转移性乳腺癌中的Anti-Her2治疗模式 - 现实数据表明治疗不足
Kathrine F Vandraas1,2,3, Sarah Hjorth1,3, Cassia B Trewin-Nybråten4
1Department of Research, Cancer Registry of Norway, Norwegian Institute of Public Health, Oslo, Norway.
International journal of cancer
|September 2, 2025
概括
实践数据显示,HER2+转移性乳腺癌 (mBC) 的抗HER2疗法符合建议. 然而,大量患者,特别是患有并发症的老年患者,没有接受向治疗,这表明可能治疗不足.
科学领域:
- 癌症学
- 药理学
- 公共卫生
背景情况:
- 对转移性乳腺癌 (mBC) 的抗HER2疗法的有效性已在临床试验中确定.
- 关于抗HER2治疗模式和遵守mBC指南的现实数据是有限的.
- 了解弱势患者群体的治疗差异对于公平护理至关重要.
研究的目的:
- 在挪威评估HER2阳性mBC患者的抗HER2治疗模式.
- 评估对抗HER2疗法的国家治疗建议的遵守.
- 在特定的患者小组中确定影响治疗决策和潜在治疗不足的因素.
主要方法:
- 2012年至2021年挪威人口登记册的回顾性分析.
- 包括715名被诊断为HER2阳性的mBC患者.
- 检查抗HER2治疗序列,治疗持续时间和患者特征.
主要成果:
- 抗HER2治疗模式通常与国家建议一致.
- 常见的第一线疗法是trastuzumab和pertuzumab (55%),其次是trastuzumab单一疗法 (41%).
- 28% 的患者没有接受抗HER2治疗,年龄较大和并发症是重要因素; 15% 的符合条件的患者 (≤ 75 岁,健康) 治疗不足.
结论:
- 挪威的实际抗HER2治疗模式反映了国家指导方针.
- 患者的特征,特别是年龄和并发症,显著影响治疗决策.
- 显著比例的HER2阳性mBC患者可能未得到治疗,这凸显了对接入和护理的持续评估的需要.
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