在接受息治疗的结肠直肠癌患者中,与延长生存相关的因素:一项探索性研究
José António Ferraz-Gonçalves1, Áurea Lima2,3,4, Álvaro José Silva1
1Faculty of Medicine, Porto University, Porto, Portugal.
The American journal of hospice & palliative care
|January 5, 2025
概括
患有疼痛或肝转移的息治疗中的结肠直肠癌患者的长期生存机会较低. 然而,中性粒细胞/淋巴细胞比例较低,表明生活一年或更长时间的可能性更高.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 生物统计学 生物统计学
背景情况:
- 之前研究了各种癌症的息护理患者的生存预测因素.
- 第二次分析的重点是更同质的结直肠癌 (CRC) 患者群体.
研究的目的:
- 确定与接受息治疗的CRC患者在一年以上的存活时间相关的变量.
- 在息治疗中分析特定CRC患者队列中的预后因素.
主要方法:
- 从2012年到2018年对电子健康记录的回顾性分析.
- 纳入标准:18岁以上的患者,已故,患有CRC.
- 病例:存活≥1年后息护理入院;对照组:存活≤6个月.
主要成果:
- 多变量分析确定疼痛和肝转移作为≥1年生存期的负预后因素.
- 中性粒细胞/淋巴细胞比率≤3.59与更高的生存概率≥1年显著相关.
- 无变量分析还显示了ECOG性能状态≥2和疼痛作为负预测因素,中性粒细胞数 ≤5.66 x 10^9/L作为积极预测因素.
结论:
- 疼痛和肝转移是缓解护理中CRC患者预后不佳的关键指标.
- 低中性粒细胞/淋巴细胞比率可以作为这种人群中长期存活的积极预后标记.
- 调查结果有助于完善接受息治疗的CRC患者的预后评估.
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