两个时期的故事:决定因素的演变和心血管疾病在转移性NSCLC中的死亡风险
Junyan Xia1,2, Yanting Pang1,2, Yiqiu Yang2,3
1Department of Cardiology, Dongzhimen Hospital, Beijing University of Chinese Medicine, 100700 Beijing, China.
Reviews in cardiovascular medicine
|October 15, 2025
概括
免疫疗法改善了转移性非小细胞肺癌 (NSCLC) 患者的生存率,但差异仍然存在,心血管疾病 (CVD) 死亡率仍然是一个重大问题.
科学领域:
- 在瘤学瘤学.
- 心血管医学 心血管医学
- 公共卫生 公共卫生
背景情况:
- 转移性非小细胞肺癌 (NSCLC) 治疗已经被免疫疗法彻底改变.
- 了解免疫疗法采用前后的生存趋势和心血管疾病 (CVD) 死亡率至关重要.
研究的目的:
- 分析转移性NSCLC患者的生存率和心血管疾病死亡率趋势.
- 为了比较免疫治疗前和后的结果.
主要方法:
- 使用SEER和CDC-WONDER数据库来获取患者数据 (2011-2019年).
- 员工倾向得分匹配,卡普兰-梅尔,竞争风险和加速失效时间 (AFT) 模型.
- 分析了生存决定因素和心血管疾病死亡率趋势.
主要成果:
- 在免疫治疗后,总生存率 (OS) 和癌症特异性生存率 (CSS) 显著改善.
- 治疗方式,病理和转移部位影响了生存率.
- 心血管疾病死亡风险仍然很高,在不同时期之间没有显著差异.
结论:
- 免疫疗法显著改善了转移性NSCLC的存活率.
- 亚种群之间持续存在的生存差异和高的心血管疾病死亡率需要持续关注.
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