在门诊化疗中与化疗相关的中性,同日与第二天的佩格菲尔格拉斯蒂姆:固体瘤队列研究
Mauricio Luján1, Camila Lema1, Diego Morán2
1Clínica de Oncología Astorga, Medellín, Colombia.
BMJ supportive & palliative care
|November 5, 2025
概括
在化疗后一天 (D+1) 服用佩格菲尔格拉斯蒂姆 (PGF) 降低了乳腺癌患者的发烧性中性质衰竭 (FN). 对于其他固体瘤,PGF时间没有显著影响FN率.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 临床试验 临床试验
背景情况:
- 发烧性中性衰竭 (FN) 是化疗的严重并发症.
- 佩格菲尔格拉斯蒂姆 (PGF) 用于预防中性衰竭.
- 需要进行调查,以确定PGF的最佳时间.
研究的目的:
- 根据PGF的服用时间 (同一天和第二天) 来比较FN和化疗延迟发生率.
- 分析接受PGF的固体瘤患者的结局.
主要方法:
- 回顾性队列研究分析了PGF的化疗周期.
- 在0日 (D0) 与1日 (D+1) 的PGF比较.
- 计算FN和化疗延迟发生率;相对风险评估.
主要成果:
- 在D0PGF (1.6%) 与D+1PGF (0.5%) 的整体队列中,FN发生率更高.
- 乳腺癌患者的D0 PGF (2.4%) 与D+1 PGF (0.3%) 的FN显著更高.
- 在D0和D+1PGF之间,对其他固体瘤的FN发病率没有显著差异.
结论:
- 建议在D+1上给予PGF,以预防乳腺癌患者的FN.
- 对于其他固体瘤的患者,在D0上使用PGF是适当的.
- 时机的PGF影响FN率,特别是在乳腺癌.
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