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Journal of Clinical Oncology最新文献

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Addressing Common Medications That Influence Immunotherapy Response in Solid Tumors. 探讨影响实体瘤免疫治疗反应的常用药物。
IF 41.9 1区 医学 Q1 ONCOLOGY Pub Date : 2026-01-07 DOI: 10.1200/JCO-25-01811
Nicholas DeVito, Erica Gray, Daniel Schrum, Scott Antonia
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引用次数: 0
Ethics of Backfilling in Early-Phase Oncology Trials. 早期肿瘤试验中回填的伦理问题。
IF 41.9 1区 医学 Q1 ONCOLOGY Pub Date : 2026-01-07 DOI: 10.1200/JCO-25-02005
Marieke J Hollestelle, Rob Kessels, Peter M van de Ven, Rieke van der Graaf
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引用次数: 0
Treatment of Multiple Myeloma: ASCO-Ontario Health (Cancer Care Ontario) Living Guideline. 多发性骨髓瘤的治疗:ASCO-Ontario Health (Cancer Care Ontario)生活指南。
IF 45.3 1区 医学 Q1 ONCOLOGY Pub Date : 2026-01-06 DOI: 10.1200/jco-25-02587
Lisa K Hicks,Hans J Messersmith,Samer Al Hadidi,Rahul Banerjee,Benjamin A Derman,Shaji Kumar,Tanya M Wildes,Susan Bal,Sita Bhella,Cynthia Chmielewski,Caitlin Costello,Raetasha Dabney,Monique Hartley-Brown,Alan Langerak,Brea Lipe,Thomas Martin,Arleigh McCurdy,Hira Mian,Eloisa Riva,Rahul Seth,Latha Subramanian,Joseph Mikhael
PURPOSETo provide updated guidance regarding the therapy for multiple myeloma.METHODSASCO and Ontario Health (Cancer Care Ontario) convened a joint Expert Panel and conducted an updated systematic review of the literature.RESULTSThe updated review identified a total of 161 relevant randomized trials.UPDATED RECOMMENDATIONSDaratumumab therapy may be offered to patients with high-risk smoldering myeloma. Quadruplet therapy with daratumumab or isatuximab, combined with bortezomib, lenalidomide, and dexamethasone, should be offered as initial therapy for transplant eligible patients. They should also be offered at least lenalidomide maintenance, with or without daratumumab, carfilzomib, and/or dexamethasone. Quadruplet therapy with daratumumab or isatuximab, combined with bortezomib, lenalidomide, and dexamethasone, should be offered as therapy for suitable transplant-ineligible patients. Patients with relapsed or refractory multiple myeloma should be offered triplet therapy or T-cell redirecting therapies according to a set of recommended principles.Additional information is available at www.asco.org/hematologic-malignancies-guidelines.
目的为多发性骨髓瘤的治疗提供最新的指导。方法sasco和安大略省卫生部(安大略省癌症护理)召集了一个联合专家小组,并对文献进行了最新的系统评价。结果更新后的综述共纳入了161项相关的随机试验。最新推荐:达拉单抗治疗可用于高风险阴燃骨髓瘤患者。达拉单抗或isatuximab联合硼替佐米、来那度胺和地塞米松的四联体治疗,应作为移植患者的初始治疗。他们还应至少给予来那度胺维持,联合或不联合达拉单抗、卡非佐米和/或地塞米松。达拉单抗或isatuximab联合硼替佐米、来那度胺和地塞米松的四联体治疗,应作为适合移植不合格患者的治疗方案。复发或难治性多发性骨髓瘤患者应根据一套推荐原则给予三重治疗或t细胞重定向治疗。更多信息请访问www.asco.org/hematologic-malignancies-guidelines。
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引用次数: 0
Music Therapy Versus Cognitive Behavioral Therapy via Telehealth for Anxiety in Cancer Survivors: A Randomized Clinical Trial. 通过远程医疗对癌症幸存者焦虑的音乐治疗与认知行为治疗:一项随机临床试验。
IF 45.3 1区 医学 Q1 ONCOLOGY Pub Date : 2026-01-06 DOI: 10.1200/jco-25-00726
