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纤维原蛋白-白蛋白比作为一个新的预后因素,老年患者的骨髓瘤
1Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, China.
Medicine
|September 8, 2023
概括
纤维原蛋白-白蛋白比率 (FAR) 是老年骨髓瘤患者生存的重要预测指标. 这种生物标志物与病态骨折和转移一起,独立地影响整体存活率,有助于个性化治疗策略.
科学领域:
- 在瘤学瘤学.
- 生物标志物 生物标志物
- 老年医学 老年医学
背景情况:
- 老年患者骨髓瘤的预后仍然具有挑战性.
- 确定可靠的预后指标对于优化治疗策略至关重要.
研究的目的:
- 评估纤维素原-蛋白比率 (FAR) 在预测老年骨髓瘤患者的整体存活期的预后价值.
- 开发一个预测模型来预测这个人口群体的预后.
主要方法:
- 对119名老年骨髓瘤患者 (>40岁) 的回顾性分析.
- 使用接收器运行特征 (ROC) 曲线计算FAR截止值.
- 卡普兰-梅尔分析和考克斯的比例危险建模,以确定风险因素.
- 构建和验证临床名录.
主要成果:
- 0.098的FAR切线将患者分为高FAR和低FAR组.
- FAR与年龄,瘤大小,阶段,复发和转移有显著的相关性.
- 多变量分析确定了FAR,病理骨折和转移作为整体生存的独立风险因素.
- 开发的名图表显示了令人满意的预测性能.
结论:
- 纤维原蛋白-白蛋白比率 (FAR) 是老年骨髓瘤患者的一个有前途的预后指标.
- FAR与各种临床特征和生存结果有关.
- 综合FAR和其他指标的临床名谱可以帮助预后评估和个性化治疗计划.
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