p-Akt as a potential poor prognostic factor for gastric cancer: a systematic review and meta-analysis.

p-Akt as a potential poor prognostic factor for gastric cancer: a systematic review and meta-analysis.
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DOI:
10.18632/oncotarget.17001
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发表时间:
2017-08-29
期刊:
影响因子:
--
通讯作者:
Liu Q
Liu Q
中科院分区:
其他
文献类型:
--
作者:
Cao F;Zhang C;Han W;Gao XJ;Ma J;Hu YW;Gu X;Ding HZ;Zhu LX;Liu Q

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为了解p-Akt表达与胃癌患者预后的关系,我们检索了Pubmed、EMBASE、科克伦图书馆、CNKI、万方和CBM等6个数据库的相关文章,以进行这项荟萃分析。计算总生存期的合并风险比和相应的95%CI,以评估p-Akt表达在胃癌患者中的预后价值。从13项现有研究中合并了2261例患者,在单变量分析中,合并HR显示胃癌患者预后不良(HR=1.88,95%CI:1.45-2.43,P<0.00001),“单因素分析+估计”组(HR=1.41,95%CI:1.01-1.97,P=0.04),但在多变量分析(HR=0.66,95%CI:0.29-1.52,P=0.33)和估计(HR=1.13,95%CI:0.65-1.95,P=0.67)中未发现。总之,我们的研究结果表明,p-Akt可能是胃癌患者预后不良的一个指标。
To understand the relationship between p-Akt expression and the prognosis of patients with gastric cancer, we searched six databases, Pubmed, EMBASE, Cochrane Library, CNKI, Wanfang and CBM for relevant articles in order to conduct this metaanalysis. The pooled hazard ratios and corresponding 95%CI of overall survival were calculated to evaluate the prognostic value of p-Akt expression in patients with gastric cancer. With 2261 patients combined from 13 available studies, the pooled HR showed a poor prognosis in patients with gastric cancer in the univariate analysis (HR=1.88, 95%CI:1.45-2.43, P<0.00001), and the group “univariate analysis+estimate” (HR=1.41, 95%CI: 1.01-1.97, P=0.04), but not in multivariate analysis (HR=0.66, 95%CI: 0.29-1.52, P=0.33) and estimate (HR=1.13, 95%CI: 0.65-1.95, P=0.67). In conclusion, our results indicated that p-Akt was likely to be an indicator of poor prognosis in patients with gastric cancer.
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