转移性癌症病理骨折对生存的影响:全面的元分析
José María Lamo-Espinosa1, Gonzalo Mariscal2, Jorge Gómez-Álvarez3
1Department of Orthopedic Surgery, IMED Colón, Valencia, Spain.
Archives of orthopaedic and trauma surgery
|April 17, 2025
概括
转移性癌症患者的病理骨折 (PF) 显著增加死亡风险并降低存活率. 这一元分析证实PF是各种癌症类型的负面预后因素.
科学领域:
- 在瘤学瘤学.
- 癌症转移 癌症转移
- 临床流行病学 临床流行病学
背景情况:
- 转移性癌症患者有病理性骨折 (PF) 的风险.
- 癌症发病率因癌症类型而异,影响生存和医疗保健成本.
- 关于PF对生存的影响存在相互矛盾的数据,需要进行全面的元分析.
研究的目的:
- 为了评估转移性癌症患者经历病理性骨折的生存结果.
- 综合现有的关于PF与转移性癌症死亡率的相关证据.
主要方法:
- 遵守PRISMA指导方针和PICOS战略进行研究选择.
- 在多个数据库中进行全面的文献搜索,重点是生存.
- 使用Review Manager 5.4.1进行统计分析,使用危险比率和平均差异;通过Chi2和I2测试评估异质性.
主要成果:
- 分析了包括15464名患者在内的8项研究.
- PF显著增加了死亡风险 (未调整的HR 1.45;调整的HR 1.31).
- PF组的平均存活率显著降低 (MD -14.50个月),乳腺癌,前列腺癌和乳腺神经瘤的死亡率增加.
结论:
- 病理性骨折与转移性癌症患者的死亡风险增加有关.
- PF显著减少了转移性疾病患者的平均存活时间.
- 研究结果强调PF是影响晚期癌症预后的关键因素.
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