预测未知来源的骨转移患者的存活率
Ying Ren1,2,3,4,5,6, Shengjun Qian2,3,4,5,6, Guoping Xu1,2,3,4,5,6
1Department of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Frontiers in endocrinology
|November 29, 2023
概括
不知来源的骨转移患者的预后不佳. 然而,放射治疗和化疗等治疗方法可以提高这些具有挑战性的病例的生存率.
科学领域:
- 在瘤学瘤学.
- 临床医学 临床医学
- 癌症研究 癌症研究
背景情况:
- 不知来源的骨转移是一种罕见的临床挑战.
- 关于这些患者的临床病理特征和存活率的数据有限.
研究的目的:
- 分析来自未知来源的骨转移患者的临床病理特征.
- 为了确定影响该患者队列生存的危险因素.
主要方法:
- 从SEER数据库 (2010-2016) 中对1224名患者的回顾性分析.
- 用单变量和多变量考克斯回归来进行总生存率 (OS) 和癌症特异性生存率 (CSS) 分析.
主要成果:
- 一年的OS率为14.50%,CSS率为15.90%.
- 严重的OS风险因素包括种族,大脑转移,肝转移,放射治疗和化疗.
- 没有脑转移,没有肝转移,放射治疗和化疗与增加的CSS有关.
结论:
- 不知来源的骨转移患者面临着极其糟糕的预后.
- 放射治疗和化疗证明了这一群体的生存益处.
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