开发和验证用于预测免疫检查点抑制剂治疗后功能障碍发生的诺姆图:一项回顾性病例控制研究
Jianan Su1,2, Pengwei Chen1,2, Yaping Yang2,3
1Department of Nephrology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
BMJ open
|May 17, 2024
概括
免疫检查点抑制剂 (ICI) 可以导致脏问题. 这项研究确定了基线低估小球过率 (eGFR),暴露,高血压和感染作为接受ICI患者功能障碍的关键预测因素.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 免疫检查点抑制剂 (ICI) 越来越多地用于癌症治疗.
- 脏不良事件,包括功能障碍,已知是ICI治疗的并发症.
- 早期预测功能障碍对于患者管理至关重要.
研究的目的:
- 在接受ICI治疗的患者中确定功能障碍的危险因素.
- 开发和验证ICI治疗后功能障碍的预测模型 (诺莫图).
主要方法:
- 一项追溯病例控制研究,涉及442名接受ICI治疗的患者.
- 多变量物流回归分析以确定独立的风险因素.
- 使用培训和验证队列 (7:3比率) 开发和内部验证名录.
主要成果:
- 35名 (7.9%) 患者患有功能障碍.
- 确定了独立预测因素:较低的基线eGFR,同时暴露于白金,高血压和感染.
- 诺米图表表现出良好的预测性能,AUC为0.822 (训练) 和0.815 (验证).
结论:
- 较低的基线eGFR,暴露,高血压和感染预测ICI治疗癌症患者的功能障碍.
- 开发出来的诺米图谱在临床实践中为预测功能障碍风险提供了一个潜在的有价值和可操作的工具.
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