修改控制营养状况 (mCONUT) 是癌症缓解症患者的一个有前途的预后因素
Xi Zhang1, Jia-Xin Huang2, Meng Tang1
1Department of Comprehensive Oncology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China; Key Laboratory of Cancer FSMP for State Market Regulation, Beijing, China; Beijing International Science and Technology Cooperation Base for Cancer Metabolism and Nutrition, Beijing, China.
Nutrition (Burbank, Los Angeles County, Calif.)
|November 3, 2023
概括
一个新的修改的控制营养状况 (mCNSS) 评分,结合炎症,准确地预测癌症缓解症患者的生存率. 这种改进的工具有助于识别患有较高死亡和营养不良风险的患者.
科学领域:
- 在瘤学瘤学.
- 营养科学 营养科学
- 炎症生物标志物 炎症生物标志物
背景情况:
- 癌症缓解症的特点是营养不良和全身炎症.
- 现有的预后工具可能无法完全捕捉癌症缓解症的复杂性.
- C-反应蛋白是关键的炎症标记物.
研究的目的:
- 通过包括C反应蛋白来开发一个修改的控制营养状况 (mCNSS) 评分.
- 为了评估mCNSS的预后价值在患有癌症缓存症的患者.
- 将mCNSS与标准的控制营养状况 (CNSS) 进行比较,以预测生存率.
主要方法:
- 一项涉及5221名癌症患者的多中心队列研究,其中1719人被诊断患有缓冲症.
- 使用一致性指数和接收器运行特征曲线对预测值进行比较.
- 主要结果:整体存活率;次要结果:短期存活率,营养不良和生活质量.
主要成果:
- 与标准CNSS相比,mCNSS在预测生存率方面表现出更高的准确性.
- 较高的mCNSS得分与总体存活时间缩短和死亡风险增加有显著联系.
- 在特定的癌症类型和晚期癌症中,mCNSS独立预测了生存率并对生存率产生了负面影响.
结论:
- 修改后的控制营养状况得分是癌症缓解症的强大预后工具.
- 在mCNSS全面评估营养,免疫和炎症状态.
- 这种评分系统可以指导临床管理并改善患者的治疗结果.
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