乳腺癌幸存者的内分泌疗法遵守情况
Emma Marie Torpe1, Tobias Berg1,2, Maj-Britt Jensen1
1Danish Breast Cancer Group, Department of Oncology, Copenhagen University Hospital - Rigshospitalet.
Danish medical journal
|January 3, 2025
概括
在雌激素受体阳性乳腺癌早期的绝经后妇女中,对内分泌治疗的遵守程度较低,显著影响了无疾病生存率. 大多数停止治疗的原因是不良反应,突出了乳腺癌管理中的一个关键问题.
科学领域:
- 在瘤学瘤学.
- 临床医学 临床医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 内分泌疗法是绝经后妇女早期雌激素受体阳性乳腺癌的标准.
- 内分泌治疗的不良影响可能导致停止治疗.
- 遵守长期治疗是管理这种患者群体的一个重大挑战.
研究的目的:
- 在被诊断为早期雌激素受体阳性乳腺癌的绝经后妇女中评估内分泌治疗的遵守率.
- 调查内分泌疗法遵从性和无疾病生存率之间的关联.
- 为了确定停止治疗的原因.
主要方法:
- 在2015年1月1日至2017年12月31日期间诊断出360名绝经后妇女的回顾性队列研究.
- 数据来源于丹麦乳腺癌集团临床数据库,位于哥本哈根的Rigshospitalet.
- 卡普兰-梅尔法用于估计合规性和无病生存率.
主要成果:
- 包括346名患者,240名患者符合规定,106名患者不符合规定.
- 在4.5年后的合规率为68.8%.
- 在合规组中,无病存活率明显高于合规组 (调整HR=2.29).
结论:
- 观察到在4.5年内对内分泌治疗的遵守率较低.
- 副作用是停止治疗的主要原因.
- 不遵守内分泌疗法会对这种患者群体的无病生存期产生负面影响.
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