在食道癌的新辅助研究中,使用病理反应作为整体生存的替代品的有效性:系统性审查和元分析
Feng Su1, Xinyu Yang1, Jun Yin1
1Department of Thoracic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, China.
Annals of surgical oncology
|July 3, 2023
概括
病理反应不是食道癌整体生存的可靠替代品. 这一元分析显示,病理完整反应 (pCR) 具有中度代孕,建议在新辅助研究中使用pCR作为主要终点时谨慎使用pCR.
科学领域:
- 在瘤学瘤学.
- 临床试验 临床试验
- 生物统计学 生物统计学
背景情况:
- 病理反应对于预测新辅助疗法后食道癌存活率至关重要.
- 作为食道癌整体生存 (OS) 的替代品的病理反应的有效性仍然未确立.
- 这项研究通过元分析评估了病理反应作为食道癌生存的代理终点.
结论:
- 在食道癌的试验水平上,病理反应缺乏可靠的代孕来实现长期生存.
- 在新辅助食道癌研究中,使用病理完整反应 (pCR) 作为主要终点时,建议谨慎使用.
- 可能需要进一步的研究来确定更强大的代用终点,用于食道癌临床试验.
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