首页   按字顺浏览 期刊浏览 卷期浏览 Impact of the fibrinolytic enzyme system on prognosis and survival associated with non-...
Impact of the fibrinolytic enzyme system on prognosis and survival associated with non-small cell lung carcinoma

 

作者: S. Pavey,   G. Hawson,   N. Marsh,  

 

期刊: Blood Coagulation and Fibrinolysis  (OVID Available online 2001)
卷期: Volume 12, issue 1  

页码: 51-58

 

ISSN:0957-5235

 

年代: 2001

 

出版商: OVID

 

关键词: fibrinolysis;plasma fibrinogen;non-small cell lung cancer;survival;prognosis

 

数据来源: OVID

 

摘要:

Comprehensive studies of fibrinolysis in non-small cell lung carcinoma have been limited, and assignment of patients to high/low prognosis groups based on arbitrary cut-offs utilizing fibrinolytic measurements is unstandardized. This study was performed in 166 patients to examine the effects of cut-off values determined in three ways. Model 1 assigned patients to one of three equal groups (low, medium, high) based on fibrinolytic measurements made at diagnosis, Model 2 divided patients into low/high groups using median values, and Model 3 grouped according to the parameter being above/below normal range. In model 1, raised plasma fibrinogen, D-dimer and soluble fibrin were positively associated with poorer survival. In model 2, tissue plasminogen activator antigen was additionally related to poorer prognosis. Model 3 identified seven parameters as significantly related to survival, two not identified by the other models becoming significant [plasmin–antiplasmin, tissue plasminogen activator inhibitor-1 (PAI-1) antigen]. Using multivariate analysis, plasma fibrinogen level was the most uniformly significant parameter. Relative risk estimates indicated that raised plasma fibrinogen, soluble fibrin and D-dimer were associated with increased risk of death. Use of the normal/above normal cut-off is recommended to provide the maximum number of significant parameters relating to prognosis, and increased plasma D-dimer, PAI-1 antigen and fibrinogen were most closely related to survival/prognosis.

 

点击下载:  PDF (142KB)



返 回