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服用阿司匹林对结直肠癌患者生存获益的Meta分析与系统评价

苗鹏 关琳 邢承忠

中国医科大学学报Issue(6):528-532,537,6.
中国医科大学学报Issue(6):528-532,537,6.

服用阿司匹林对结直肠癌患者生存获益的Meta分析与系统评价

Aspirin Improves Survival of Colorectal Cancer Patients:A Meta-analysis and Systematic Evaluation

苗鹏 1关琳 2邢承忠1

作者信息

  • 1. 中国医科大学附属第一医院 肛肠外科,沈阳 110001
  • 2. 中国医科大学附属第一医院 消化内科,沈阳 110001
  • 折叠

摘要

Abstract

Objective To systematically assess the relationship between oral administration of aspirin and survival benefit for patients with colorec⁃tal cancer(CRC)by meta⁃analysis. Methods Relevant studies were identified through searching PubMed and EMBASE. Random⁃effects model was derived to composite the pooled hazard ratio for overall mortality and CRC⁃specific mortality. The subgroup analysis was conducted for included data,and the bias analysis was reported. Results Thirteen studies on aspirin therapy were finally included in this meta⁃analysis. The overall surviv⁃al benefit associated with oral administration of aspirin represented an HR of 0.83(95%CI:0.71⁃0.96). Oral administration of aspirin was also asso⁃ciated with CRC⁃specific survival(HR=0.77,95%CI:0.64⁃0.93). No evidence was observed of an association between prediagnostic aspirin use and CRC overall survival(HR=1.00,95%CI:0.85⁃1.18)or CRC⁃specific survival(HR=0.97,95%CI:0.83⁃1.13). Conclusion These findings provide further indication that post⁃diagnostic aspirin therapy can improve CRC prognosis.

关键词

结直肠肿瘤/阿司匹林/预后/Meta分析

Key words

colorectal cancer/aspirin/prognosis/meta-analysis

分类

医药卫生

引用本文复制引用

苗鹏,关琳,邢承忠..服用阿司匹林对结直肠癌患者生存获益的Meta分析与系统评价[J].中国医科大学学报,2015,(6):528-532,537,6.

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