在晚期癌症的老年化疗接受者中,初级治疗修改和治疗耐受性
Mostafa R Mohamed1, David Q Rich2, Christopher Seplaki2
1Division of Hematology/Oncology, James P. Wilmot Cancer Institute, Department of Medicine, University of Rochester, Rochester, New York.
修改晚期癌症老年人的化疗方案改善了治疗耐受性. 这种方法减少了毒性影响和功能衰退,为这个人群提出了优化剂量策略.
科学领域:
- 老年瘤学 老年瘤学
- 癌症治疗方法 癌症治疗方法
- 临床药理学 临床药理学
背景情况:
- 患有晚期癌症的老年人由于与年龄相关的疾病,往往对标准细胞毒性化疗的耐受性较差.
- 瘤学家经常修改初始化疗方案,以提高这一群体的耐受性.
研究的目的:
- 研究晚期癌症老年患者初级治疗修改和化疗耐受性之间的关联.
- 评估修改化疗方案对老年人治疗结果的影响.
主要方法:
- 对GAP70+试验 (2014年7月至2019年3月) 的二次分析,涉及70岁以上的晚期癌症和老年障碍患者.
- 使用多变量模型,比较标准化疗与修改方案 (剂量减少,时间表更改).
- 通过3-5级毒性作用,功能衰退和治疗后3个月内复合不良结果评估耐受性.
主要成果:
- 在609名患者中,近一半 (46.1%) 接受了初级修改治疗方案.
- 主要治疗修改与严重毒性影响 (RR,0.85) 和功能衰退 (RR,0.80) 的风险降低有关.
- 接受修改方案的患者的复合不良结果的几率明显降低 (OR,0.68).
结论:
- 化学疗法方案的初级修改与晚期癌症的老年人改善耐受性有关.
- 这些发现支持对老年癌症患者的化疗剂量和时间安排进行优化.
- 改进的治疗方法可以提高老年人群的癌症管理.
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