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JCR 2016
جستجوی مقالات
دوشنبه 27 بهمن 1404
Medical Journal of Islamic Republic of Iran
، جلد ۳۱، شماره ۱، صفحات ۵۱۵-۵۲۰
عنوان فارسی
چکیده فارسی مقاله
کلیدواژههای فارسی مقاله
عنوان انگلیسی
Effectiveness of trastuzumab as adjuvant therapy in patients with early stage breast cancer: A systematic review and meta-analysis
چکیده انگلیسی مقاله
Background: Trastuzumab in combination with chemotherapy has long been established as a standard treatment for HER2-positive patients in early stage breast cancer (BC). The present study aimed at assessing the effectiveness of trastuzumab adjuvant therapy in early stage BC in overall survival (OS) and disease-free survival (DFS). Methods: A systematic review and meta-analysis was performed to evaluate the effectiveness of trastuzumab adjuvant therapy. PubMed, Cochrane library, Scopus, Web of Science, and Embase databases were searched for relevant RCTs from the beginning to February 2017. Quality assessment of studies was conducted using the Cochrane Risk of Bias Tool. The desired outcomes were OS and DFS. Results: A total of 1818 articles were identified first, however, only 11 studies were eligible to be included in this study. Our findings and meta-analysis results revealed that trastuzumab is effective in increasing OS (OS hazard ratio: -0.286 ± 0.049, 95%CI (-0.381, -0.191)) and improving DFS (DFS hazard ratio: -0.419± 0.077, 95%CI (-0.569, -0.269)). The most serious but negligible side effect of trastuzumab is congestive heart failure. Conclusion: Adding trastuzumab as adjuvant therapy in early stages of BC in HER2 positive patients could increase OS and DFS of the patients effectively.
کلیدواژههای انگلیسی مقاله
نویسندگان مقاله
مجید داوری | majid davari
department of pharmacoeconomics and pharmaceutical administration, faculty of pharmacy, tehran university of medical sciences, tehran, iran, amp; pharmaceutical management and economics research center, tehran university of medical sciences, tehran, iran.
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)
بهمن امانی | bahman amani
department of health management and economics, school of public health, tehran university of medical sciences, tehran, iran.
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)
فریبرز مکاریان | fariborz mokarian
breast cancer research center, isfahan university of medical science, isfahan, iran.
سازمان اصلی تایید شده
: دانشگاه اصفهان (Isfahan university)
محسن حسینی | mohsen hoseini
department of biostatistics and epidemiology, school of health, isfahan university of medical sciences, isfahan, iran.
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی اصفهان (Isfahan university of medical sciences)
آرش اکبرزاده | arash akbarzadeh
department of epidemiology and biostatistics, school of public health, tehran univer-sity of medical sciences, tehran, iran.
نسترن حیدرزاده خرم آبادی | nastaran heidarzadeh khoramabadi
department of drug and food control, school of pharmacy, tehran university of medical sciences, tehran, iran.
سازمان اصلی تایید شده
: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)
نشانی اینترنتی
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-1117&slc_lang=en&sid=en
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زبان مقاله منتشر شده
en
موضوعات مقاله منتشر شده
Health Technology Assessment
نوع مقاله منتشر شده
Original Research
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