免疫检查点抑制剂后的蛋白尿症:一个病例对照观察研究
Jianan Su1,2, Zhuofei Bi2,3, Pengwei Chen1,2
1Department of Nephrology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, 510120, China.
BMC nephrology
|November 28, 2024
概括
蛋白尿是免疫检查点抑制剂 (ICI) 治疗中的性不良事件. 对于接受多次ICI周期的患者,特别是肝硬化患者,尿液分析的监测至关重要.
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) 是癌症治疗中的关键药物.
- 脏不良事件,包括蛋白尿,可以在ICI治疗期间发生.
- 了解蛋白尿病发病率和风险因素对于患者管理至关重要.
研究的目的:
- 为了研究用ICI治疗的患者中蛋白尿的发生率.
- 为了确定与ICI治疗期间蛋白尿的发展相关的因素.
主要方法:
- 在接受ICI的440名癌症患者中进行了一项病例控制观察研究.
- 在基线和随访期间收集了临床和实验室数据.
- 患有蛋白尿症的患者被分为一个专门的组.
主要成果:
- 蛋白尿发生在10.9%的患者 (48/440) 接受ICI治疗.
- 两组之间没有观察到急性损伤发病率的显著差异.
- 多变量分析确定累积ICI周期 (OR 1.079) 和肝硬化 (OR 2.198) 作为蛋白尿的独立风险因素.
结论:
- 蛋白尿是ICI治疗期间的潜在并发症.
- 建议对所有ICI患者进行定期的尿液分析监测.
- 接受多次ICI循环的患者和并发性肝硬化患者需要特别注意.
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