五个分数的比较,以预测恶性肺溢液死亡率
Merve Ayik Türk1, Gülru Polat2, Özer Özdemir2
1Department of Pulmonology, İzmir Bozyaka Training and Research Hospital, Bahar, Saim Çıkrıkçı Street No:59, 35170, Izmir, Turkey.
Updates in surgery
|September 23, 2024
概括
伦特得分是最有效的预测肺癌患者的死亡率恶性多叶流液 (MPE). 它在6个月和1年的生存预测中表现优于其他得分.
科学领域:
- 在瘤学瘤学.
- 肺部病理学 肺部病理学
- 生物统计学 生物统计学
背景情况:
- 恶性流 (MPE) 是癌症患者常见的并发症.
- 准确的预后评估对于指导MPE治疗策略至关重要.
- 现有几种评分系统可以预测MPE患者的结果,但它们的比较疗效需要进一步评估.
研究的目的:
- 为了比较LENT,PROMISE,RECLS,AL和pNLR得分对MPE肺癌患者死亡率的预测性表现.
- 确定最准确的评分系统来预测短期 (30天) 和长期 (6个月,1年) 的死亡率.
主要方法:
- 在2010年1月至2019年12月期间诊断出MPE的180名肺癌患者的回顾性分析.
- 评估30天,6个月和1年的死亡率.
- 使用ROC曲线下的面积 (AUC) 和考克斯回归分析对评分系统性能进行比较.
主要成果:
- 在30天死亡率中,LENT得分显示了最高的AUC (0.83),其次是RECLS (0.71) 和PROMISE (0.70).
- 与其他分数不同,LENT和RECLS得分与6个月和1年死亡率有显著的关联.
- 与PROMISE和RECLS相比,LENT与6个月死亡率的相关性更强,与1年死亡率相比,PROMISE的相关性更强.
结论:
- 与PROMISE,RECLS,AL和pNLR相比,LENT得分是MPE肺癌患者死亡率的更准确的预测指标.
- 在预测1年死亡率方面,LENT和RECLS得分表现相似.
- 建议使用LENT评分来评估这种患者群体的预后.
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