原创力文档regional intra-arterial vs. systemic chemotherapy for advanced pancreatic cancer a systematic review and meta-analysis of randomized controlled trials区域动脉内的与全身化疗晚期胰腺癌随机对照试验的系统性回顾和荟萃分析.pdfVIP
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regional intra-arterial vs. systemic chemotherapy for advanced pancreatic cancer a systematic review and meta-analysis of randomized controlled trials区域动脉内的与全身化疗晚期胰腺癌随机对照试验的系统性回顾和荟萃分析
Regional Intra-Arterial vs. Systemic Chemotherapy for
Advanced Pancreatic Cancer: A Systematic Review and
Meta-Analysis of Randomized Controlled Trials
. .
Fenghua Liu , Yong Tang , Junwei Sun, Zhanna Yuan, Shasha Li, Jun Sheng, He Ren, Jihui Hao*
Department of Pancreatic Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China
Abstract
Objective: To investigate the efficacy and safety of regional intra-arterial chemotherapy (RIAC) versus systemic
chemotherapy for stage III/IV pancreatic cancer.
Methods: Randomized controlled trials of patients with advanced pancreatic cancer treated by regional intra-arterial or
systemic chemotherapy were identified using PubMed, ISI, EMBASE, Cochrane Library, Google, Chinese Scientific Journals
Database (VIP), and China National Knowledge Infrastructure (CNKI) electronic databases, for all publications dated between
1960 and December 31, 2010. Data was independently extracted by two reviewers. Odds ratios and relative risks were
pooled using either fixed- or random-effects models, depending on I2 statistic and Q test assessments of heterogeneity.
Statistical analysis was performed using RevMan 5.0.
Results: Six randomized controlled trials comprised of 298 patients met the standards for inclusion in the meta-analysis,
among 492 articles that were identified. Eight patients achieved complete remission (CR) with regional intra-arterial
chemotherapy (RIAC), whereas no patients achieved CR with systemic chemotherapy. Compared with systemic
chemotherapy, patients receiving RIAC had superior partial remissions (RR = 1.99, 95% CI: 1.50, 2.65; 58.06% with RIAC
and 29.
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