Survival comparison of hepatocellular carcinoma patients treated with radioembolization versus nonoperative/interventional treatment

被引:7
|
作者
Thayer, David [1 ]
Noda, Christopher [1 ]
Charalel, Resmi [1 ]
Mills, Abigail [1 ]
Chang, Randy [2 ]
Tao, Yu [3 ]
Akinwande, Olaguoke [1 ,4 ]
机构
[1] Washington Univ, Mallinckrodt Inst Radiol, Div Intervent Radiol, St Louis, MO 63110 USA
[2] Washington Univ, Sch Med, Mallinckrodt Inst Radiol, Div Intervent Radiol, St Louis, MO 63110 USA
[3] Washington Univ, Sch Med, Siteman Biostat, St Louis, MO 63110 USA
[4] Washington Univ, Sch Med, Siteman Canc Ctr, St Louis, MO 63110 USA
关键词
advanced hepatocellular carcinoma; comparative effectiveness; hazard ratio; liver cancer-specific survival; nonoperative treatment; overall survival; palliation; prognostic prediction; TRANSARTERIAL CHEMOEMBOLIZATION; LIVER-TRANSPLANTATION; COHORT; MULTICENTER; SORAFENIB; RESECTION; THERAPY;
D O I
10.2217/cer-2017-0064
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Aim: To compare the overall survival (OS) and liver cancer-specific survival of advanced-stage hepatocellular carcinoma (HCC) patients who received transarterial radioembolization (TARE) with those who received nonoperative/interventional treatment (NOT). Materials & methods: A total of 12,520 HCC patients from the Surveillance, Epidemiology and End Results database were categorized by treatment with either radioembolization or NOT. Kaplan-Meier and multivariate Cox regression were conducted. Results: The TARE group had both a significantly longer median overall survival than the NOT group (TARE = 9 months; NOT = 2 months; p < 0.0001) and a significantly higher probability of liver cancer-specific survival (hazard ratio = 0.474). Conclusion: TARE appears to provide a significant survival advantage over the NOT population in advanced HCC patients.
引用
收藏
页码:343 / 356
页数:14
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