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Evaluation of overall survival rate of different therapies in the treatment of T1-T3 prostate cancer: a network meta-analysis

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单位: [1]Department of Urology, Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing 100050, P.R. China [2]Department of Urology, Beijing Electric Power Hospital, Beijing 100073, P.R. China [3]Department of Oncology, Nantong Tongzhou District People’s Hospital, Nantong 226000, P.R. China
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关键词: prostate cancer therapies overall survival rate cohort studies Bayesian network model surface under the cumulative ranking curves (SUCRA)

摘要:
We performed this network meta-analysis (NMA) in order to compare the overall survival rate of six different therapies of T1-T3 prostate cancer (PC). The therapies include radiotherapy (RT), endocrine therapy (ET), Cryoablation (CRYO), radical prostatectomy (RP), RT+ET and RP+ET. Pubmed, Embase, Cochrane Library, Google Scholar, Web of Science and MEDLINE were searched to collect relevant literature from the inception of the study till February 2017. Cohort studies meeting the inclusion criteria were included in the study. A combination of direct and indirect evidence was performed to evaluate the odds ratio (OR) and draw surface under the cumulative ranking curves (SUCRA). Nine eligible cohort studies were included in this NMA, including 20,644 patients suffering from T1-T3 PC. The pairwise meta-analysis revealed that compared with the ET regimen, the RP and RP+ET regimens exhibited comparatively higher overall survival rates (OR=2.81, 95% CI=2.09 similar to 3.78; OR=3.15, 95% CI=1.80 similar to 5.50, respectively). The results of SUCRA values demonstrated that the RP+ET regimen occupied the first place (89.5%) in terms of overall survival rate, and the RP regimen came second (84.83%). Thus, the RP+ET regimen had better efficacy in the treatment of T1-T3 PC in combined-therapeutic regimens, and the RP regimen presented better efficacy in mono-therapeutic regimen. Our findings indicate that the RP+ET regimen had better efficacy on improving the overall survival rate of T1-T3 PC patients, and the RP regimen ranked second.

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出版当年[2017]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学
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出版当年[2016]版:
Q4 ONCOLOGY
最新[2023]版:
Q3 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2016版] 出版当年五年平均[2012-2016] 出版前一年[2015版] 出版后一年[2017版]

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第一作者单位: [1]Department of Urology, Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing 100050, P.R. China
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