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首页> 外文期刊>Annals of oncology: official journal of the European Society for Medical Oncology >Examination of the follicular lymphoma international prognostic index (FLIPI) in the national lymphocare study (NLCS): A prospective US patient cohort treated predominantly in community practices
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Examination of the follicular lymphoma international prognostic index (FLIPI) in the national lymphocare study (NLCS): A prospective US patient cohort treated predominantly in community practices

机译:在国家淋巴护理研究(NLCS)中检查滤泡性淋巴瘤国际预后指数(FLIPI):在社区实践中主要接受治疗的前瞻性美国患者队列

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Background: Because follicular lymphoma (FL) patients have heterogeneous outcomes, the FL international prognostic index (FLIPI) was developed to risk-stratify patients and to predict survival. However, limited data exist regarding the role of FLIPI in the era of routine first-line rituximab (R) and R-chemotherapy regimens and in the setting of community oncology practices. Patients and Methods: We evaluated the outcome data from the National LymphoCare Study (NLCS), a prospective, observational cohort study, which collects data on patients with FL in the United States (US) community practices. Results: Among 1068 male and 1124 female patients with FLIPI data, most were treated in US community practices (79%); 35% were FLIPI good risk, 30% intermediate risk, and 35% poor risk. FLIPI risk groups were significant predictors of overall survival (OS) and progression-free survival (PFS) for patients who undergo watchful waiting (WW), and those who receive non-R-containing regimens, R-alone, and R-chemotherapy combinations. Conclusions: In the setting of contemporary practice with routine R use, stratifying patients into good, intermediate, and poor FLIPI risk groups predicts distinct outcomes in terms of OS and PFS. FLIPI remains an important prognostic index in the R era and should be used in clinical practices to support discussions about prognosis.
机译:背景:由于滤泡性淋巴瘤(FL)患者的预后不同,因此制定了FL国际预后指数(FLIPI)可以对患者进行风险分层并预测存活率。但是,关于FLIPI在常规一线利妥昔单抗(R)和R化疗方案时代以及社区肿瘤学实践中的作用的数据有限。患者和方法:我们评估了一项全国性的前瞻性观察性队列研究国家淋巴瘤研究(NLCS)的结局数据,该研究收集了美国(US)社区实践中FL患者的数据。结果:在有FLIPI数据的1068例男性和1124例女性患者中,大多数接受了美国社区实践的治疗(79%); 35%是FLIPI良好风险,30%是中等风险,35%是不良风险。 FLIPI风险组是观察等待(WW)以及接受非R方案,R单独治疗和R化疗联合治疗的患者的总体生存(OS)和无进展生存(PFS)的重要预测指标。结论:在使用常规R进行现代治疗的情况下,将患者分为好,中和差FLIPI风险组可预测OS和PFS的不同结局。 FLIPI在R时代仍然是重要的预后指标,应在临床实践中使用以支持有关预后的讨论。

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