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1.
Hortic Res ; 8(1): 255, 2021 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-34848682

RESUMO

The marvelously diverse Orchidaceae constitutes the largest family of angiosperms. The genus Cymbidium in Orchidaceae is well known for its unique vegetation, floral morphology, and flower scent traits. Here, a chromosome-scale assembly of the genome of Cymbidium ensifolium (Jianlan) is presented. Comparative genomic analysis showed that C. ensifolium has experienced two whole-genome duplication (WGD) events, the most recent of which was shared by all orchids, while the older event was the τ event shared by most monocots. The results of MADS-box genes analysis provided support for establishing a unique gene model of orchid flower development regulation, and flower shape mutations in C. ensifolium were shown to be associated with the abnormal expression of MADS-box genes. The most abundant floral scent components identified included methyl jasmonate, acacia alcohol and linalool, and the genes involved in the floral scent component network of C. ensifolium were determined. Furthermore, the decreased expression of photosynthesis-antennae and photosynthesis metabolic pathway genes in leaves was shown to result in colorful striped leaves, while the increased expression of MADS-box genes in leaves led to perianth-like leaves. Our results provide fundamental insights into orchid evolution and diversification.

2.
J Genet Genomics ; 2021 Oct 28.
Artigo em Inglês | MEDLINE | ID: mdl-34757038

RESUMO

Melastomataceae have abundant morphological diversity with high economic and ornamental merit in Myrtales. The phylogenetic position of Myrtales is still contested. Here, we report the first chromosome-level genome assembly of Melastoma dodecandrum in Melastomataceae. The assembled genome size was 299.81 Mb with a contig N50 value of 3.00 Mb. Genome evolution analysis indicated that M. dodecandrum, Eucalyptus grandis and Punica granatum were clustered into a clade of Myrtales and formed a sister group with the ancestor of fabids and malvids. We found that M. dodecandrum experienced four whole-genome polyploidization events: the ancient event was shared with most eudicots, one event was shared with Myrtales, and the other two events were unique to M. dodecandrum. Moreover, we identified MADS-box genes and found that the AP1-like genes expanded, and AP3-like genes might have undergone subfunctionalization. We found that the SUAR63-like genes and AG-like genes showed different expression patterns in stamens, which may be associated with heteranthery. In addition, we found that LAZY1-like genes were involved in the negative regulation of stem branching development, which may be related to its creeping features. Our study sheds new light on the evolution of Melastomataceae and Myrtales, which provides a comprehensive genetic resource for future research.

3.
BMC Surg ; 21(1): 399, 2021 Nov 19.
Artigo em Inglês | MEDLINE | ID: mdl-34798854

RESUMO

PURPOSE: The purpose of the current study was to compare the postoperative complications, overall survival and disease-free survival in young and old gastric cancer patients after gastrectomy using propensity score matching (PSM). METHODS: Adult patients (aged ≥ 18 years) who underwent gastrectomy for gastric cancer in a single clinical center from January 2013 to December 2017 were enrolled continuously for retrospective analysis. To minimize the selection bias between the young and old groups, the PSM was conducted in this study. RESULTS: A total of 558 patients were included in this study, with 51 patients in the young group (aged ≤ 45 years) and 507 patients in the old group (aged > 45 years). After 1:1 matching according to PSM, 51 patients in the young group were matched to 51 patients in the old group. After PSM, there was no difference in the baseline information. In terms of short-term outcomes, no difference was found in operation time (P = 0.190), intraoperative blood loss (P = 0.336), retrieved lymph nodes (P = 0.948), blood transfusion (P = 0.339), postoperative hospital stay (P = 0.194), or postoperative complications (P = 0.477) between the two groups. For overall survival, no statistically significant difference was found in all stages (P = 0.383), stage I (P = 0.431), stage II (P = 0.875) or stage III (P = 0.446) gastric cancer. Furthermore, regarding disease-free survival, no differences were found between the two groups in all stages (P = 0.378), stage I (P = 0.431), stage II (P = 0.879) or stage III (P = 0.510) gastric cancer. CONCLUSION: Age might not be an independent prognostic factor for short-term outcomes, OS, or DFS in gastric cancer patients who underwent gastrectomy. The pTNM stage of GC might be an independent prognostic factor for OS and DFS.


