Evaluation of an inflammation-based prognostic score (GPS) in patients with metastatic breast cancer.

Evaluation of an inflammation-based prognostic score (GPS) in patients with metastatic breast cancer.
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DOI:
10.1038/sj.bjc.6602922
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发表时间:
2006-01-30
影响因子:
8.8
通讯作者:
--
中科院分区:
医学1区
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转移性乳腺癌患者的预后预测仍然存在问题。本研究评价了基于炎症的评分(格拉斯哥预后评分,GPS)在转移性乳腺癌患者中的价值。GPS的构建如下:C反应蛋白升高(>10 mg l−1)和低白蛋白血症(<35 g l−1)的患者被分配为2分。仅存在一种或不存在这些生化异常的患者的评分分别为1或0。共研究了96例患者。在随访期间,51名患者死于癌症。在GPS和接受治疗的多变量分析中,只有GPS(HR 2.26,95% CI 1.45-3.52,P<0.001)与癌症特异性生存率显著相关。全身炎症反应(GPS)的存在似乎是转移性乳腺癌患者预后不良的一个有用指标,与治疗无关。
Prediction of outcome in patients with metastatic breast cancer remains problematical. The present study evaluated the value of an inflammation-based score (Glasgow Prognostic Score, GPS) in patients with metastatic breast cancer. The GPS was constructed as follows: patients with both an elevated C-reactive protein (>10 mg l−1) and hypoalbuminaemia (<35 g l−1) were allocated a score of 2. Patients in whom only one or none of these biochemical abnormalities was present were allocated a score of 1 or 0, respectively. In total, 96 patients were studied. During follow-up 51 patients died of their cancer. On multivariate analysis of the GPS and treatment received, only the GPS (HR 2.26, 95% CI 1.45–3.52, P<0.001) remained significantly associated with cancer-specific survival. The presence of a systemic inflammatory response (the GPS) appears to be a useful indicator of poor outcome independent of treatment in patients with metastatic breast cancer.
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发表时间: 2002-05-01
影响因子: 4.7
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