机构:[1]Department of Urology, Institute of Urology, National Clinical Research Center for Geriatrics and Center of Biomedical big data, West China Hospital of Sichuan University, Chengdu, Sichuan Province, China.四川大学华西医院
At present, focal laser ablation (FLA) as a new PCa local treatment has attracted attention. We aim at comparing the survival outcomes between radiotherapy (RT) and FLA to reveal whether FLA can be used as an alternative to RT for patients with low and intermediate-risk localized PCa.We conducted analyses with data from the SEER database (2004-2015). Propensity score matching and instrumental variate (IV) were used to reduce the influence of bias and unmeasured confounders maximally.In the adjusted multivariate regression, FLA had lower overall survival (OS) benefits (HR = 1.49; 95%CI: 1.18-1.87; p < 0.001). After propensity score matching, RT still had better OS (HR = 1.50; 95%CI: 1.17-1.93; p = 0.001). The outcomes of IV-adjusted analysis showed FLA was significantly inferior to RT in OS (HR = 1.49; 95%CI: 1.18-1.87). In the subgroup analyses, for those with PSA < 4 ng/mL, FLA showed markedly worse OS and cancer-specific mortality (CSM) outcomes (OS HR = 1.89; 95%CI: 1.01-3.53; p = 0.0466 and CSM HR = 4.25; 95%CI: 1.04-17.43; p = 0.044).FLA is a promising focal therapy of PCa. But our research demonstrated RT still had an obvious advantage in survival benefits over FLA. Using FLA as an alternative treatment for RT requires careful consideration by clinicians.
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出版当年[2020]版:
大类|3 区综合性期刊
小类|3 区综合性期刊
最新[2023]版:
大类|2 区综合性期刊
小类|2 区综合性期刊
第一作者:
第一作者机构:[1]Department of Urology, Institute of Urology, National Clinical Research Center for Geriatrics and Center of Biomedical big data, West China Hospital of Sichuan University, Chengdu, Sichuan Province, China.
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推荐引用方式(GB/T 7714):
Zhou Xianghong,Jin Kun,Qiu Shi,et al.Comparative Effectiveness of Radiotherapy versus Focal Laser Ablation in Patients with Low and Intermediate Risk Localized Prostate Cancer.[J].Scientific reports.2020,10(1):9112.doi:10.1038/s41598-020-65863-8.
APA:
Zhou Xianghong,Jin Kun,Qiu Shi,Jin Di,Liao Xinyang...&Wei Qiang.(2020).Comparative Effectiveness of Radiotherapy versus Focal Laser Ablation in Patients with Low and Intermediate Risk Localized Prostate Cancer..Scientific reports,10,(1)
MLA:
Zhou Xianghong,et al."Comparative Effectiveness of Radiotherapy versus Focal Laser Ablation in Patients with Low and Intermediate Risk Localized Prostate Cancer.".Scientific reports 10..1(2020):9112