韩国患者多发性骨髓瘤的治疗模式和临床结果:一个数据库研究
Junghyun Yoon1, Jongheon Jung2, Boyoung Park1,3
1Department of Preventive Medicine, Hanyang University College of Medicine, Seoul, Korea.
BMC cancer
|February 28, 2025
概括
干细胞移植 (SCT) 在韩国显著改善了多发性骨髓瘤 (MM) 患者的生存率. 治疗模式进化,蛋白酶体抑制剂组合变得越来越常见,但SCT接入仍然至关重要.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 临床研究 临床研究
背景情况:
- 多发性骨髓瘤 (MM) 的治疗已经取得了重大进展.
- 了解特定人群当前的治疗模式和结果至关重要.
研究的目的:
- 分析韩国患者多发性骨髓瘤 (MM) 的治疗模式和临床结果.
- 评估干细胞移植 (SCT) 对MM的存活率的影响.
主要方法:
- 对2010年至2018年间诊断的MM患者的国家医疗保险服务数据库的分析.
- 使用考克斯回归模型进行生存分析.
主要成果:
- 分析了超过8,000名MM患者;2,442人接受了SCT.
- 蛋白质酶抑制剂 (PI) 和化剂组合是常见的,在2015年后,PI和免疫调节药物 (IMiD) 的使用增加.
- 在SCT组中,总生存时间 (OS) 的中位数为7.04年,而非SCT组的平均寿命为2.52年.
结论:
- 干细胞移植 (SCT) 资格和药物补偿影响MM治疗策略.
- 改善获得新型治疗方法的机会和确定适合SCT的候选人对于改善MM患者的治疗结果至关重要.
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