在目标疗法时代,碳白金无敏化:仍然值得吗?
Natália Dassi1, Fernanda Sales da Cunha2, Andrea Maria Cappellano3
1Department of Pediatrics' Oncology, IOP-GRAACC-Federal University of Sao Paulo, Sao Paulo, Brazil.
概括
患有卡博普拉丁过敏反应的小儿低度质瘤患者可以通过脱敏完成治疗. 这种方法是昂贵的向治疗的成本效益高的替代方案.
科学领域:
- 儿科瘤学 儿科瘤学
- 临床药理学 临床药理学
- 癌症治疗方法 癌症治疗方法
背景情况:
- 无法切除的儿科低度质瘤 (LGG) 通常需要辅助化疗.
- 碳白过敏反应 (HR) 经常会打断标准治疗方案.
- 癌症治疗的成本效益至关重要,特别是在资源有限的环境中.
研究的目的:
- 评估卡博普拉丁脱敏治疗方案在LGG儿童中的有效性和安全性.
- 评估与向治疗相比,碳烯脱敏的成本效益.
主要方法:
- 对接受卡博普拉丁脱敏治疗的儿科LGG患者的前性分析.
- 从2017年12月到2024年4月收集数据,包括治疗结果和成本.
主要成果:
- 碳白金无敏化使77.7%的患者能够完成该方案.
- 观察到的临床益处率为88.8% (稳定疾病/部分反应).
- 卡博普拉丁每月的成本 (409.09美元) 比向疗法 (4929.28-5548.57美元) 低得多.
结论:
- 碳白脱敏是一种可行且具有成本效益的策略,用于患有过敏反应的儿科LGG患者.
- 这种方法允许继续使用一线化疗,避免停止治疗.
- 在中等收入国家,降低敏感性提供了一个关键的替代方案.
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