患有细胞癌的患者的脆弱性和生存率:元分析
Longye Zhang1, Weiping Liu1, Bo Ning2
1Department of Nephrology, The First Hospital of Qinhuangdao, Qinhuangdao, China.
Biomolecules & biomedicine
|July 20, 2025
概括
虚弱显著恶化细胞癌 (RCC) 患者的生存率. 评估脆弱性可能会改善癌症预后和针对RCC的个性化治疗计划.
科学领域:
- 在瘤学瘤学.
- 老年病的医生 老年病的医生
- 临床流行病学临床流行病学
背景情况:
- 虚弱,一种降低生理储备的综合征,影响癌症的预后.
- 细胞癌 (RCC) 患者的弱的预后意义尚未得到充分确立.
研究的目的:
- 进行一项元分析,评估RCC患者的脆弱性和生存结果之间的关联.
主要方法:
- 在PubMed,Embase和Web of Science的系统文献搜索进行纵向研究.
- 包括使用经过验证的脆弱性工具并报告总生存率 (OS) 或无进展生存率 (PFS) 的研究.
- 使用随机效应模型计算的聚合危险比率 (HRs) 和95%置信区间 (CI).
主要成果:
- 分析了8项包括15989名RCC患者的队列研究.
- 虚弱与较差的生存状况 (HR=1.79) 和PFS (HR=2.17) 有显著的关联.
- 协会在不同层次的敏感性和子组分析方面保持强.
结论:
- 脆弱性是RCC患者生存率较低的重要预测因素.
- 常规的脆弱性评估可以提高预后,并指导个性化的治疗策略.
- 缺少特定亚型的数据限制了详细的预后解释.
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