倾向性得分匹配分析比较西斯普拉丁与基于尼达普拉丁的双重剂,用于局部晚期宫癌的并发化疗或放射治疗
Yue Zhang1, Shasha Fan2, Minjie Shan1
1Department of Oncology, The Second Xiangya Hospital of Central South University, 139 Middle Renmin Road, Changsha, 410011, Hunan, People's Republic of China.
Scientific reports
|June 8, 2023
概括
基于西斯普拉丁的化疗放射疗法在局部晚期宫癌 (LACC) 中显示出高疗效和安全性. 虽然尼达普拉丁是一种可行的替代品,但西斯普拉丁可能会为LACC患者提供更好的生存结果的趋势.
科学领域:
- 妇科瘤学 妇科瘤学
- 辐射瘤学 辐射瘤学
- 医学瘤学 医学瘤学
背景情况:
- 局部晚期宫癌 (LACC) 需要有效的治疗策略.
- 同时化学放射治疗 (CCRT) 是LACC的标准治疗方法.
- 在CCRT中评估基剂对于优化结果至关重要.
研究的目的:
- 为了比较cisplatin与nedaplatin在LACC的双重剂CCRT中的疗效和安全性.
- 评估整体存活率 (OS),无进展存活率 (PFS) 和毒性.
- 为了确定在这个设置中首选的制剂.
主要方法:
- 对295名用双重剂CCRT (2015-2020) 治疗的LACC患者 (IIB-IIIC2阶段) 的回顾性分析.
- 齐斯普拉丁加多塞塔塞尔与尼达普拉丁加多塞塔塞尔组的比较.
- 倾向性得分 (PS) 匹配用于平衡组比较;卡普兰-梅尔和考克斯模型用于生存分析.
主要成果:
- 在PS匹配后,西斯普拉丁和尼达普拉丁组之间的客观反应率,5年生存期,PFS或毒性没有显著差异.
- 在西斯普拉丁组观察到更好的预后趋势.
- 双剂CCRT在LACC中证明了可行性,安全性和高疗效.
结论:
- 双剂CCRT是一种可行且有效的LACC治疗方法.
- 在这种情况下,西斯普拉丁和尼达普拉丁的疗效和安全性表现相似.
- 建议使用西斯作为首选药物,而尼达普拉丁是对西斯不耐受患者的合适替代品.
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