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异基因造血干细胞移植治疗恶性淋巴瘤疗效的Meta分析

Meta-analysis on the efficacy of allogeneic hematopoietic stem cell transplantation to treat malignant lymphoma.

作者信息

Zhao Jin, Guo Xiaojing, Zheng Meijing, Su Liping

机构信息

The Department of Hematology, Shanxi Provincial Cancer Hospital, Taiyuan, 030013, Shanxi, China.

Hematology Department of Shanxi Hospital, Cancer Hospital, Chinese Academy of Medical Sciences, Taiyuan, 030013, Shanxi, China.

出版信息

Open Life Sci. 2024 May 31;19(1):20220771. doi: 10.1515/biol-2022-0771. eCollection 2024.

Abstract

The goal of the study involved the comparison of clinical efficacy of allogeneic hematopoietic stem cell transplantation (allo-HSCT) and autologous hematopoietic stem cell transplantation (auto-HSCT) in the treatment of malignant lymphoma (ML). The effectiveness of allo-HSCT versus auto-HSCT in the treatment of ML was compared by searching EMBASE, PubMed, Web of Science, and the Cochrane Library for relevant studies. The confidence intervals (CI) and odds ratio (OR) of the article's outcomes were described by a forest plot. Finally, 972 patients in seven articles were included. Overall survival (OS) did not differ significantly between allo-HSCT and auto-HSCT groups (OR  =  0.87, 95% CI: 0.66-1.14,  =  0.31). Furthermore, there was no significant difference in adverse reactions (AR) between the two groups (OR  =  1.35, 95% CI: 0.81-2.24,  =  0.25). We observed a significant difference in progression-free survival (PFS) between the two groups (OR  =  4.14, 95% CI: 2.93-5.35, < 0.01). There was no evidence of publication bias in this meta-analysis. The incidence of OS and AR differ significantly between allo-HSCT and auto-HSCT, but the PFS was longer in ML patients who received allo-HSCT.

摘要

该研究的目的是比较异基因造血干细胞移植(allo-HSCT)和自体造血干细胞移植(auto-HSCT)治疗恶性淋巴瘤(ML)的临床疗效。通过检索EMBASE、PubMed、科学网和考克兰图书馆以查找相关研究,比较了allo-HSCT与auto-HSCT治疗ML的有效性。文章结果的置信区间(CI)和比值比(OR)用森林图描述。最后,纳入了7篇文章中的972例患者。allo-HSCT组和auto-HSCT组的总生存期(OS)无显著差异(OR = 0.87,95%CI:0.66 - 1.14,P = 0.31)。此外,两组间不良反应(AR)无显著差异(OR = 1.35,95%CI:0.81 - 2.24,P = 0.25)。我们观察到两组间无进展生存期(PFS)存在显著差异(OR = 4.14,95%CI:2.93 - 5.35,P < 0.01)。该荟萃分析中没有发表偏倚的证据。allo-HSCT和auto-HSCT之间OS和AR的发生率有显著差异,但接受allo-HSCT的ML患者PFS更长。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/840b/11151731/5dbdf209a4ef/j_biol-2022-0771-fig001.jpg

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