晚期肺癌炎症指数与腹腔透析患者的死亡率有关
Zhouhao Ren1, Jiaying Wu2, Shaorui Wu3
1Department of Nephrology, Shaoxing People's Hospital, Shaoxing, 312000, China.
BMC nephrology
|June 25, 2024
概括
较低的晚期肺癌炎症指数 (ALI) 与腹腔透析 (PD) 患者的死亡率增加有关. 这个指数显示出作为预测患者结果和生存率的有效工具的希望.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 炎症标志物的炎症标志物
- 预测指标 预测指标
背景情况:
- 腹腔透析 (PD) 与高发病率和死亡率有关.
- 系统性慢性低度炎症是PD患者的一个关键特征.
- 晚期肺癌炎症指数 (ALI) 与癌症预后有关.
研究的目的:
- 调查ALI与PD患者死亡率之间的关系.
- 确定ALI是否可以预测全因和心血管疾病 (CVD) 死亡率.
- 与其他生物标志物相比,评估ALI的预测价值.
主要方法:
- 招募了277名PD患者,并对死亡结果进行了随访.
- 根据ALI的中位数,患者被分为高ALI和低ALI组.
- 卡普兰-梅尔曲线,考克斯回归和ROC曲线用于分析.
主要成果:
- 在低ALI组中观察到较低的累积和心血管生存率.
- 较低的ALI是所有原因和心血管疾病死亡率增加的独立风险因素 (HR分别> 1.9和2.6).
- 与专蛋白,BMI和中性粒细胞与淋巴细胞比率相比,ALI显示出所有原因死亡率的优异预测值.
结论:
- 较低的晚期肺癌炎症指数 (ALI) 是PD患者死亡的独立风险因素.
- ALI显示出作为PD患者有效预后指标的潜力.
- 进一步的研究可能会验证ALI在PD管理中常规临床使用.
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