第二阶段结肠癌复发风险模型的国际验证:SPHERE研究
Kohei Shigeta1, Shodai Mizuno1, Doruk Orgun2
1Department of Surgery, Keio University School of Medicine, Tokyo, Japan.
Annals of surgery
|August 13, 2025
概括
复发预测值 (RPV) 有效地识别了从辅助化疗 (AC) 中受益的第二阶段结肠癌患者. 这种全球验证有助于个性化治疗决策,以改善无复发生存率.
科学领域:
- 在瘤学瘤学.
- 临床研究 临床研究
- 癌症预后 癌症预后
背景情况:
- 在II期结肠癌中辅助化疗 (AC) 的益处尚未完全确立.
- 准确的患者分层对于优化AC疗效至关重要.
研究的目的:
- 为了验证重复性预测值 (RPV) 算法.
- 为了确定从AC中受益的第二阶段结肠癌患者.
主要方法:
- 多机构国际对第二阶段结肠癌患者的回顾性分析.
- 基于高风险因素开发的RPV.
- 使用日本,美国,约旦 (第一队列) 和丹麦 (第二队列) 数据集的验证.
- 主要终点:没有复发的生存率 (RFS).
主要成果:
- RPV将患者分类为低风险 (约. 70%) 和高风险 (大约. 30%) 跨群体的群体.
- 在RPV高风险组中,AC显著改善了5年RFS (队列1:76.2%对比55.6%;队列2:65.6%对比49.8%).
- 多变量分析证实,在RPV高风险组中,AC是RFS的独立预后因素 (P<0.05在两个队列中).
结论:
- 该RPV算法在全球范围内得到验证,用于预测第二阶段结肠癌的复发.
- RPV确定了多样化的患者群体,这些患者从辅助化疗中显著受益.
- 这个工具支持个人化治疗策略的第二阶段结肠癌.
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