Network meta-analysis of palliative treatments in patients with esophageal cancer

被引：5
作者：
Doosti-Irani, Amin [1 ,2 ]
Mansournia, Mohammad Ali [2 ]
Cheraghi, Zahra [1 ]
Rahimi-Foroushani, Abbas [2 ]
Haddad, Peiman [3 ]
Holakouie-Naieni, Kourosh [2 ]
机构：
[1] Hamadan Univ Med Sci, Sch Publ Hlth, Dept Epidemiol, Tehran, Hamadan, Iran
[2] Univ Tehran Med Sci, Sch Publ Hlth, Dept Epidemiol & Biostat, Poursina St, Tehran 644614155, Iran
[3] Univ Tehran Med Sci, Canc Inst, Radiat Oncol Res Ctr, Tehran, Iran
来源：
CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY | 2021年 / 168卷
关键词：
Esophageal cancer; Palliative care; Stent; Network meta-analysis; Survival; EXPANDABLE METAL STENTS; ENDOLUMINAL BRACHYTHERAPY; CONVENTIONAL STENTS; DISTAL ESOPHAGEAL; RANDOMIZED-TRIAL; GASTRIC CARDIA; CLINICAL-TRIAL; DYSPHAGIA; CARCINOMA; NEOADJUVANT;
D O I：
10.1016/j.critrevonc.2021.103506
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
We aimed to compare available palliative treatments in terms of survival and to rank these treatments for esophageal cancer. Web of Science, Medline, Scopus, Cochrane Library and Embase were searched. The risk of bias was judged using Cochrane's tools. Statistical heterogeneity was assessed using the Chi(2) test and was quantified by I-2. The results were summarized using the hazard ratio (HR). The rank probability for each treatment was calculated using the p-score. Nineteen RCTs met the eligibility criteria for this study. Treatments formed three networks including networks A, B, and C. The Ultraflex stent (p-score = 0.93), irradiation stent (p-score = 0.89), and thermal ablative therapy (p-score = 0.85) were the first ranking treatments in networks A, B, and C, respectively. Based on the results of this network meta-analysis, it appears that the ultraflex stent, the irradiation stent, and thermal ablative therapy are the better treatments among the networks.
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页数：10
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