研究目的:探讨人类表皮生长因子受体2(HER-2)的高表达与结直肠癌患者术后生存期的关系。创新要点:采用meta分析的方法,精确地探讨HER-2高表达与结直肠癌患者生存期的关系,解决不同研究产生不同结论的矛盾。研究方法:系统收集近20年来所有与HER-2表达和结直肠癌生存期关系相关文献,提取数据并计算与癌症或总体生存时间对应的危险比及其95%可信区间。重要结论:HER-2高表达可能与结直肠癌患者术后生存时间无关(见图2)。
Objective: Numerous studies examining the relationship between human epidermal growth factor receptor 2 (HER-2) overexpression and survival in patients with colorectal cancer (CRC) have yielded controversial results. We therefore performed a meta-analysis more precisely to estimate its prognostic value. Methods: Published studies investigating the effect of HER-2 overexpression on CRC survival were identified; the hazard ratios (HRs) and their corresponding 95% confidence intervals (95% Cls) were pooled in terms of disease-specific or overall survival. Results Eleven studies were included in the meta-analysis. The pooled data showed that HER-2 overexpression was negatively related to CRC survival (HR=1.10, 95% CI: 0.77-1.44). Subgroup analyses regarding test method and study quality also demonstrated little association between HER-2 overexpression and CRC survival (HR=0.89, 95% CI: 0.50-1.29; HR=0.90, 95% Ch 0.43-1.37, respectively), Conclusions: Regardless of several limitations, our study suggested that HER-2 overexpression probably had little impact on CRC survival.