Assuntos
Laparoscopia , Neoplasias Gástricas , Gastrectomia , Humanos , Pontuação de Propensão , Estudos Retrospectivos , Neoplasias Gástricas/cirurgia , Resultado do Tratamento
4.
Adv Mater ; : e2108304, 2021 Nov 23.
Artigo em Inglês | MEDLINE | ID: mdl-34816491

RESUMO

Sodium-ion batteries (SIBs) show practical applications in large-scale energy storage systems. But, their power density is limited by the sluggish Na+ diffusion into the cathode and anode materials. Herein, we demonstrate a prototype of ultrahigh power SIB, consisted of the high-rate Na3 V2 (PO4 )3 (NVP) cathode, graphite-type mesocarbon microbeads (MCMB) anode, and Na+ -diglyme electrolyte. It is found that the overpotential of the NVP cathode obeys the Ohmic rule. Thus, the as-synthesized NVP@C@CNTs cathode with the high conductive CNTs networks displays high electronic conductivity, reducing the overpotential and charge transfer resistances and leading to the remarkable rate capability over 1000C. For the MCMB anode, the initial [Na-diglyme]+ co-intercalation step is pseudocapacitive dominated, and then the expended graphite's layers ensure the subsequent fast ions diffusion. The rapid (de)intercalation kinetics in between the cathode and anode are well-matched. Thus, the assembled MCMB|1 M NaPF6 in diglyme|NVP@C@CNTs full-cell SIB delivers the energy density of 88 Wh kg-1 at high power density of ∼10 kW kg-1 . Even at the ultrahigh power density of 23 kW kg-1 , an energy density of 58 Wh kg-1 is obtained. The encouraging results of the full cell will promote the development of high-power SIB for large-scale applications in the future. This article is protected by copyright. All rights reserved.

5.
ACS Appl Mater Interfaces ; 13(45): 53818-53828, 2021 Nov 17.
Artigo em Inglês | MEDLINE | ID: mdl-34730928

RESUMO

Despite the high specific capacity of silicon as a promising anode material for the next-generation high-capacity Li-ion batteries (LIBs), its practical applications are impeded by the rapid capacity decay during cycling. To tackle the issue, herein, a binder-grafting strategy is proposed to construct a covalently cross-linked binder [carboxymethyl cellulose/phytic acid (CMC/PA)], which builds a robust branched network with more contact points, allowing stronger bonds with Si nanoparticles by hydrogen bonding. Benefitting from the enhanced mechanical reliability, the resulting Si-CMC/PA electrodes exhibit a high reversible capacity with improved long-term cycling stability. Moreover, an assembled full cell consisting of the as-obtained Si-CMC/PA anode and commercial LiFePO4 cathode also exhibits excellent cycling performance (120.4 mA h g-1 at 1 C for over 100 cycles with 88.4% capacity retention). In situ transmission electron microscopy was employed to visualize the binding effect of CMC/PA, which, unlike the conventional CMC binder, can effectively prevent the lithiated Si anodes from cracking. Furthermore, the combined ex situ microscopy and X-ray photoelectron spectroscopy analysis unveils the origin of the superior Li-ion storage performance of the Si-CMC/PA electrode, which arises from its excellent structural integrity and the stabilized solid-electrolyte interphase films during cycling. This work presents a facile and efficient binder-engineering strategy for significantly improving the performance of Si anodes for next-generation LIBs.

6.
World J Gastrointest Oncol ; 13(9): 1157-1163, 2021 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-34616520

RESUMO

This review summarizes the definition and surgical methods of oncometabolic surgery according to previous studies. Then, the authors discuss the beneficial effects observed after gastrectomy in gastric cancer (GC) patients with concurrent hypertension or type 2 diabetes mellitus (T2DM). The authors summarize the current studies analyzing the remission rate and the hypotheses of the mechanisms underlying these effects. The remission rate ranged from 42.5%-65.4% in T2DM patients and from 11.1%-57.6% among those with hypertension. Furthermore, the remission of T2DM could have an impact on overall survival rates as well. The mechanisms underlying the remission of hypertension and T2DM is unclear in current studies, but oncometabolic surgery is expected to be applied in clinical practice. In addition, the effect of oncometabolic surgery on other chronic metabolic comorbidities is expected to be proven in further studies. Therefore, the purpose of this review is to discuss the effects of oncometabolic surgery reported in current studies with a primary focus on the remission of hypertension and T2DM after gastrectomy in GC patients. The possibility of the remission of other metabolic comorbidities in GC patients who undergo oncometabolic surgery is also discussed.

7.
Nutr Cancer ; : 1-8, 2021 Oct 25.
Artigo em Inglês | MEDLINE | ID: mdl-34693829

RESUMO

The purpose of this meta-analysis was to evaluate the impact of chronic kidney disease on short-term complications and long-term survival in patients with gastric cancer.The PubMed, Embase, and Cochrane Library databases were searched from inception to May 18, 2021. The search strategy focused on two keywords: chronic kidney disease and gastric cancer. Pooled odds ratios, mean differences, and hazard ratios were analyzed. RevMan 5.3 was used for data analysis in this meta-analysis.A total of seven studies including 3,346 patients were included in this meta-analysis. The chronic kidney disease group had a higher proportion of males and older patients, lower albumin levels, higher comorbidity rates, and higher N staging. The chronic kidney disease group had higher rates of overall postoperative complications (OR = 2.05, 95% CI = 1.38 to 3.05, P = 0.0004), more severe postoperative complications (OR = 2.06, 95% CI = 1.59 to 2.66, P < 0.00001), and higher rates of cardiovascular-related complications, anastomotic leakage, pneumonia, wound infections, pancreatic-related diseases and short-term death. Furthermore, the chronic kidney disease group had poorer overall survival than the nonchronic kidney disease group (HR = 2.89, 95% CI = 2.20 to 3.80, P < 0.00001).Preexisting chronic kidney disease was associated with higher complications and poorer overall survival following gastrectomy in patients with gastric cancer.

