晚期肺部类癌的化疗:基于人口的倾向性得分匹配研究
Feng Wang1,2, Xiangyang Yu3, Yi Han1,2
1Beijing Chest Hospital, Capital Medical University, Beijing, 101125, China.
BMC pulmonary medicine
|July 15, 2023
概括
对于晚期肺肉类瘤 (PSC),一种罕见的非小细胞肺癌 (NSCLC),化疗显著改善整体存活率 (OS) 和癌症特异性存活率 (CSS). 这表明化疗是PSC治疗的重要组成部分.
科学领域:
- 在瘤学瘤学.
- 肺部医学 肺部医学
- 癌症研究 癌症研究
背景情况:
- 肺癌 (PSC) 是一种罕见的非小细胞肺癌 (NSCLC) 的亚型.
- 对于PSC,特别是晚期 (II-IV) 没有确立的治疗指南.
- 化学疗法在晚期PSC的疗效仍然存在争议.
研究的目的:
- 评估化疗对晚期PSC患者预后的影响.
- 确定影响晚期PSC生存的预后因素.
主要方法:
- 从SEER数据库 (2010-2019) 中对960名晚期PSC患者进行了回顾性分析.
- 考克斯比例危险回归模型用于预后因素识别.
- 倾向性得分匹配 (PSM) 创建可比类组 (642名患者).
- 卡普兰-梅尔分析用于比较化疗和非化疗组之间的整体生存率 (OS) 和癌症特异性生存率 (CSS).
主要成果:
- 化疗,以及阶段,T,N和M阶段,以及手术,被确定为OS和CSS的显著预后因素 (P <0.05).
- 后PSM分析证实,两组之间没有显著的基线差异.
- 卡普兰-梅尔曲线显示,与没有接受化疗的患者相比,接受化疗的患者的OS和CSS明显更好.
结论:
- 化疗显著提高了晚期PSC的整体生存率和癌症特异性生存率.
- 化疗应该被认为是晚期PSC治疗策略的关键因素.
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