Kevin T Liou,Joke Bradt,M Beatriz Currier,Raymond Baser,Katherine Panageas,Jodi MacLeod,Desiree Walker,Susan Q Li,Ana Maria Lopez,Kelly McConnell,Jun J Mao
PURPOSEAnxiety is prevalent, disruptive, and undertreated among cancer survivors. Cognitive behavioral therapy (CBT) is the first-line treatment, but not all individuals have access, respond to treatment, or prefer this option because of stigma. Music therapy is effective for short-term anxiety reduction, but it is unknown whether it is noninferior to first-line CBT for long-term anxiety reduction.METHODSThis comparative effectiveness trial randomly assigned English- or Spanish-speaking cancer survivors to seven weekly telehealth sessions of music therapy or CBT. The coprimary end points were changes in the Hospital Anxiety and Depression Scale (HADS) anxiety score at weeks 8 and 26. The noninferiority margin was 0.35 standard deviations, informed by a minimal clinically important difference (MCID) of 1.7 points. Secondary outcomes included fatigue, depression, insomnia, pain, cognitive dysfunction, and health-related quality of life.RESULTSAmong N = 300 patients, 74.7% was female, 76.5% was White, and 19.0% was Hispanic. At week 8, the mean change in HADS anxiety score was -3.12 (95% CI, -3.59 to -2.65) in music therapy and -2.97 (95% CI, -3.45 to -2.50) in CBT; the between-group difference was -0.15 (95% CI, -0.78 to 0.49), within the noninferiority margin of 1.20 (P < .001). At week 26, the mean change was -3.31 (95% CI, -3.78 to -2.85) in music therapy and -3.00 (95% CI, -3.47 to -2.53) in CBT; the between-group difference was -0.31 (95% CI, -0.95 to 0.32), within the noninferiority margin of 1.28 (P < .001). Both groups produced anxiety reductions exceeding the MCID and showed similar improvements in secondary outcomes.CONCLUSIONMusic therapy is noninferior to CBT for anxiety in cancer survivors. Both telehealth interventions produced clinically meaningful, durable improvements in anxiety.
目的:焦虑在癌症幸存者中普遍存在,具有破坏性,且治疗不足。认知行为疗法(CBT)是一线治疗方法,但并不是所有人都能获得治疗,对治疗有反应,或者因为耻辱感而选择这种治疗方法。音乐疗法对短期减轻焦虑是有效的,但对于长期减轻焦虑是否优于一线CBT尚不清楚。方法:这项比较有效性的试验随机将英语或西班牙语癌症幸存者分配到每周7次的音乐治疗或CBT远程医疗会议。主要终点是医院焦虑和抑郁量表(HADS)焦虑评分在第8周和第26周的变化。非劣效性裕度为0.35标准差,最小临床重要差异(MCID)为1.7分。次要结局包括疲劳、抑郁、失眠、疼痛、认知功能障碍和健康相关的生活质量。结果300例患者中,女性占74.7%,白人占76.5%,西班牙裔占19.0%。在第8周,音乐治疗组HADS焦虑评分的平均变化为-3.12 (95% CI, -3.59至-2.65),CBT组为-2.97 (95% CI, -3.45至-2.50);组间差异为-0.15 (95% CI, -0.78 ~ 0.49),在1.20的非劣效性范围内(P < 0.001)。在第26周,音乐治疗组的平均变化为-3.31 (95% CI, -3.78至-2.85),CBT组的平均变化为-3.00 (95% CI, -3.47至-2.53);组间差异为-0.31 (95% CI, -0.95 ~ 0.32),在1.28的非劣效性范围内(P < 0.001)。两组的焦虑减少都超过了MCID,次要结果也有类似的改善。结论音乐疗法治疗癌症幸存者焦虑的效果不逊于CBT。这两种远程医疗干预都在临床上产生了有意义的、持久的焦虑改善。
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引用次数: 0
The Power of "I Don't Know". “我不知道”的力量。
IF 45.3 1区 医学 Q1 ONCOLOGY Pub Date : 2026-01-06 DOI: 10.1200/jco-25-02489
Sondos Zayed
A reflection by @SondosZayedMD on the unexpected power of saying "I don't know"-and how honest uncertainty can deepen trust, guide care, and create space for what truly matters in oncology. #JCO @JCO_ASCO.
