一个动态的在线名谱,用于预测放射治疗后鼻癌患者的营养风险
Benxiang Zhu1, Lian Liu2, Lu Zhang2
1School of Nursing, Southern Medical University, No. 1023 Sha Tai South Road, Baiyun District, Guangzhou, 510515, China.
概括
在放射治疗期间,鼻癌 (NPC) 患者的营养不良很常见. 一个新的名图可以使用BMI和ALT等因素来预测这种风险,有助于早期干预.
科学领域:
- 在瘤学瘤学.
- 营养科学 营养科学
- 辐射疗法 辐射疗法
背景情况:
- 营养不良是接受放射治疗的鼻癌 (NPC) 患者的重要并发症.
- 早期发现和管理营养不良对于改善患者的治疗结果至关重要.
研究的目的:
- 确定接受放射治疗的NPC患者营养不良的危险因素.
- 开发和验证这个人群中营养风险的预测名录.
主要方法:
- 对接受放射治疗的383名NPC患者的回顾性分析.
- 后勤回归用于识别营养不良风险因素.
- 使用引导式方法和校准曲线开发和验证nomogram.
主要成果:
- 确定了独立的危险因素:身体质量指数 (BMI),化疗周期,中央静脉导管 (CVC) 和氨酸转移酶 (ALT).
- 诺米图表显示出良好的预测能力 (AUC 0.786培训,0.687验证).
- 决策曲线分析表明了显著的临床效用.
结论:
- 一个经过验证的诺姆图可以预测接受放射治疗的NPC患者的营养风险.
- 这种工具有助于早期识别有风险的个人.
- 有针对性的营养干预可以通过诺莫格拉姆指导,以改善临床结果.
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