相关实验视频
Updated: Sep 10, 2025

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Acute Kidney Injury Model Induced by Cisplatin in Adult Zebrafish
Published on: May 15, 2021
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在使用西斯普拉丁治疗后预测慢性病
Robert C Grant1,2,3, Jiang Chen He1,2, Ning Liu3
1Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
JAMA oncology
|August 21, 2025
概括
西斯普拉丁化疗可能会导致损伤. 使用基线功能 (eGFR) 的简单模型有效预测治疗后慢性病 (CKD) 的风险,有助于临床决策.
科学领域:
- 肝脏病学
- 癌症学
- 临床流行病学
背景情况:
- 西斯普拉丁是一种重要的化疗剂,已知具有毒性.
- 治疗后慢性病 (CKD) 的风险和可预测性尚不清楚.
- 早期识别有风险的患者对于干预至关重要.
研究的目的:
- 为了确定在西斯治疗后的CKD发病率.
- 评估基斯后慢性病的预测模型的有效性.
- 确定西斯诱导毒性的关键预测因素.
主要方法:
- 一个基于人口的预后研究,使用后期和前性队列.
- 使用人口统计,临床数据和患者报告的症状,开发和验证预测模型.
- 估计球过率 (eGFR) 的分析,以评估功能结果.
主要成果:
- 在没有先前存在的CKD患者中,13. 6%的患者在西斯普拉丁治疗后患上CKD.
- 一个简单的脊柱回归模型仅使用预处理eGFR准确预测CKD风险.
- 复杂的机器学习模型没有超过基于eGFR的基本模型.
结论:
- 西斯普拉丁治疗导致可预测的功能下降.
- 基线较低的EGFR是cisplatin后发生慢性病的主要危险因素.
- 基于eGFR的预测模型可以指导临床管理和个性化患者护理.
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