在日本患有转移性非小细胞肺癌的患者中,系统治疗模式和遵守指南
Keiko Nishimyo1, Shunya Ikeda1, Kiyohide Fushimi2
1Department of Social Medical Sciences, Graduate School of Medicine, International University of Health and Welfare, Minato-ku, Tokyo, Japan.
日本非小细胞肺癌 (NSCLC) 治疗模式因年龄和组织学而异. 在患有状NSCLC的年轻患者中,遵循指南的程度最高,这表明需要更好的药物应用和传播.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 在日本,对非小细胞肺癌 (NSCLC) 的治疗模式和指导方针的遵守尚不清楚.
- 了解这些因素对于优化患者护理和结果至关重要.
研究的目的:
- 调查和分析日本患者中NSCLC治疗模式和准则遵守情况.
- 识别影响粘附的因素,包括年龄和瘤组织学.
主要方法:
- 在2016-2018年期间治疗的9,722名IV期NSCLC患者的诊断程序组合数据的回顾性分析.
- 使用后勤回归来评估影响遵守指南的因素.
主要成果:
- 治疗策略在年轻 (<75) 和老年 (≥75) 患者之间以及根据组织学 (皮质与非皮质) 显著不同.
- 组合疗法在年龄组和组织学两种年龄组的第一线治疗中很常见.
- 免疫检查点抑制剂和细胞毒性化疗经常用于第二和第三线设置,特别是在非状NSCLC中.
- 在75岁以下的患有状NSCLC的患者中,准则遵守率最高 (90%).
- 年龄,组织学,日常生活活动和住院史影响了坚持.
结论:
- 引入新的NSCLC药物在各年龄段增加,这表明预后有所改善.
- 需要更有效地利用药物和更广泛地传播治疗指南,以加强日本的NSCLC患者护理.
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