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Zheng GZ, Chang B, Lin FX, Xie D, Hu QX, Yu GY, Du SX, Li XD. Meta-analysis comparing denosumab and zoledronic acid for treatment of bone metastases in patients with advanced solid tumours. Eur J Cancer Care (Engl) 2017; 26:e12541. [PMID: 27430483 DOI: 10.1111/ecc.12541] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/10/2016] [Indexed: 02/05/2023]
Abstract
The purpose of this meta-analysis was to evaluate the efficacy of denosumab, compared with zoledronic acid (ZA), in delaying skeletal-related events (SREs) and enhancing overall survival in patients with advanced solid tumours and bone metastases. A systematic literature search of several electronic databases, including PubMed, Medline, Embase, the Cochrane Library, CKNI and Web of Science with Conference Proceedings, was performed. Only randomised controlled trials assessing denosumab in comparison with ZA, in patients with advanced solid tumours and metastatic-stage disease, were included. The primary outcome was the time to first SRE. The risk of developing subsequent on-study SREs and overall survival were also evaluated. Three randomised controlled trials with a total of 5,544 patients with advanced solid tumours and bone metastases were included in the meta-analysis. There were 2,776 patients treated with denosumab and 2,768 treated with ZA. The pooled analysis showed that denosumab was superior to ZA in delaying time to first on-study SRE (odds ratio [OR]: 0.82; 95% CI: 0.75-0.89, p < 0.0001) and multiple SREs (risk ratio: 0.81; 95% CI: 0.74-0.88, p < 0.0001). However, no significant difference was found in overall survival improvement between denosumab and ZA (OR: 1.02; 95% CI: 0.91-1.15, p = 0.71). This meta-analysis indicates that denosumab is superior to ZA in delaying SREs for patients with bone metastases. No significant difference was observed between denosumab and ZA, regarding overall survival. We support denosumab as a potential novel treatment option for the management of bone metastases in advanced solid tumours.
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Affiliation(s)
- G Z Zheng
- Department of Orthopedics, The First Affiliated Hospital, Shantou University Medical College, Shantou, Guangdong, China
| | - B Chang
- Department of Orthopedics, The First Affiliated Hospital, Shantou University Medical College, Shantou, Guangdong, China
| | - F X Lin
- Department of Orthopedics, The First Affiliated Hospital, Shantou University Medical College, Shantou, Guangdong, China
| | - D Xie
- Department of Orthopedics, The First Affiliated Hospital, Shantou University Medical College, Shantou, Guangdong, China
| | - Q X Hu
- Department of Orthopedics, The First Affiliated Hospital, Shantou University Medical College, Shantou, Guangdong, China
- Department of Orthopedics, The Affiliated Luohu Hospital, Shenzhen University, Shenzhen, Guangdong, China
| | - G Y Yu
- Department of Orthopedics, The First Affiliated Hospital, Shantou University Medical College, Shantou, Guangdong, China
| | - S X Du
- Department of Orthopedics, The First Affiliated Hospital, Shantou University Medical College, Shantou, Guangdong, China
- Department of Orthopedics, The Affiliated Luohu Hospital, Shenzhen University, Shenzhen, Guangdong, China
| | - X D Li
- Department of Orthopedics, The First Affiliated Hospital, Shantou University Medical College, Shantou, Guangdong, China
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Lin FX. [Analysis on distribution of epidemic hemorrhagic fever in different area]. Zhonghua Liu Xing Bing Xue Za Zhi 1989; 10:18-20. [PMID: 2567629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
The data showed that there was acrrelation between EHF and host animals as well as types of natural foci in plains, hills and mountain areas of Tian Tai county. It was clear that the main host animals were R. norvegicus and A. agrarius in plain areas, so there are mixture foci of R. norvegicus and A. agrarius in the above areas. The morbidity of EHF and the positive rate of mouse lung antigen as well as the inapparent infections rate of healthy population were high in plains. As the attitude elevated, it gradually formed a natural focus of R. norvegicus as the main host animal in hills and mountaim areas. The positive rate of the mouse lung antigen diminished sharply. Both the incidence rate of EHF and the inapparent infection rate of healthy population were lower.
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Pindborg JJ, Zheng KH, Kong CR, Lin FX. Pilot survey of oral mucosa in areca (betel) nut chewers on Hainan Island of the People's Republic of China. Community Dent Oral Epidemiol 1984; 12:195-6. [PMID: 6589113 DOI: 10.1111/j.1600-0528.1984.tb01438.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
100 people on Hainan Island were studied for their smoking and chewing habits and the condition of their oral mucosa. Ninety-five percent of the study population chewed areca (betel) nut. In men this habit was supplemented with either smoking cigarettes or water pipe. In two men a small commissural leukoplakia was found. In three women clinical and histologic changes pointed towards oral submucous fibrosis.
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