与儿童固体瘤患者的维生素D状况相关的长期预后
Nóra Kárász1, Orsolya Juhász2, Marcell Imrei3,4
1Faculty of Medicine, Semmelweis University, 1085 Budapest, Hungary.
Nutrients
|November 14, 2023
概括
具有较高基线维生素D水平的儿童癌症患者表现出改善的无复发存活率 (RFS) 和整体存活率 (OS). 较低的维生素D度与较早的癌症复发和致命结果有关.
科学领域:
- 儿科瘤学 儿科瘤学
- 营养生物化学 营养生物化学
背景情况:
- 低维他命症D是瘤发生的一个已知的危险因素.
- 最初的维生素D水平可能会影响癌症预后,无复发生存率 (RFS) 和整体生存率 (OS).
研究的目的:
- 调查基线维生素D水平对儿科癌症患者疾病结果的长期影响.
- 在这个队列中分析初始25~OH) D度和RFS/OS之间的相关性.
主要方法:
- 对117名儿科癌症患者的潜在随访.
- 测量基线25(OH) D度. 测量基线25(OH) D度.
- 使用卡普兰-梅尔曲线对RFS和OS的分析.
主要成果:
- 在复发组中,平均基线25(OH) D水平为20.35 ng/mL,而在非复发组中为26.14 ng/mL.
- 卡普兰-梅尔分析表明,较低的血清维生素D水平与早期癌症复发和死亡率相关.
- 维生素D度较低的患者经历了较差的RFS和OS.
结论:
- 较高的治疗前血清维生素D度与儿童癌症患者的整体和无复发生存率的改善有关.
- 维持足够的维生素D水平可能是改善癌症治疗儿童治疗结果的关键因素.
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