Prognostic role of C-reactive protein in breast cancer: a systematic review and meta-analysis.

IF 2 4区 医学 Q3 BIOTECHNOLOGY & APPLIED MICROBIOLOGY International Journal of Biological Markers Pub Date : 2011-10-01 DOI:10.5301/JBM.2011.8872
Yijie Han, Feng Mao, Ying Wu, Xiaonan Fu, Xiaoli Zhu, Shuli Zhou, Wei Zhang, Qiang Sun, Yulan Zhao
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引用次数: 0

Abstract

Background: Recent studies have shown that C-reactive protein (CRP) may be associated with breast cancer. The purpose of this study is to summarize the predictive role of CRP for survival in breast cancer as shown in all available studies worldwide.

Methods: Related studies were identified and evaluated for quality through multiple search strategies. Data were collected from studies comparing overall, cancer-specific, and disease-free survival (OS, CSS, and DFS) in patients with elevated CRP levels and those having lower levels. Studies were pooled, and combined hazard ratios (HRs) of CRP for survival were calculated.

Results: A total of 10 studies (n=4,502) were included for this meta-analysis (9 for OS, 3 for CSS, and 3 for DFS). For overall and disease-free survival, the pooled HRs of CRP were significant at 1.62 (95% confidence interval [95% CI], 1.20-2.18) and 1.81 (95% CI, 1.44-2.26), respectively. For cancer-specific survival, the pooled HR in higher CRP expression in breast cancer was 2.08 (95% CI, 1.48-2.94), which could strongly predict poorer survival in breast cancer.

Conclusions: CRP has a critical prognostic value in patients with breast cancer as an inflammation biomarker.

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c反应蛋白在乳腺癌预后中的作用:一项系统综述和荟萃分析。
背景:最近的研究表明,c反应蛋白(CRP)可能与乳腺癌有关。本研究的目的是总结全球所有现有研究显示的CRP对乳腺癌患者生存的预测作用。方法:通过多种检索策略对相关研究进行鉴定和质量评价。数据收集自比较CRP水平升高和较低水平患者的总体、癌症特异性和无病生存(OS、CSS和DFS)的研究。对研究进行汇总,并计算CRP对生存的综合危险比(hr)。结果:本荟萃分析共纳入10项研究(n=4,502) (OS 9项,CSS 3项,DFS 3项)。对于总生存率和无病生存率,CRP的合并hr分别为1.62(95%可信区间[95% CI], 1.20-2.18)和1.81 (95% CI, 1.44-2.26)。对于癌症特异性生存率,乳腺癌中高CRP表达的合并HR为2.08 (95% CI, 1.48-2.94),这可以强有力地预测乳腺癌的较差生存率。结论:CRP作为炎症生物标志物在乳腺癌患者中具有重要的预后价值。
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来源期刊
International Journal of Biological Markers
International Journal of Biological Markers 医学-生物工程与应用微生物
CiteScore
4.10
自引率
0.00%
发文量
43
期刊介绍: IJBM is an international, online only, peer-reviewed Journal, which publishes original research and critical reviews primarily focused on cancer biomarkers. IJBM targets advanced topics regarding the application of biomarkers in oncology and is dedicated to solid tumors in adult subjects. The clinical scenarios of interests are screening and early diagnosis of cancer, prognostic assessment, prediction of the response to and monitoring of treatment.
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