在资源有限的环境中,神经母细胞瘤的预后因素
Roberta Gomes Ribeiro Gonçalves Pinto1, Mecneide Mendes Lins1, Kaline Maria Maciel de Oliveira Pereira1
1Instituto de Medicina Integral Prof. Fernando Figueira - Recife (PE), Brazil.
概括
高乳酸脱酶 (LDH) 水平和4期神经母细胞瘤是儿童死亡的关键风险因素. 升高的LDH可以作为预后标志物,特别是在资源有限的环境中.
科学领域:
- 儿科瘤学 儿科瘤学
- 流行病学 流行病学
- 临床研究 临床研究
背景情况:
- 神经母细胞瘤是一个重要的儿童癌症,特别是在低收入国家,风险分层具有挑战性.
- 了解生存率和风险因素对于改善儿科神经母细胞瘤患者的治疗结果至关重要.
研究的目的:
- 分析儿童神经母细胞瘤患者的生存率和确定死亡风险因素.
- 在资源有限的环境中建立神经母细胞瘤的可行的风险分类.
主要方法:
- 一个历史上的队列研究126个神经母细胞瘤患者在巴西东北部的19岁以下 (2005-2020).
- 收集了社会人口统计数据并分析了包括复发,进展和五年死亡率在内的结果.
- 使用了考克斯的比例危险模型和卡普兰-梅尔生存分析.
主要成果:
- 女性占主导地位,大多数患者呈现4期疾病和不利的组织学.
- 血清中乳酸脱酶 (LDH) 水平升高 (≥640.5 U/L) 和4期疾病是死亡的重要危险因素 (HRa分别为2.49和1.67).
- 五年总生存率为32.4%,无事件生存率为26.3%.
结论:
- 血清LDH水平升高是儿科神经母细胞瘤5年死亡率的关键风险因素.
- 血清LDH可以有效地作为预后标记在资源有限的环境中用于神经母细胞瘤风险分类.
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