生存分析和预后模型建立二级骨髓瘤:基于SEER的研究
Jing Wang1, Gongbo Fu1,2,3,4, Zhongxiu Zhu5
1Department of Oncology, Jinling Clinical Medical College.
Annals of medicine and surgery (2012)
|May 2, 2024
概括
患者愿意接受手术显著影响二级骨髓瘤 (SO) 的存活率. 不符合规定的患者面临更差的结果,突出了手术.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 生物统计学 生物统计学
背景情况:
- 二次性骨肉瘤 (SO) 的治疗严重依赖于外科切除.
- 患者愿意接受手术对SO存活率的影响仍未得到充分研究.
研究的目的:
- 调查二次性骨髓瘤患者的手术遵从性和整体存活率 (OS) 之间的关联.
- 确定不遵守规定的风险因素,并开发患者生存的预测模型.
主要方法:
- 对688名SO患者的SEER数据库 (1975-2008) 的分析建议进行手术.
- 利用多变量逻辑回归和考克斯回归来评估外科合规的预后价值.
- 开发并验证了一种用于使用协同指数 (C-index) 预测操作系统的名ogram模型.
主要成果:
- 9.2%的患者拒绝了手术;与早期诊断和拒绝化疗相关的不遵守.
- 较低的外科合规性与减少的OS显著相关 (HR=1.733,P=0.003).
- 诺莫格拉姆模型在预测3年和5年的生存期时表现出高准确度 (C指数=0.748).
结论:
- 手术的遵守是二级骨髓瘤生存的独立预后因素.
- 患者愿意接受手术对于改善SO的结果至关重要.
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