COX-2 expression in ovarian cancer: an updated meta-analysis.

COX-2 expression in ovarian cancer: an updated meta-analysis.
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卵巢癌中 COX-2 的表达:更新的荟萃分析

DOI:
10.18632/oncotarget.21538
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发表时间:
2017-10-20
期刊:
影响因子:
--
通讯作者:
Jin Y
Jin Y
中科院分区:
其他
文献类型:
--
作者:
Sun H;Zhang X;Sun D;Jia X;Xu L;Qiao Y;Jin Y

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多年来,人们一直在研究卵巢癌患者中考克斯-2表达的预后作用,但结果仍存在争议。因此,我们进行了一项荟萃分析,以评估考克斯-2表达对卵巢癌患者生存的预后影响。检索了PubMed、Embase和CNKI数据库。计算总风险比(HR)和95%可信区间(CI),分析考克斯-2表达与总生存期(OS)和无病生存期(DFS)的相关性。来自18项研究的共计1,867例患者入组最终分析。结果显示,考克斯-2高表达患者的OS(HR:1.48,95%CI:1.19-1.85)和DFS(HR:1.81,95%CI:1.28-2.55)较差。亚组分析显示,在大多数亚组中,考克斯-2表达与生存率之间存在显著相关性。此外,考克斯-2的表达与一些临床参数如FIGO分期、组织学类型和年龄之间存在显著相关性。提示考克斯-2高表达者的生存率明显低于低表达者,考克斯-2表达有可能成为卵巢癌的预后指标。
The prognostic role of COX-2 expression in ovarian cancer patients has been studied for years, while results remain controversial. Thus we performed a meta-analysis to evaluate the prognostic impact of COX-2 expression on survival of ovarian cancer patients. The databases PubMed, Embase and CNKI were searched. Summary hazard ratio (HR) and 95% confidence intervals (CIs) were calculated to analyze the correlations between COX-2 expression and overall survival (OS), and disease-free survival (DFS). A total of 1,867 patients from 18 studies were enrolled in the final analysis. The results showed that patients with higher COX-2 expression had a poor OS (HR: 1.48; 95% CI: 1.19-1.85) and DFS (HR: 1.81, 95% CI: 1.28-2.55). Subgroup analysis showed that there had significant associations between COX-2 expression and survival rate in most of the subgroups. Furthermore, there were significant associations between COX-2 expression and several clinical parameters such as FIGO stage, histological type and age. These results showed the patients with higher COX-2 expression had a significantly poorer survival rate, COX-2 expression had the potential to be a prognostic marker of ovarian cancer.
DOI: 10.1038/nrc2644
发表时间: 2009-06
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期刊: CONTROLLED CLINICAL TRIALS
影响因子: --
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