A Meta-Analysis of Postoperative Radiotherapy for Thymic Carcinoma

被引:33
作者
Hamaji, Masatsugu
Shah, Rohan M.
Ali, Syed Osman
Bettenhausen, Aaron
Lee, Hyun-Sung
Burt, Bryan M. [1 ]
机构
[1] Baylor Coll Med, Div Thorac Surg, 6620 Main St, Houston, TX 77030 USA
关键词
EPITHELIAL TUMORS; STAGE-II; RETROSPECTIVE ANALYSIS; RADIATION-THERAPY; EUROPEAN-SOCIETY; THYMOMA; SURVIVAL; PROGNOSIS; HETEROGENEITY; OUTCOMES;
D O I
10.1016/j.athoracsur.2016.12.042
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Postoperative radiotherapy may significantly improve survival of patients undergoing surgery for thymic carcinoma; however, the quality of available evidence is low. We performed a meta-analysis encompassing 973 patients to investigate the effect of postoperative radiotherapy on survival outcomes of thymic carcinoma, and included our analysis of the Surveillance, Epidemiology, and End Results database. The pooled hazard ratio of postoperative radiotherapy was 0.66 (95% confidence interval: 0.54 to 0.80, p < 0.001) for overall survival and 0.54 (95% confidence interval: 0.41 to 0.71, p < 0.001) for progression-free survival. The balance of best available evidence suggests that postoperative radiotherapy after resection of thymic carcinoma is associated with improved overall and progression-free survival. (C) 2017 by The Society of Thoracic Surgeons
引用
收藏
页码:1668 / 1675
页数:8
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