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晚期非小细胞肺癌患者的预后因素:患者特征与化疗类型

Prognostic Factors in Advanced Non-Small-Cell Lung Cancer Patients: Patient Characteristics and Type of Chemotherapy.

作者信息

Abbasi Salah, Badheeb Ahmed

机构信息

Clinical Oncology Department, King Hussein Cancer Center, Queen Rania Al-Abdullah Street, Al-Jubeiha, Amman 11941, Jordan.

出版信息

Lung Cancer Int. 2011;2011:152125. doi: 10.4061/2011/152125. Epub 2010 Dec 5.

Abstract

Eleven prognostic factors were retrospectively analyzed in 270 newly diagnosed patients with advanced non-small-cell lung cancer including age, sex, performance status, histology, stage, smoking status, hemoglobin level, forced expiratory volume in one second (FEV1), weight loss >5% in 3 months preceding therapy, number of involved organs, and type of first-line chemotherapy. Response rate was 35.6%, and median survival was 8.2 months (95% CI, 7.8 to 8.7) for the whole group. Age ≤60 years (P = .016), FEV1 ≥ 2L (P = .03), and the use of platinum/docetaxel (P < .0001) were significantly associated with an improved survival. Histology did not affect outcome in the absence of targeted therapies.

摘要

对270例新诊断的晚期非小细胞肺癌患者的11个预后因素进行了回顾性分析,这些因素包括年龄、性别、体能状态、组织学类型、分期、吸烟状况、血红蛋白水平、一秒用力呼气量(FEV1)、治疗前3个月体重减轻>5%、受累器官数量以及一线化疗类型。全组的缓解率为35.6%,中位生存期为8.2个月(95%CI,7.8至8.7)。年龄≤60岁(P = .016)、FEV1≥2L(P = .03)以及使用铂类/多西他赛(P < .0001)与生存期改善显著相关。在没有靶向治疗的情况下,组织学类型不影响预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff0a/4475580/0f4fea286f46/LCI2011-152125.001.jpg

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