检索结果-南通市图书馆

The association of type and number of high-risk criteria with cancer-specific mortality in prostate cancer patients treated with radical prostatectomy

引用

CURRENT UROLOGY 2024年第2期18卷 128-132页

作者： Chierigo, Francesco Flammia, Rocco Simone Sorce, Gabriele Hoeh, Benedikt Hohenhorst, Lukas Panunzio, Andrea Tian, Zhe Saad, Fred Graefen, Marcus Gallucci, Michele Briganti, Alberto Montorsi, Francesco Chun, Felix K. H. Shariat, Shahrokh F. Antonelli, Alessandro Guano, Giovanni Mantica, Guglielmo Borghesi, Marco Suardi, Nazareno Terrone, Carlo Karakiewicz, Pierre I. Univ Genoa Dept Surg & Integrated Diagnost Sci Genoa Italy IRCCS Osped Policlin San Martino Genoa Italy Univ Montreal Hlth Ctr Div Urol Canc Prognost & Hlth Outcomes Unit Montreal PQ Canada IRCCS Policlin San Martino Dept Urol Genoa Italy Univ Genoa Policlin San Martino Hosp Dept Urol Largo Rosanna Benzi 10 I-16132 Genoa Italy Sapienza Rome Univ Policlin Umberto Hosp 1 Dept Maternal Child & Urol Sci Rome Italy Univ Hosp Frankfurt Dept Urol Frankfurt Germany Univ Hosp Hamburg Eppendorf Martini Klin Prostate Canc Ctr Hamburg Germany Univ Verona Azienda Osped Univ Integrata Verona Dept Urol Verona Italy IRCCS San Raffaele Sci Inst Urol Res Inst Div Expt Oncol Unit Urol Milan Italy Med Univ Vienna Comprehens Canc Ctr Dept Urol Vienna Austria Weill Cornell Med Coll Dept Urol New York NY USA Univ Texas Southwestern Dept Urol Dallas TX USA Charles Univ Prague Fac Med 2 Dept Urol Prague Czech Republic IM Sechenov First Moscow State Med Univ Inst Urol & Reprod Hlth Moscow Russia Univ Jordan Jordan Univ Hosp Dept Special Surg Div Urol Amman Jordan

Objectives: This study aimed to test the association between of type and number of D'Amico high-risk criteria (DHRCs) with cancer-specific mortality (CSM) in high-risk prostate cancer patients treated with radical prostatectomy. Materials and methods: In the Surveillance, Epidemiology, and End Results database (2004-2016), we identified 31,281 radical prostatectomy patients with at least 1 DHRC, namely, prostate-specific antigen (PSA) >20 ng/mL (hrPSA), biopsy Gleason Grade Group (hrGGG) score of 4 and 5, or clinical tumor stage >= T3 (hrcT). Multivariable Cox regression models and competing risks regression models (adjusting for other cause mortality) tested the association between DHRCs and 5-year CSM. Results: Of 31,281 patients, 14,394 (67%) exclusively harbored hrGGG, 3189 (15%) harbored hrPSA, and 1781 (8.2%) harbored hrcT. Only 2132 patients (6.8%) harbored a combination of the 2 DHRCs, and 138 (0.6%) had all 3 DHRCs. Five-year CSM rates ranged from 0.9% to 3.0% when any individual DHRC was present (hrcT, hrPSA, and hrGGG, in that order), 1.6% to 5.9% when 2 DHRCs were present (hrPSA-hrcT, hrcT-hrGGG, and hrPSA-hrGGG, in that order), and 8.1% when all 3 DHRCs were present. Cox regression models and competing risks regression confirmed the independent predictor status of DHRCs for 5-year CSM that was observed in univariable analyses, with hazard ratios from 1.00 to 2.83 for 1 DHRC, 2.35 to 5.88 for combinations of 2 DHRCs, and 7.13 for all 3 DHRCs. Conclusions: Within individual DHRCs, hrcT and hrPSA exhibited weaker effects than hrGGG did. Moreover, a dose-response effect was identified according to the number of DHRCs. Accordingly, the type and number of DHRCs allow further risk stratification within the high-risk subgroup.

关键词： high risk prostate cancer Radical prostatectomy cancer-specific mortality Staging SEER BEAM RADIATION-THERAPY RATES

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：