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维生素 D 与癌症生存:维生素 D 补充剂是否能改善癌症患者的生存?

Vitamin D and Cancer Survival: Does Vitamin D Supplementation Improve the Survival of Patients with Cancer?

机构信息

Division of Molecular Epidemiology, Jikei University School of Medicine, Nishi-shimbashi 3-25-8, Minato-ku, Tokyo, 105-8461, Japan.

出版信息

Curr Oncol Rep. 2020 Jun 4;22(6):62. doi: 10.1007/s11912-020-00929-4.

Abstract

PURPOSE OF REVIEW

Clinical evidence suggesting the beneficial effects of vitamin D on survival of patients with cancer has been accumulating. Recent articles were thoroughly reviewed to determine if there is enough evidence to conclude that vitamin D supplementation improves survival of patients with cancer.

RECENT FINDINGS

Meta-analyses of observational studies showed that higher blood 25-hydroxyvitamin D levels in patients with cancer at a variety of sites were associated with lower cancer-specific and overall mortalities. Moreover, meta-analyses of randomized clinical trials (RCTs) also suggested that vitamin D supplementation improved the survival of patients with cancer. However, each RCT used in these meta-analyses, as well as very recent RCTs, e.g., the SUNSHINE and the AMATERASU trial, did not show statistical significance in the primary results. For now, compelling evidence that vitamin D supplementation effectively improves survival of patients with cancer is lacking. Thus, confirmatory RCTs are still obligatory for the future.

摘要

目的综述

越来越多的临床证据表明维生素 D 对癌症患者的生存有益。本研究旨在对近期文献进行全面综述,以确定是否有足够的证据表明维生素 D 补充可以改善癌症患者的生存。

最近的发现

对多种癌症部位患者的观察性研究的荟萃分析表明,血液中 25-羟维生素 D 水平较高与癌症特异性和总体死亡率降低相关。此外,对随机临床试验(RCT)的荟萃分析也表明,维生素 D 补充可以改善癌症患者的生存。然而,这些荟萃分析中使用的每个 RCT 以及最近的 RCT,例如 SUNSHINE 和 AMATERASU 试验,在主要结果中均未显示出统计学意义。目前,缺乏维生素 D 补充有效改善癌症患者生存的有力证据。因此,未来仍需要进行确证性 RCT。

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