在发展中国家管理扩散性大B细胞淋巴瘤的现实挑战
Raheel Iftikhar1, Usman Ahmad2, Ghulam Haider3
1Armed Forces Bone Marrow Transplant Center, Rawalpindi, Pakistan.
JCO global oncology
|April 11, 2024
概括
在资源有限的环境中,扩散性大B细胞淋巴瘤 (DLBCL) 患者面临重大挑战,包括在诊断时的晚期疾病和不良后续治疗. 改善癌症护理需要更好的记录和标准化的治疗方法.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 扩散性大B细胞淋巴瘤 (DLBCL) 是一种常见的非霍奇金淋巴瘤.
- 在资源有限的环境中,DLBCL的管理带来了独特的挑战,影响了患者的治疗结果.
研究的目的:
- 在资源有限的环境中确定DLBCL管理中的挑战和癌症护理差异.
- 评估巴基斯坦DLBCL患者的治疗模式和结果.
主要方法:
- 一项多中心的回顾性研究,涉及来自巴基斯坦12个中心的738名DLBCL患者.
- 根据国家指导方针,患者被分为资源有限和资源增强的环境.
主要成果:
- 大多数患者 (69.3%) 在资源有限的环境中接受治疗,平均年龄为47岁.
- 晚期疾病普遍存在 (86.3%),在74.4%的可评估患者中实现了完全缓解.
- 平均整体生存时间为3.6年,5年生存率为40%;然而,对46.8%的患者缺乏随访数据.
结论:
- 低收入和中等收入国家的患者经常出现早期发病和更先进的DLBCL.
- 不足够的记录保存和对随访的高损失率,特别是在资源有限的环境中,阻碍了有效的癌症治疗.
- 建立国家淋巴瘤登记,改善数据收集和标准化治疗对于改善DLBCL患者的治疗结果至关重要.
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