评估来自固体瘤的骨转移中的骨相关事件的风险因素
Justin Leu1, Lakshmi Rekha Narra1, Ted Gooley2
1Department of Radiation Oncology, University of Washington, Seattle, WA, United States.
概括
骨相关事件 (SRE) 增加癌症死亡率. 仅仅治疗疼痛的辐射就与任何SRE具有相似的死亡风险,而具有部转移的前列腺癌会增加SRE风险.
科学领域:
- 在瘤学瘤学.
- 医疗成像医学成像
- 癌症转移 癌症转移
背景情况:
- 骨相关事件 (SRE) 是癌症患者患病和死亡的重要原因.
- 确定SRE的风险因素及其对生存的影响对于制定有针对性的预防策略至关重要.
研究的目的:
- 在患有骨转移的患者中识别骨相关事件 (SRE) 的风险因素.
- 分析SRE,特定治疗方法 (如治疗疼痛的辐射) 和整体死亡率之间的关联.
主要方法:
- 410名患有固体瘤骨转移的患者的回顾性队列研究.
- 使用考克斯和多状态模型进行生存分析,将死亡视为竞争风险.
- 评估包括瘤类型,转移部位和试验资格在内的变量.
主要成果:
- 40%的患者经历了SRE,18%接受了仅治疗疼痛的辐射.
- 无论是SRE还是治疗疼痛的辐射都与增加的死亡率有关 (HR分别为1.98和2.14).
- 前列腺癌和部/囊转移与较高的SRE风险有关.
结论:
- 仅仅治疗疼痛的辐射应该被视为SRE,因为死亡风险类似.
- 前列腺癌和部/囊转移是增加SRE风险的关键指标.
- 这些发现可以为癌症患者SRE的未来预防策略提供信息.
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