晚期与立即开始的化疗在无症状的癌症晚期患者:一个元分析
Simone Augustinus1,2, Gajanan Thurairajah2,3, Marc G Besselink1,2
1Department of Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
The oncologist
|August 17, 2023
概括
对于无症状的晚期癌症患者,立即开始化疗并不能改善生存率. 在症状出现之前推迟治疗可能会保持生活质量 (QOL),而不会对整体存活率 (OS) 产生负面影响.
科学领域:
- 在瘤学瘤学.
- 临床试验 临床试验
- 系统审查是系统的审查.
背景情况:
- 晚期癌症越来越多地在早期,无症状的阶段被诊断出来.
- 目前的做法通常涉及立即启动化疗.
- 在症状出现之前暂停化疗的策略可能会改善患者的生活质量 (QOL).
结论:
- 有限的证据表明,延迟开始化疗不会在无症状的晚期癌症患者中恶化OS.
- 延迟化疗可能会保持QOL.
- 需要进一步的前性研究来确认最佳化疗时间.
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