@SondosZayedMD反思说“我不知道”的意想不到的力量,以及诚实的不确定性如何加深信任,指导护理,并为肿瘤学中真正重要的事情创造空间。# JCO @JCO_ASCO。
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引用次数: 0
Erratum: Successful Outcomes of Newly Diagnosed T Lymphoblastic Lymphoma: Results From Children's Oncology Group AALL0434. 新诊断的T淋巴母细胞淋巴瘤的成功结果:来自儿童肿瘤组AALL0434的结果。
IF 41.9 1区 医学 Q1 ONCOLOGY Pub Date : 2026-01-05 DOI: 10.1200/JCO-25-02779
Robert J Hayashi, Stuart S Winter, Kimberly P Dunsmore, Meenakshi Devidas, Zhiguo Chen, Brent L Wood, Michelle L Hermiston, David T Teachey, Sherrie L Perkins, Rodney R Miles, Elizabeth A Raetz, Mignon L Loh, Naomi J Winick, William L Carroll, Stephen P Hunger, Megan S Lim, Thomas G Gross, Catherine M Bollard
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引用次数: 0
Therapeutic Considerations in Early-Stage, Estrogen Receptor-Positive, BRCA-Associated Breast Cancer. 早期,雌激素受体阳性,brca相关乳腺癌的治疗考虑。
IF 45.3 1区 医学 Q1 ONCOLOGY Pub Date : 2026-01-05 DOI: 10.1200/jco-25-02428
Susan M Domchek
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引用次数: 0
Are You Bereaved? 你失去亲人了吗?
IF 41.9 1区 医学 Q1 ONCOLOGY Pub Date : 2026-01-01 Epub Date: 2025-11-25 DOI: 10.1200/JCO-25-00991
Trisha K Paul
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引用次数: 0
Carboplatin for Premenopausal Triple-Negative Breast Cancer: Time to Rethink the Neoadjuvant Standard? 卡铂治疗绝经前三阴性乳腺癌:是时候重新考虑新辅助标准了?
IF 41.9 1区 医学 Q1 ONCOLOGY Pub Date : 2026-01-01 Epub Date: 2025-11-21 DOI: 10.1200/JCO-25-02336
Rina K Yadav, Kathy D Miller
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引用次数: 0
Erratum: Five-Year Outcomes of the POLARIX Study Comparing Pola-R-CHP and R-CHOP in Patients With Diffuse Large B-Cell Lymphoma. 勘误:POLARIX研究比较弥漫性大b细胞淋巴瘤患者Pola-R-CHP和R-CHOP的5年结果。
IF 41.9 1区 医学 Q1 ONCOLOGY Pub Date : 2026-01-01 Epub Date: 2025-11-20 DOI: 10.1200/JCO-25-02667
Franck Morschhauser, Gilles Salles, Laurie H Sehn, Alex F Herrera, Jonathan W Friedberg, Marek Trněný, Georg Lenz, Jeff P Sharman, Charles Herbaux, John M Burke, Matthew Matasar, Graham P Collins, Neha Mehta-Shah, Lucie Oberic, Adrien Chauchet, Wojciech Jurczak, Yuqin Song, Antonio Pinto, Shinya Rai, Koji Izutsu, Richard Greil, Larysa Mykhalska, Juan M Bergua-Burgués, Matthew C Cheung, Ho-Jin Shin, Greg Hapgood, Eduardo Munhoz, Pau Abrisqueta, Jyh-Pyng Gau, Yanwen Jiang, Bruce McCall, Saibah Chohan, Matthew Sugidono, Mark Yan, Connie Lee Batlevi, Hervé Tilly, Christopher R Flowers
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引用次数: 0
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Journal of Clinical Oncology
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