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Radiotherapy with temozolomide provides better survival in the newly diagnosed glioblastoma multiforme: A meta-analysis

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机构: [1]Capital Med Univ, Beijing Tian Tan Hosp, Dept Neurol, Beijing 100050, Peoples R China; [2]Natl Inst Dis Control & Prevent, Chinese Dis Control & Prevent, Biotech Ctr Viral Dis Emergency, Beijing 102206, Peoples R China; [3]Harbin Med Univ, Dept Clin Med, Harbin 150081, Peoples R China; [4]Jilin Univ, China Japan Union Hosp, Dept Cardiol, Changchun 130033, Peoples R China
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关键词: Glioblastoma multiforme meta-analysis radiotherapy temozolomide

摘要:
Background: The optimal treatment for patients with newly diagnosed glioblastoma multiforme (GBM) remains controversial. The purpose of this meta-analysis was to systematically evaluate radiotherapy/temozolomide (TMZ) versus radiotherapy for treating newly diagnosed GBM. Materials and Methods: Six electronic databases (PubMed, EMBASE, MEDLINE, Web of Science, Cochrane Library, and CNKI) were searched for relevant publications up to November 05, 2014. RevMan version 5.2 software was used for statistical analysis. Results: A total of 9 studies were identified in this analyses, which included 986 patients. The summary risk ratio (RR) for overall survival and the progression-free survival (PFS) was the measure of interest. Results revealed that the addition of TMZ to radiotherapy resulted in a statistically significant survival benefit in poor prognosis patients with newly diagnosed glioblastoma (RR = 2.93 [95% confidence interval (CI) 2.29, 3.75], P < 0.00001). Moreover, radiotherapy plus TMZ was more beneficial than radiotherapy alone in improving PFS (RR = 3.52, [95% CI 2.53, 4.89], P < 0.00001). However, certain grade 3-4 hematological toxicities were significantly more common with TMZ. Conclusions: This meta-analysis suggests that radiotherapy/TMZ provides better survival than radiotherapy alone in treating GBM.

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出版当年[2014]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学
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出版当年[2013]版:
Q4 ONCOLOGY
最新[2023]版:
Q4 ONCOLOGY

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第一作者机构: [1]Capital Med Univ, Beijing Tian Tan Hosp, Dept Neurol, Beijing 100050, Peoples R China;
通讯作者:
通讯机构: [4]Jilin Univ, China Japan Union Hosp, Dept Cardiol, Changchun 130033, Peoples R China
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