumors have not been investigated. In this study, a total of 324,817 US patients with CNS tumors (including 207,273 nonmalignant tumors and 117,544 malignant tumors) were enrolled from the SEER database (SEER-17; 2000-2021). Among all patients, 23.70% died from primary tumors, and 18.52% died from competing risk events. Among all competing event deaths, cardiovascular disease (CVD) death (27.32%) was the most common cause of death. Compared with patients with nonmalignant tumors, patients with malignant tumors had a significantly greater proportion of all-cause deaths (70.73% vs. 26.05%) and primary tumor deaths (61.48% vs. 2.28%), whereas they had a lower proportion of competing event deaths (9.25% vs. 23.77%). Among patients with nonmalignant tumors, all-cause deaths were attributed mainly to competitive risk deaths. In contrast, all-cause deaths were attributed mainly to primary tumor deaths among patients with malignant tumors. The patients with malignant tumors had higher risks of all-cause mortality (HR = 5.4, 95% CI: 5.32-5.48, P < 0.001), primary tumor mortality (HR = 47.3, 95% CI: 45.8-48.9, P < 0.001), and competing event mortality (HR = 1.05, 95% CI: 1.02-1.08, P < 0.001) compared to those with non-malignant tumors, respectively. The all-cause and cause-specific mortality for causes of death (COD) varied by tumor behavior and tumor type. This study investigated the tumor behavior disparities in all-cause and cause-specific mortality via a larger population-based cohort, and it provided robust evidence for an in-depth understanding of the tumor behavior disparities in cumulative mortality among patients with CNS tumors.

Indexed as

Central Nervous System NeoplasmsAdultAgedCause of DeathFemaleHumansMaleMiddle AgedSEER ProgramUnited StatesAll-cause mortalityCause-specific mortalityCentral nervous system tumorsSEERTumor behavior

Identifiers

PMID41174074
PMCPMC12578996

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