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非小细胞肺癌合并脑转移患者的发病风险和预后因素:一项基于人群的研究。

Factors for incidence risk and prognosis in non-small-cell lung cancer patients with synchronous brain metastasis: a population-based study.

机构信息

Department of Oncology, Guizhou Provincial People's Hospital, Guizhou Cancer Center, Guiyang, 550002, China.

School of Nursing, Fudan University, Shanghai, 310000, China.

出版信息

Future Oncol. 2021 Jul;17(19):2461-2473. doi: 10.2217/fon-2021-0103. Epub 2021 Mar 12.

Abstract

We aimed to investigate the epidemiology of synchronous brain metastasis (SBM) in non-small-cell lung cancer (NSCLC) patients. Logistic regression and Cox regression were used to identify the related factors of SBM incidence and cancer-specific survival (CSS). A nomogram for predicting CSS was developed and validated. The incidence of SBM in NSCLC patients was 12.58%. The median CSS was 5 months. Patients with younger age, female gender, and adenocarcinoma had higher odd ratios for developing SBM. In addition, a nomogram was developed based on significant factors from Cox regression. The validation of the nomogram showed that it had good calibration and discrimination. SBM was highly prevalent in NSCLC patients, who also had poor survival.

摘要

我们旨在研究非小细胞肺癌(NSCLC)患者中同步脑转移(SBM)的流行病学。使用逻辑回归和 Cox 回归来确定 SBM 发生率和癌症特异性生存率(CSS)的相关因素。开发并验证了用于预测 CSS 的列线图。在 NSCLC 患者中 SBM 的发生率为 12.58%。中位 CSS 为 5 个月。年龄较小、女性和腺癌的患者发生 SBM 的比值比更高。此外,基于 Cox 回归的显著因素开发了一个列线图。列线图的验证表明其具有良好的校准度和区分度。SBM 在 NSCLC 患者中非常普遍,且患者的生存情况较差。

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