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介入肿瘤学中的回顾性临床研究:相关性与挑战

Retrospective Clinical Studies in Interventional Oncology: Relevance and Challenges.

作者信息

Uhlig Johannes, Kroencke Thomas, Kim Hyun S

机构信息

Department of Clinical and Interventional Radiology, University Medical Center Goettingen, Goettingen, Germany.

Division of Vascular and Interventional Radiology, Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland, Baltimore, MD, USA.

出版信息

Cardiovasc Intervent Radiol. 2025 Aug 6. doi: 10.1007/s00270-025-04143-2.

DOI:10.1007/s00270-025-04143-2
PMID:40770429
Abstract

Retrospective clinical studies are critical in interventional oncology (IO), offering insights by analyzing existing data. They are cost-effective, time-efficient, and invaluable for exploring real-world treatment trends, long-term effects, and rare diseases. Retrospective studies provide critical support for hypothesis generation, post-marketing surveillance, and addressing ethically or logistically challenging questions unsuitable for prospective or randomized controlled trials (RCTs). To maximize their utility, retrospective studies must ensure robust data quality, clear objectives, advanced statistical methods, and transparency. Despite challenges like biases and limited causal inference, their ability to complement RCTs and other types of prospective trials help to close crucial gaps in evidence generation, which makes them indispensable for research in the rapidly evolving field of interventional oncology.

摘要

回顾性临床研究在介入肿瘤学(IO)中至关重要,通过分析现有数据提供见解。它们具有成本效益、省时高效,对于探索真实世界的治疗趋势、长期影响和罕见疾病非常宝贵。回顾性研究为假设生成、上市后监测以及解决不适合前瞻性或随机对照试验(RCT)的伦理或后勤方面具有挑战性的问题提供了关键支持。为了最大限度地发挥其效用,回顾性研究必须确保强大的数据质量、明确的目标、先进的统计方法和透明度。尽管存在偏倚和因果推断有限等挑战,但它们补充RCT和其他类型前瞻性试验的能力有助于弥合证据生成中的关键差距,这使得它们在快速发展的介入肿瘤学领域的研究中不可或缺。

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本文引用的文献

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Cryoablation in Extra-Abdominal Desmoid Tumors: A 10-Year Experience in Pediatric and Young Adult Patients.腹外硬纤维瘤的冷冻消融:儿科和年轻成年患者的10年经验
Cardiovasc Intervent Radiol. 2024 Dec;47(12):1776-1783. doi: 10.1007/s00270-024-03845-3. Epub 2024 Sep 5.
2
Renal Function After CT-Guided Cryoablation of Small Renal Tumours in Patients with Solitary Kidney: An Analysis of European Multinational Prospective EuRECA Registry.单肾患者 CT 引导下小肾癌冷冻消融术后的肾功能:欧洲多国前瞻性 EuRECA 注册研究分析。
Cardiovasc Intervent Radiol. 2024 May;47(5):583-589. doi: 10.1007/s00270-023-03634-4. Epub 2024 Jan 25.
3
Retrospective observational studies: Lights and shadows for medical writers.
回顾性观察性研究:医学作者的光明与阴影。
Acta Biomed. 2022 Oct 26;93(5):e2022319. doi: 10.23750/abm.v93i5.13179.
4
Analysis of Tumor Burden as a Biomarker for Patient Survival with Neuroendocrine Tumor Liver Metastases Undergoing Intra-Arterial Therapies: A Single-Center Retrospective Analysis.肿瘤负荷分析作为神经内分泌瘤肝转移患者接受经动脉治疗后生存的生物标志物:一项单中心回顾性分析。
Cardiovasc Intervent Radiol. 2022 Oct;45(10):1494-1502. doi: 10.1007/s00270-022-03209-9. Epub 2022 Aug 8.
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Long-Term Outcome of Prostatic Artery Embolization for Patients with Benign Prostatic Hyperplasia: Single-Centre Retrospective Study in 1072 Patients Over a 10-Year Period.前列腺动脉栓塞治疗良性前列腺增生症患者的长期疗效:10 年间 1072 例患者的单中心回顾性研究。
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Eur Urol Open Sci. 2022 May 19;41:8-15. doi: 10.1016/j.euros.2022.04.009. eCollection 2022 Jul.
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J Hepatol. 2022 Mar;76(3):681-693. doi: 10.1016/j.jhep.2021.11.018. Epub 2021 Nov 19.
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J Urol. 2021 Aug;206(2):199-208. doi: 10.1097/JU.0000000000001911. Epub 2021 Jul 11.
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The PRISMA 2020 statement: An updated guideline for reporting systematic reviews.《PRISMA 2020声明:报告系统评价的更新指南》
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