Chia Nan University of Pharmacy & Science Institutional Repository:Item 310902800/34496
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    標題: Effect of radiotherapy on survival in advanced hepatocellular carcinoma patients treated with sorafenib: a nationwide cancer-registry-based study
    作者: Chu, Shou-Sheng
    Kuo, Yu-Hsuan
    Liu, Wen-Shan
    Wang, Shih-Chang
    Ho, Chung-Han
    Chen, Yi-Chen
    Yang, Ching-Chieh
    Wu, Hung-Chang
    貢獻者: Chi Mei Med Ctr, Dept Radiat Oncol
    Chi Mei Med Ctr, Dept Hematol & Oncol
    Chia Nan Univ Pharm & Sci, Dept Cosmet Sci
    Kaohsiung Vet Gen Hosp, Dept Radiat Oncol
    Meiho Univ, Dept Nursing
    Natl Def Med Ctr, Sch Med
    Antai Med Care Corp Antai Tian Sheng Mem Hosp, Dept Radiat Oncol
    Chi Mei Med Ctr, Dept Med Res
    Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Adm
    Chia Nan Univ Pharm & Sci, Dept Pharm
    關鍵字: RADIATION-THERAPY
    OUTCOMES
    CIRRHOSIS
    PATTERNS
    PHASE-2
    日期: 2021
    上傳時間: 2023-11-11 11:58:33 (UTC+8)
    出版者: NATURE PORTFOLIO
    摘要: Sorafenib is the standard treatment for advanced hepatocellular carcinoma (HCC) patients. This study aims to determine whether combining radiotherapy with sorafenib administration increases its efficacy. The study cohort included 4763 patients with diagnosed advanced HCC who received sorafenib between January 2012 and December 2015, as reported in medical records in the Taiwan Cancer Registry database. The effect of sorafenib with or without radiotherapy on survival was calculated using the Kaplan-Meier method and compared using the log-rank test. A Cox proportional hazards model was used for multivariate analysis. Patients receiving sorafenib plus radiotherapy had greater 1-year survival than did those receiving sorafenib alone (P<0.001). Uni- and multivariate analyses also showed that radiotherapy increased survival after adjusting for confounders (adjusted HR 0.57; 95% CI 0.51-0.63). Further stratified analysis according to the timing of radiotherapy relative to sorafenib treatment revealed that patients who underwent radiotherapy after sorafenib had greater 1-year survival than did those undergoing radiotherapy within sorafenib use or sorafenib alone (adjusted HR 0.39; 95% CI 0.27-0.54). Combined treatment with sorafenib and radiotherapy results in greater HCC patient survival and should be considered an option for treating this challenging disease.
    關聯: SCI REP-UK, v.11, n.1, pp.1614
    顯示於類別:[化妝品應用與管理系(所)] 期刊論文

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