Prognostic Value of Mismatch Repair Genes for Patients With Colorectal Cancer: Meta-Analysis
Autor: | Weiling He, Li-zhen Chen, Ding-jun Zhang, Bin Chen, Jiang-tao Hou, Li-na Zhao, Dong-yong Lv, Pei-ru Li, Hui-biao Li, Xinlin Chen |
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Rok vydání: | 2018 |
Předmět: |
0301 basic medicine
Oncology Adult Male DNA mismatch repair (MMR) Cancer Research medicine.medical_specialty disease-free survival Colorectal cancer overall survival Subgroup analysis colorectal cancer DNA Mismatch Repair 03 medical and health sciences Young Adult 0302 clinical medicine Internal medicine medicine Overall survival Humans Aged Aged 80 and over business.industry Hazard ratio Middle Aged medicine.disease Prognosis Confidence interval Neoplasm Proteins meta-analysis 030104 developmental biology 030220 oncology & carcinogenesis Meta-analysis MISMATCH REPAIR DEFICIENCY DNA mismatch repair Female Original Article business Colorectal Neoplasms |
Zdroj: | Technology in Cancer Research & Treatment |
ISSN: | 1533-0338 |
Popis: | DNA mismatch repair was proposed to play a pivotal role in the development and prognosis of colorectal cancer. However, the prognostic value of mismatch repair on colorectal cancer is still unknown. The PubMed, EMBASE, and Cochrane Central Register of Controlled Trials databases were searched. The articles about mismatch repair (including hMLH1, hMSH2, hMSH3, hMSH6, hPMSH1, and hPMSH2) deficiency for the prognosis of patients with colorectal cancer were included in the study. The hazard ratio and its 95% confidence interval were used to measure the impact of mismatch repair deficiency on survival time. Twenty-one articles were included. The combined hazard ratio for mismatch repair deficiency on overall survival was 0.59 (95% confidence interval: 0.50-0.69) and that on disease-free survival was 0.57 (95% confidence interval: 0.43-0.75). In subgroup analysis, there were a significant association between overall survival and mismatch repair deficiency in Asian studies (hazard ratio: 0.67; 95% confidence interval: 0.50-0.91) and Western studies (hazard ratio: 0.56; 95% confidence interval: 0.46-0.67). For disease-free survival, the hazard ratios in Asian studies and Western studies were 0.55 (95% confidence interval: 0.38-0.81) and 0.62 (95% confidence interval: 0.50-0.78), respectively. Our meta-analysis indicated that mismatch repair could be used to evaluate the prognosis of patients with colorectal cancer. |
Databáze: | OpenAIRE |
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