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他汀类药物与食管癌预后相关性的Meta分析OACSTPCD

Meta-Analysis on Correlation Between Statin Therapy and Prognosis of Esophageal Cancer

中文摘要英文摘要

目的:基于Meta分析方法,评估他汀类药物的使用与食管癌预后之间的关系.方法:系统检索PubMed、Web of Science、the Cochrane Library和Embase 4 个数据库自建库至 2023 年 9 月 1 日的关于他汀类药物暴露与食管癌预后之间关系的相关文献.使用Stata 17.0 软件分析结局指标全因死亡率及恶性肿瘤特异性死亡率.结果:根据纳入与排除标准进行文献筛选,最终共有8 篇文献(26553 例确诊为食管癌的患者)被纳入Meta分析.合并结果表明,他汀类药物的使用与食管癌患者的全因死亡率(HR=0.82,95%CI=0.77~0.87)、恶性肿瘤特异性死亡率(HR=0.78,95%CI=0.70~0.86)均有显著相关性.在亚组分析中,上述显著相关性仍然存在.敏感性分析和发表偏倚检测支持该研究结果的稳定性.结论:目前的研究初步证实,他汀类药物与食管癌患者的生存获益相关,但需要更多的研究来验证该结论.

OBJECTIVE:To evaluate the correlation between statin therapy and prognosis of esophageal cancer based on Meta-analysis.METHODS:PubMed,Web of Science,the Cochrane Library and Embase databases were systematically retrieved to collect the relevant literature of correlation between statin exposure and prognosis of esophageal cancer from the establishment of the database to Sept.1st,2023.Stata 17.0 software was used to analyze prognosis indicators all-cause mortality and malignancy specific mortality.RESULTS:According to the inclusion and exclusion criteria,a total of 8 articles(26553 patients diagnosed with esophageal cancer)were included in the Meta-analysis.The combined results showed that statin therapy was significantly associated with all-cause mortality(HR=0.82,95%CI=0.77-0.87)and malignancy specific mortality(HR=0.78,95%CI=0.70~0.86)in patients with esophageal cancer.In the subgroup analysis,the above significant correlations existed.Sensitivity analysis and publication bias detection supported the stability of the results.CONCLUSIONS:Current study provides preliminary evidence that statins therapy is associated with a survival benefit in patients with esophageal cancer,yet more research is needed to validate the findings.

崔红霞;王艳;刘信

中国医科大学肿瘤医院辽宁省肿瘤医院药学部,沈阳 110042中国医科大学肿瘤医院辽宁省肿瘤医院结直肠外科,沈阳 110042

药学

他汀类药物食管癌预后Meta分析

StatinsEsophageal cancerPrognosisMeta-analysis

《中国医院用药评价与分析》 2024 (007)

843-847 / 5

辽宁省自然科学基金资助项目(No.2020-MS-060)

10.14009/j.issn.1672-2124.2024.07.016

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