高度骨髓瘤辅助化疗的生存益处和挑战:基于人口的研究
Jinkui Wang1,2, Mujie Li1,2, Peng Guo3
1Department of Urology, Children's Hospital of Chongqing Medical University, 2 ZhongShan Rd, Chongqing, 400013, China.
Journal of orthopaedic surgery and research
|June 27, 2023
概括
化疗对于骨髓瘤治疗至关重要,但最近的进展并没有改善长期存活率. 老年患者显示出显著的益处,突出显示出需要新的化疗策略.
科学领域:
- 在瘤学瘤学.
- 医学统计 医学统计
- 癌症研究 癌症研究
背景情况:
- 骨髓瘤是最常见的原发性恶性骨瘤.
- 目前的治疗结合了化疗和手术,最近的生存率改善有限.
- 化疗在改善骨髓瘤的长期生存中的作用需要进一步分析.
研究的目的:
- 分析影响骨髓瘤患者化疗的因素.
- 评估化学疗法在骨髓瘤中的生存益处.
- 评估随着时间的推移,化疗率和生存率的趋势.
主要方法:
- 利用了来自监测,流行病学和最终结果 (SEER) 数据库的数据.
- 在因子分析中使用后勤回归和在生存分析中使用卡普兰-梅尔曲线.
- 应用年度百分比变化 (APC) 来评估治疗和生存率趋势.
主要成果:
- 包括2157名骨髓瘤患者;1887人接受化疗.
- 影响化疗的因素包括年龄,瘤部位,大小和阶段 (N,M),以及手术.
- 老年患者表现出化学疗法的显著生存益处,而整体治疗和生存率没有显著变化.
结论:
- 化疗对于骨髓瘤治疗至关重要.
- 由于化学疗法近期没有取得进展,因此无法改善患者的长期存活率.
- 开发新的化疗剂或输送系统对于更好的骨髓瘤预后至关重要.
相关概念视频
Treatment Resistant Cancers
3.4K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.4K
Cancer Therapies
7.8K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.8K
Cancer Survival Analysis
402
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
402
Adaptive Mechanisms in Cancer Cells
5.8K
Cancer cells accumulate genetic changes at an abnormally rapid rate due to the defects in the DNA repair mechanisms. From an evolutionary perspective, such genetic instability is advantageous for cancer development. Mutant cell lines accumulate a series of beneficial mutations that contribute to their progression into cancer.
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
5.8K
Targeted Cancer Therapies
7.7K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.7K
Tumor Immunotherapy
575
Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
575


