广西医学2024,Vol.46Issue(8) :1242-1248.DOI:10.11675/j.issn.0253-4304.2024.08.18

术前那不勒斯预后评分与胃癌患者手术预后关系的Meta分析

Relation of preoperative Naples Prognostic Score with operative prognosis in patients with gastric cancer:a Meta-analysis

李明珍 何韶华 陈成 刘欢 刘燕南 姚波兰 周琴 谭力铭
广西医学2024,Vol.46Issue(8) :1242-1248.DOI:10.11675/j.issn.0253-4304.2024.08.18

术前那不勒斯预后评分与胃癌患者手术预后关系的Meta分析

Relation of preoperative Naples Prognostic Score with operative prognosis in patients with gastric cancer:a Meta-analysis

李明珍 1何韶华 1陈成 1刘欢 1刘燕南 2姚波兰 1周琴 1谭力铭3
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作者信息

  • 1. 怀化市第二人民医院精准医学中心,湖南省怀化市 418000
  • 2. 湖南医药学院护理学院,湖南省怀化市 418000
  • 3. 肿瘤防治怀化市重点实验室,湖南省怀化市 418000
  • 折叠

摘要

目的 系统评价术前那不勒斯预后评分(NPS)与胃癌患者手术预后的关系.方法 计算机检索中国知网、万方数据知识服务平台、维普资讯中文期刊服务平台、中国生物医学文献服务系统、PubMed、Web of Science、The Cochrane Library、Embase数据库,收集术前NPS与胃癌患者手术预后关系的相关文献.对纳入文献进行筛选、资料提取和质量评价后,采用RevMan 5.3软件和Stata 15.0软件进行Meta分析.结果 共纳入7篇文献,共4 673例患者.Meta分析结果显示,术前NPS得分越高,胃癌患者术后的总生存期越差(P<0.05);术前NPS与胃癌患者术后并发症、神经侵犯、脉管侵犯、糖类抗原125、肿瘤分期为Ⅲ期相关(P<0.05).结论 术前低NPS的胃癌患者术后的总生存期更长,术后并发症发生率更低,且术前NPS与肿瘤患者的临床病理特征具有相关性,可作为胃癌患者手术预后的预测指标.

Abstract

Objective To systematically evaluate the relation of preoperative Naples Prognostic Score(NPS)with operative prognosis in patients with gastric cancer.Methods Literature related to the relation of preoperative NPS with operative prognosis in patients with gastric cancer was collected by retrieving the databases of China National Knowledge Infrastructure,Wanfang Data Knowledge Service Platform,VIP,China Biomedical Literature Service System,PubMed,Web of Science,The Cochrane Library,and Embase.After screening literature enrolled,extracting data,and evaluating quality,the RevMan 5.3 software and Stata 15.0 software were used to perform a Meta-analysis.Results A total of 7 studies were enrolled,and there were 4673 cases of patients.The results of Meta-analysis revealed that the higher the preoperative NPS,the worse the postoperative overall survival of patients with gastric cancer(P<0.05).Preoperative NPS was related to postoperative complications,nerve invasion,vascular invasion,carbohydrate antigen 125,and tumor stage in Ⅲ stage in patients with gastric cancer(P<0.05).Conclusions Gastric cancer patients with low preoperative NPS have longer overall survival and lower incidence rate of postoperative complications,and preoperative NPS correlates with clinical and pathological characteristics of tumor patients,which can be used as a predictor for operative prognosis in patients with gastric cancer.

关键词

胃癌/那不勒斯预后评分/术前/胃切除术/预后/Meta分析

Key words

Gastric cancer/Naples Prognostic Score/Before operation/Gastrectomy/Prognosis/Meta-analysis

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基金项目

湖南省自然科学基金面上项目(2022JJ30462)

怀化市科技创新平台(2021R2206)

怀化市科技创新平台(2021N2403)

出版年

2024
广西医学
广西壮族自治区医学情报研究所

广西医学

CSTPCD
影响因子:1.112
ISSN:0253-4304
参考文献量2
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