乳腺癌中肉类的患病率和临床影响:系统性审查和元分析
Min Kyeong Jang1, Sungwon Park2, Rebecca Raszewski3
1Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, 50-1 Yonsei-Ro, Seodaemun-Gu, 03722, Seoul, Republic of Korea. researchmkj0601@gmail.com.
概括
肉,或低肌肉质量,影响32.5%的乳腺癌患者,并与更糟糕的治疗结果和生存有关. 早期识别和管理对于改善患者护理至关重要.
科学领域:
- 在瘤学瘤学.
- 老年病的医生 老年病的医生
- 放射学 放射学是一门学科.
背景情况:
- 萨科佩尼亚在瘤学方面的影响越来越被认可,但它对乳腺癌的具体临床影响仍未得到充分探索.
- 了解肉病的患病率和影响对于优化乳腺癌治疗至关重要.
研究的目的:
- 为了估计乳腺癌患者的肉类的患病率.
- 在这个人群中量化骨肌肉指数 (SMI).
- 评估萨科佩尼亚对临床结果和存活率的影响.
主要方法:
- 在2023年6月之前发表的17项研究 (9863名患者) 的系统综述和元分析.
- 搜索了科克伦图书馆,CINAHL Plus,Embase和Medline. 这是一个很大的问题.
- 使用随机效应模型计算标准化平均SMI,并通过NIH检查清单评估研究质量.
主要成果:
- 乳腺癌 (I-III阶段) 中肉类的平均患病率为32.5%.
- 骨肌肉指数 (SMI) 的平均值为43.94cm2/m2.
- 较低的肌肉质量与增加的化疗毒性,剂量修改和较差的生存率相关,尽管相关性各不相同.
结论:
- 萨科佩尼亚显著影响乳腺癌患者的治疗效果和存活率.
- 在整个癌症治疗过程中, sarcopenia 的早期识别和预康复管理是必要的.
- 认可肉类的作用是改善瘤护理和患者治疗结果的关键.
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