基于NHANES 2001-2018的系统性炎症反应指数和癌症幸存者的死亡率之间的关联
Fei-Ran Yang1,2, Hong-Lin Li3, Xi-Wen Hu1
1College of First Clinical Medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, People's Republic of China.
Scientific reports
|April 30, 2025
概括
系统性炎症反应指数 (SIRI) 与美国癌症幸存者的死亡风险增加有关. 较高的SIRI值与更高的死亡概率相关,表明其在瘤学中的预后价值.
科学领域:
- 在瘤学瘤学.
- 炎症研究 炎症研究
- 公共卫生 公共卫生
背景情况:
- 炎症反应对癌症的发展和进展至关重要.
- 系统性炎症反应指数 (SIRI) 是一种新的炎症标志物.
- 癌症幸存者的SIRI与死亡率之间的关联尚未得到充分证实.
研究的目的:
- 调查SIRI与美国癌症幸存者的全因死亡率之间的关系.
- 为了确定SIRI在癌症生存中的预后价值.
主要方法:
- 利用了NHANES数据 (2001-2018) 进行了追踪到2019年.
- 采用了考克斯的比例危险回归,卡普兰-梅尔曲线和受限制的立方线.
- 在人口统计和癌症类型中进行了敏感性和子组分析.
主要成果:
- 较高的SIRI水平与所有原因死亡风险的增加显著相关 (HR 1.52).
- 卡普兰-梅尔曲线显示,SIRI升高的死亡率更高.
- 受到限制的立方线线揭示了SIRI和死亡率之间的非线性正相关性.
结论:
- 在美国癌症幸存者中,SIRI是全因死亡率的重要预测因子.
- SIRI可以帮助识别高死亡风险的癌症幸存者.
- 这些发现凸显了SIRI在瘤治疗中的预后重要性.
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