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- Title
Lymphatic vessel density as a prognostic indicator in Asian NSCLC patients: a meta-analysis.
- Authors
Xu, Shuanglan; Yang, Jiao; Xu, Shuangyan; Zhu, Yun; Zhang, Chunfang; Liu, Liqiong; Liu, Hao; Dong, Yunlong; Teng, Zhaowei; Xing, Xiqian
- Abstract
<bold>Background: </bold>To determine the association of lymphatic vessel density (LVD) with the prognosis of Asian non-small cell lung cancer (NSCLC) patients via a meta-analysis.<bold>Methods: </bold>Eligible studies were selected by searching PubMed and EMBASE from inception to July 25, 2017. The reference lists of the retrieved articles were also consulted. The information was independently screened by two authors. When heterogeneity was significant, a random-effects model was used to determine overall pooled risk estimates.<bold>Results: </bold>A total of 15 studies with 1075 patients were finally included in the meta-analysis. LVD was positively associated with the prognosis of NSCLC in the overall analysis (hazard ratio (HR) 1.14, 95% confidence interval (95% CI): 1.02-1.27, p = 0.000, I2 = 73.2%). Subgroup analyses were performed on 5 VEGFR-3 groups (p = 0.709, I2 = 0.0%), 3 LYVE-1 groups (p = 0.01, I2 = 86.4%), 5 D2-40 groups (p = 0.019, I2 = 66.2%), and 2 podoplanin groups (p = 0.094, I2 = 64.5%). Sensitivity analysis indicated robust results. There was no publication bias.<bold>Conclusions: </bold>LVD is an indicator of poor prognosis in Asian NSCLC patients.
- Subjects
NON-small-cell lung carcinoma; LYMPHATIC physiology; META-analysis; RANDOM effects model; HETEROGENEITY; PROGNOSIS; LUNG cancer diagnosis; ASIANS; COMPARATIVE studies; LUNG cancer; LUNG tumors; LYMPHATICS; RESEARCH methodology; MEDICAL cooperation; METASTASIS; RESEARCH; TUMOR classification; EVALUATION research; PROPORTIONAL hazards models; DIAGNOSIS
- Publication
BMC Pulmonary Medicine, 2018, Vol 18, Issue 1, pN.PAG
- ISSN
1471-2466
- Publication type
journal article
- DOI
10.1186/s12890-018-0702-9