...
首页> 外文期刊>Radiotherapy and oncology: Journal of the European Society for Therapeutic Radiology and Oncology >Influence of connective tissue diseases on the expression of radiation side effects: a systematic review.
【24h】

Influence of connective tissue diseases on the expression of radiation side effects: a systematic review.

机译:结缔组织疾病对放射副作用表达的影响:系统评价。

获取原文
获取原文并翻译 | 示例
           

摘要

BACKGROUND AND PURPOSE: Patient related co-factors may increase the risk of radiation morbidity. Connective tissue diseases (CTD) are among the co-morbidities that are relatively well studied and have been shown to be of potential clinical relevance for radiotherapy. The aim of this systematic review is to quantify the contribution of CTD to the risk of radiation related side effects. PATIENTS AND METHODS: Relevant publications reporting the outcome of radiotherapy in patients with CTD were retrieved according to a standardized query and evaluated for their methodology and quality of reporting, using defined quality criteria. A quantitative estimate of the relative risk of developing side effects in patients with CTD was derived from the observed proportions of responders in patients with or without CTD. Risk estimates were synthesized across studies. RESULTS: Eight studies which include data of 9-209 patients who had CTD and were treated with radiotherapy were identified and reviewed. Three of these studies included data suited for further quantitative analysis. The test of the uni-directional hypothesis that patients with CTD had an increased risk of late effects after radiotherapy reached statistical significance, the one-tailed P-value being 0.03. The pooled relative risk was 2.0 with 95% confidence interval (0.99, 4.1). CONCLUSIONS: CTD is associated with an increased risk of late radiation induced normal tissue reaction. The literature published to date provides some support for this assertion although most of the reports are plagued by methodological weaknesses, thus calling for a large coordinated study.
机译:背景与目的:与患者相关的辅助因素可能会增加放射线发病的风险。结缔组织疾病(CTD)是相对被较好研究的合并症之一,已被证明与放射治疗具有潜在的临床相关性。该系统评价的目的是量化CTD对辐射相关副作用风险的贡献。病人和方法:根据标准查询检索有关报告CTD患者放射治疗结果的相关出版物,并使用已定义的质量标准评估其方法和报告质量。从观察到的有或没有CTD的患者中反应者的比例得出对CTD患者发生副作用的相对风险的定量估计。风险评估是跨研究综合的。结果:八项研究包括9 209名患有CTD并接受放射治疗的患者的数据被确认和审查。其中三项研究包括适合进一步定量分析的数据。对单向性假设的检验表明,CTD患者放疗后发生晚期疾病的风险增加,具有统计学意义,单尾P值为0.03。合并的相对风险为2.0,置信区间为95%(0.99,4.1)。结论:CTD与晚期放射诱发正常组织反应的风险增加有关。迄今为止出版的文献为这一主张提供了一定的支持,尽管大多数报告都受到方法论缺陷的困扰,因此需要进行大规模的协调研究。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号