Baseline anemia predicts a poor prognosis in patients with non-small cell lung cancer with epidermal growth factor receptor mutations: a retrospective study
文献类型:期刊论文
作者 | Wei, Jingwen1,2; Xiang, Jing1,3; Hao, Yue1,3; Si, Jinfei1,3; Wang, Wenxian4; Li, Fangyin5; Song, Zhengbo1 |
刊名 | BMC PULMONARY MEDICINE |
出版日期 | 2022-10-17 |
卷号 | 22 |
ISSN号 | 1471-2466 |
关键词 | Anemia Epidermal growth factor receptor Epidermal growth factor receptor tyrosine kinase inhibitors Non-small cell lung cancer |
DOI | 10.1186/s12890-022-02158-w |
通讯作者 | Li, Fangyin(lify824@126.com) ; Song, Zhengbo(songzb@zjcc.org.cn) |
英文摘要 | Background Anemia is relatively common in cancer patients, and baseline anemia is associated with poor survival in patients with non-small cell lung cancer (NSCLC). However, there is a lack of large-sample studies of patients with NSCLC with epidermal growth factor receptor (EGFR) mutations. Methods We retrospectively analyzed anemia-related data for patients with NSCLC and EGFR mutations who were admitted to Zhejiang Cancer Hospital from January 2013 to June 2019 and treated with targeted therapy. The patients' clinicopathological features were evaluated by chi(2) tests and the relationships between clinical characteristics and prognosis were investigated using Kaplan-Meier and multivariate Cox regression analyses. Results A total of 2,029 patients treated with EGFR-tyrosine kinase inhibitors (TKIs) were finally enrolled in this study, of whom 24.6% had baseline anemia. Patients without baseline anemia had longer median overall survival (OS) than patients with baseline anemia (36.10 vs. 29.10 months, P = 0.001), and patients with grade < 2 anemia had longer median OS than those with grade >= 2 anemia (35.00 vs. 25.10 months, P < 0.001). Multivariate analyses identified baseline anemia as a factor predicting a poor prognosis in terms of OS in patients with EGFR mutations. Conclusions Baseline anemia is a significant factor predicting a poor prognosis in terms of OS in patients with NSCLC and EGFR mutations treated with targeted therapy. A higher grade of baseline anemia may also be related to shorter OS. And a higher risk of EGFR-mutated patients who had received targeted therapy could also be observed. |
WOS关键词 | HEALTH-ORGANIZATION CLASSIFICATION ; SURVIVAL ; TUMOR ; EPIDEMIOLOGY ; INFLAMMATION ; EXPRESSION ; CARCINOMA ; HYPOXIA ; IMPACT ; IRON |
资助项目 | Medical Scientific Research Foundation of Zhejiang Province[2022KY653] |
WOS研究方向 | Respiratory System |
语种 | 英语 |
出版者 | BMC |
WOS记录号 | WOS:000869249500001 |
资助机构 | Medical Scientific Research Foundation of Zhejiang Province |
源URL | [http://ir.hfcas.ac.cn:8080/handle/334002/129474] |
专题 | 中国科学院合肥物质科学研究院 |
通讯作者 | Li, Fangyin; Song, Zhengbo |
作者单位 | 1.Univ Chinese Acad Sci, Zhejiang Canc Hosp, Canc Hosp, Dept Clin Trial, 1 Banshan East Rd, Hangzhou 310022, Peoples R China 2.Wenzhou Med Univ, Wenzhou, Peoples R China 3.Chinese Med Univ, Clin Med Coll Zhejiang 2, Hangzhou, Peoples R China 4.Univ Chinese Acad Sci, Zhejiang Canc Hosp, Canc Hosp, Dept Med Oncol, Hangzhou, Peoples R China 5.Univ Chinese Acad Sci, Canc Hosp, Zhejiang Canc Hosp, Dept Urol, 1 Banshan East Rd, Hangzhou 310022, Peoples R China |
推荐引用方式 GB/T 7714 | Wei, Jingwen,Xiang, Jing,Hao, Yue,et al. Baseline anemia predicts a poor prognosis in patients with non-small cell lung cancer with epidermal growth factor receptor mutations: a retrospective study[J]. BMC PULMONARY MEDICINE,2022,22. |
APA | Wei, Jingwen.,Xiang, Jing.,Hao, Yue.,Si, Jinfei.,Wang, Wenxian.,...&Song, Zhengbo.(2022).Baseline anemia predicts a poor prognosis in patients with non-small cell lung cancer with epidermal growth factor receptor mutations: a retrospective study.BMC PULMONARY MEDICINE,22. |
MLA | Wei, Jingwen,et al."Baseline anemia predicts a poor prognosis in patients with non-small cell lung cancer with epidermal growth factor receptor mutations: a retrospective study".BMC PULMONARY MEDICINE 22(2022). |
入库方式: OAI收割
来源:合肥物质科学研究院
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