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不同中医治疗模式与癌症患者全因死亡率的关系。

The Association Between Different Patterns of Traditional Chinese Medicine Treatment and All-Cause Mortality Among Cancer Patients.

机构信息

1 Institute of Medical Sciences, Tzu-Chi University, Hualien, Taiwan.

2 Department of Chinese Medicine, Taichung Tzuchi Hospital, Buddhist Tzuchi Medical Foundation,Taichung, Taiwan.

出版信息

Integr Cancer Ther. 2019 Jan-Dec;18:1534735418823273. doi: 10.1177/1534735418823273.

Abstract

BACKGROUND

Cancer patients receiving Western medical treatment, frequently seek Traditional Chinese Medicine (TCM) to alleviate adverse effects and prolong survival.

OBJECTIVE

This study evaluated the association between the use of TCM and cancer survival rate. Research into the effect of TCM on patient survival is limited, this analysis focused on 3 patterns of TCM use.

METHODS

Three retrospective cohorts with different patterns of TCM use were selected from the National Health Insurance Research Database of Taiwan and analyzed. Patients with newly diagnosed cancer between 1997 and 2012 were classified into groups of prediagnosis, postdiagnosis, and continuous TCM use associated with awareness of cancer diagnosis. All demographic and clinical data were analyzed.

RESULTS

After propensity score matching, longevity of the postdiagnosis and continuous TCM user was significantly longer than the non-TCM user. The adjusted hazard ratios of death in postdiagnosis and continuous TCM use groups (0.59 and 0.61, respectively) were lower than the non-TCM use group.

CONCLUSION

The analysis suggests that cancer patients using TCM in conjunction with Western medical treatment exhibited a higher survival rate than patients not using TCM treatment.

摘要

背景

接受西医治疗的癌症患者经常寻求中医药治疗,以减轻不良反应并延长生存期。

目的

本研究评估了中医药的使用与癌症存活率之间的关联。中医药对患者生存影响的研究有限,本分析重点关注了 3 种中医药使用模式。

方法

从台湾全民健康保险研究数据库中选择了具有不同中医药使用模式的三个回顾性队列进行分析。1997 年至 2012 年间诊断为癌症的患者被分为三组:中医药预诊断组、中医药诊断后使用组和与癌症诊断意识相关的连续中医药使用组。分析了所有的人口统计学和临床数据。

结果

经过倾向评分匹配后,诊断后和连续使用中医药的患者的生存期明显长于非中医药使用者。诊断后和连续使用中医药组的死亡调整后风险比(0.59 和 0.61)均低于非中医药使用组。

结论

分析表明,与未使用中医药治疗的患者相比,同时使用中医药和西医治疗的癌症患者的生存率更高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c19d/6416747/2beed7d60a74/10.1177_1534735418823273-fig1.jpg

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