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  1. 20 医学系研究科・医学部
  2. 20A 学術誌論文
  3. 20A1 雑誌掲載論文

Prognostic significance of early changes in serum biomarker levels in patients with newly diagnosed metastatic prostate cancer

http://hdl.handle.net/10295/00006285
http://hdl.handle.net/10295/00006285
b61415dc-727e-469c-8053-73988ce86ee7
名前 / ファイル ライセンス アクション
iA_2022_111.pdf iA_2022_111.pdf (1.9 MB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2023-02-25
タイトル
タイトル Prognostic significance of early changes in serum biomarker levels in patients with newly diagnosed metastatic prostate cancer
言語 en
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
作成者 Narita, Shintaro

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Nomura, Kyoko

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Hatakeyama, Shingo

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Takahashi, Masahiro

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Sakurai, Toshihiko

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Kawamura, Sadafumi

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Hoshi, Senji

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Ishida, Masanori

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Kawaguchi, Toshiaki

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Ishidoya, Shigeto

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Shimoda, Jiro

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Sato, Hiromi

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Mitsuzuka, Koji

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Tochigi, Tatsuo

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Tsuchiya, Norihiko

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Ohyama, Chikara

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Arai, Yoichi

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Nagashima, Kengo

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Habuchi, Tomonori

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内容記述
内容記述タイプ Abstract
内容記述 We evaluated the impact of early changes in serum biomarker levels on the survival of patients with metastatic hormone-sensitive prostate cancer (mHSPC) who were initially treated with androgen deprivation therapy (ADT). We retrospectively investigated 330 patients with mHSPC whose serum maker levels were at baseline and at 2-4 months. An optimal Cox regression model was established with the highest optimism-corrected concordance index based on 10-fold cross-validation. The median cancer-specific survival (CSS) and overall survival (OS) were 7.08 and 6.47 years (median follow-up, 2.53 years), respectively. In the final optimal Cox model with serum biomarker levels treated as time-varying covariates, prostate-specific antigen (PSA), hemoglobin (Hb), and alkaline phosphatase (ALP) significantly increased the risk of poor survival in the context of both CSS and OS. Kaplan-Meier curves stratified by the three risk factors of high PSA, low Hb and high ALP desmondtated that median OS were not reached with none of these factors, 6.47 years with one or two factors, and 1.76 years with all three factors. Early changes in serum biomarker levels after ADT may be good prognostic markers for the survival of patients with mHSPC.
言語 en
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
書誌情報 en : SCIENTIFIC REPORTS

巻 9, 発行日 2019
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 2045-2322
出版者
出版者 Nature Research
言語 en
関連情報
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.1038/s41598-019-48600-8
権利情報
権利情報 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. © The Author(s) 2019
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