Assessing the Relationship Between Liver Metastases and the Survival of Patients With Non-Small Cell Lung Cancer After Immune Checkpoint Inhibitors Treatment: A Systematic Review and Meta-Analysis

Autor: Huilin Xu MM, Pingpo Ming MD, Zhenyu Zhao MM, Nan Zhao MM, Dingjie Zhou MM, Xixian Tang MM, Dedong Cao MD, PhD
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Integrative Cancer Therapies, Vol 22 (2023)
Druh dokumentu: article
ISSN: 1552-695X
15347354
DOI: 10.1177/15347354231164584
Popis: Objective: It is not well determined whether liver metastasis is a prognostic factor for survival of metastatic non-small cell lung cancer (NSCLC) patients who received immune checkpoint inhibitors (ICIs). We compared the efficacy of ICIs in patients with NSCLC with or without liver metastases, aiming to evaluate the impact of liver metastasis on survival of NSCLC. Methods: We systematically searched Pubmed, Embase, and the Cochrane library databases for randomized controlled trials (RCTs) on the efficacy of ICIs in the treatment of NSCLC patients with or without liver metastases. The duration of this search was from January 1, 2000 to June 1, 2022. The reviewers screened the literature, extracted data and conducted quality assessment, and used RevMan 5.4 software and Stata 14 to perform analyses. Results: A total of 17 RCTs were included, published from 2019 to 2022. For NSCLC patients with liver metastases, the risk of disease progression decreased by 36% (HR = 0.64; 95% CI: 0.55-0.75; P
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