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一种新模型用于估算 BCLC 中期肝细胞癌患者的生存持续时间。

A new model to estimate duration of survival in patients with hepatocellular carcinoma with BCLC intermediate stage.

机构信息

Division of Gastroenterology, Tohoku University Graduate School of Medicine, 1-1 Seiryomachi, Aobaku, Sendai, Miyagi, 9808574, Japan.

Gastroenterology Center, Ehime Prefectural Central Hospital, Matsuyama, Ehime, Japan.

出版信息

Sci Rep. 2023 Nov 25;13(1):20739. doi: 10.1038/s41598-023-48068-7.

Abstract

It is difficult to determine whether an individual therapy contributes to the elongation of survival because of the difficulty of organizing clinical research in patients who receive multiple treatments in HCC. We aimed to establish a new model of survival prediction in patients with intermediate stage HCC to establish standards in the recent and coming multi-MTA era. This analysis was prepared using a data set of 753 patients diagnosed HCC prior to 2017. Multiple regression analysis showed age, naïve or recurrence, the size of the largest tumor nodule, the number of nodules, total bilirubin, albumin and α-fetoprotein as independent predictors of survival. A Weibull model had the best fit and, based on these predictors, we established a new predicted survival model. The survival duration can be predicted the proposed model; EXP (4.02580 + (- 0.0086253) × age + (- 0.34667) × (naïve/recurrence) + (- 0.034962) × (number of nodules) + (- 0.079447) × (the size of the largest nodule) + (- 0.21696) × (total bilirubin) + 0.27912 × (albumin) + (- 0.00014741) × (α-fetoprotein)) × (- natural logarithm(0.5))^0.67250. This model is useful for the planning and evaluating the efficacy of recent sequential therapies in multi-MTA era.

摘要

由于在 HCC 患者中组织接受多种治疗的临床研究存在困难,因此难以确定个体治疗是否有助于延长生存时间。我们旨在为中晚期 HCC 患者建立新的生存预测模型,以在最近和即将到来的多激酶抑制剂(MTA)时代建立标准。这项分析是使用一组 2017 年之前被诊断为 HCC 的 753 名患者的数据进行的。多元回归分析显示,年龄、初治或复发、最大肿瘤结节的大小、结节数量、总胆红素、白蛋白和甲胎蛋白是生存的独立预测因子。威布尔模型具有最佳的拟合度,根据这些预测因子,我们建立了一个新的预测生存模型。可以根据该模型预测生存时间;EXP(4.02580+(-0.0086253)×年龄+(-0.34667)×(初治/复发)+(-0.034962)×(结节数量)+(-0.079447)×(最大结节的大小)+(-0.21696)×(总胆红素)+0.27912×(白蛋白)+(-0.00014741)×(甲胎蛋白))×(-0.5 的自然对数)^0.67250。该模型可用于计划和评估最近多 MTA 时代序贯治疗的疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/beaa/10676419/b53014bca929/41598_2023_48068_Fig1_HTML.jpg

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