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肺癌患者静脉血栓栓塞症的患病率及临床特征:一项系统评价和荟萃分析。

Prevalence and clinical characteristics of venous thromboembolism in patients with lung cancer: a systematic review and meta-analysis.

作者信息

Xu Ying, Wu Tong, Ren Xue, Liu Jing, Zhang Haibo, Yang Defu, Yan Ying, Lv Dongyang

机构信息

Department of Radiation Oncology, General Hospital of Northern Theater Command, Shenyang, China.

出版信息

Front Oncol. 2024 Aug 14;14:1405147. doi: 10.3389/fonc.2024.1405147. eCollection 2024.

DOI:10.3389/fonc.2024.1405147
PMID:39206158
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11350514/
Abstract

BACKGROUND

The prevalence of venous thromboembolism (VTE) is high in patients with cancer and can often present as the first symptom of malignancy. Cancer-associated VTE is one of the most important risk factors contributing to cancer mortality, making its prevention and treatment critical for patients with lung cancer.

METHODS

We systematically searched for observational studies that estimated the prevalence of VTE in patients with lung cancer. A comprehensive search of electronic databases, including PubMed, EMBASE and Cochrane Library, was systematically conducted from database inception through January 21, 2022. The qualities of included studies were assessed in three domains, including patient selection, comparison, and results. Random effects meta-analyses of the prevalence of VTE in lung cancer were conducted using the metaprop procedure. Chi-square test and value were used to evaluate study heterogeneity.

RESULTS

Thirty-five studies involving 742,156 patients were considered eligible for this study. The pooled prevalence of VTE among patients with lung cancer was 5% (95% CI: 0.043-0.056, = 0.000). The regional prevalence of VTE was 7% (95% CI: 0.06-0.08; I 99.2%) in North America, 8% (95% CI: 0.06-0.10; I 97.6%) in Asia, 6% (95% CI: 0.04-0.09; I 95.9%) in Europe and 11% (95% CI: 0.07-0.15) in Australasia.

CONCLUSIONS

The prevalence of lung cancer-related VTE is high and region-specific. These results of this review emphasize the importance of understanding the incidence of lung cancer-related VTE and provide argue for VTE screening of patients with lung cancer.

SYSTEMATIC REVIEW REGISTRATION

https://www.crd.york.ac.uk/prospero/, identifier PROSPERO (CRD42022306400).

摘要

背景

静脉血栓栓塞症(VTE)在癌症患者中患病率较高,且常可作为恶性肿瘤的首发症状。癌症相关的VTE是导致癌症死亡的最重要危险因素之一,因此其预防和治疗对肺癌患者至关重要。

方法

我们系统检索了估计肺癌患者VTE患病率的观察性研究。从数据库建立至2022年1月21日,系统全面地检索了电子数据库,包括PubMed、EMBASE和Cochrane图书馆。纳入研究的质量从患者选择、对照和结果三个方面进行评估。采用metaprop程序对肺癌患者VTE的患病率进行随机效应荟萃分析。使用卡方检验和I²值评估研究的异质性。

结果

35项涉及742156例患者的研究被认为符合本研究的条件。肺癌患者中VTE的合并患病率为5%(95%CI:0.043 - 0.056,I² = 0.000)。VTE的地区患病率在北美为7%(95%CI:0.06 - 0.08;I² = 99.2%),在亚洲为8%(95%CI:0.06 - 0.10;I² = 97.6%),在欧洲为6%(95%CI:0.04 - 0.09;I² = 95.9%),在澳大拉西亚为11%(95%CI:0.07 - 0.15)。

结论

肺癌相关VTE的患病率较高且具有地区特异性。本综述的这些结果强调了了解肺癌相关VTE发病率的重要性,并为肺癌患者的VTE筛查提供了依据。

系统评价注册

https://www.crd.york.ac.uk/prospero/,标识符PROSPERO(CRD42022306400)

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