8.
Materials (Basel) ; 14(20)2021 Oct 19.
Artigo em Inglês | MEDLINE | ID: mdl-34683818

RESUMO

The effects of three pyridine derivative additives, 4-hydroxypyridine, 4-picolinic acid, and 4-cyanopyridine, on Al-Mn coatings were investigated in 1-ethyl-3-methylimidazolium chloride-AlCl3-MnCl2 (EMIC-AlCl3-MnCl2) ionic liquids. The smooth mirror-like bright Al-Mn coatings were obtained only in the EMIC-AlCl3-MnCl2 ionic liquids containing 4-cyanopyridine, while the matte Al-Mn coatings were electrodeposited from EMIC-AlCl3-MnCl2 without additives or containing either 4-hydroxypyridine or 4-picolinic acid. The scanning electron microscope and X-ray diffraction showed that the bright Al-Mn coatings consisted of nanocrystals and had a strong (200) preferential orientation, while the particle size of matte Al-Mn coatings were within the micron range. The brightening mechanism of 4-cyanopyridine is due to it being adsorbed onto the cathode to produce the combined effect of (1) generating an overpotential to promote Al-Mn nucleation; (2) inhibiting the growth of the deposited nuclei and enabling them grow preferentially, making the coating composed of nanocrystals and with a smooth surface. The brightening effect of 4-cyanopyridine on the Al-Mn coatings was far better than that of the 4-hydroxypyridine and the 4-picolinic acid. In addition, the bright Al-Mn coating was prepared in a bath with 6 mmol·L-1 4-cyanopyridine and displayed superior corrosion resistance relative to the matte coatings, which could be attributed to its unique nanocrystalline structure that increased the number of grain boundaries and accelerated the formation of the protective layer of the corrosion products.

9.
Nanomicro Lett ; 13(1): 205, 2021 Oct 11.
Artigo em Inglês | MEDLINE | ID: mdl-34633586

RESUMO

There are plenty of issues need to be solved before the practical application of Li- and Mn-rich cathodes, including the detrimental voltage decay and mediocre rate capability, etc. Element doping can effectively solve the above problems, but cause the loss of capacity. The introduction of appropriate defects can compensate the capacity loss; however, it will lead to structural mismatch and stress accumulation. Herein, a three-in-one method that combines cation-polyanion co-doping, defect construction, and stress engineering is proposed. The co-doped Na+/SO42- can stabilize the layer framework and enhance the capacity and voltage stability. The induced defects would activate more reaction sites and promote the electrochemical performance. Meanwhile, the unique alternately distributed defect bands and crystal bands structure can alleviate the stress accumulation caused by changes of cell parameters upon cycling. Consequently, the modified sample retains a capacity of 273 mAh g-1 with a high-capacity retention of 94.1% after 100 cycles at 0.2 C, and 152 mAh g-1 after 1000 cycles at 2 C, the corresponding voltage attenuation is less than 0.907 mV per cycle.

10.
Front Oncol ; 11: 715040, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34504793

RESUMO

Purpose: The purpose of the current meta-analysis is to analyze whether extended intraoperative peritoneal lavage (EIPL) can bring benefit on short-term outcomes or survival for patients undergoing curative gastrectomy for gastric cancer. Methods: The PubMed, Embase, and Cochrane Library databases were searched from inception to May 3, 2021, to find eligible studies. Postoperative complications, overall survival (OS), disease-free survival (DFS), and peritoneal recurrence-free survival (PRFS) were compared between EIPL group and No EIPL group. Results: A total of five randomized controlled trials with 1,790 patients were included in the current meta-analysis. No difference was found in baseline information (p > 0.05). After pooling up the data of overall postoperative complications, no significant difference was found between EIPL group and No EIPL group (OR = 0.88, 95% CI = 0.51 to 1.53, P = 0.65). Furthermore, there was no significant difference between EIPL group and No EIPL group in terms of OS (HR = 0.77, 95% CI = 0.36 to 1.64, P = 0.49), DFS (HR = 0.97, 95% CI = 0.71 to 1.33, P = 0.87), and PRFS (HR = 1.03, 95% CI = 0.74 to 1.43, P = 0.86). In terms of subgroup analysis of OS, no significant difference was found as well (HR = 1.05, 95% CI = 0.82 to 1.34, P = 0.69). Conclusions: EIPL did not bring benefit in terms of short-term outcomes or survival. Therefore, EIPL is not recommended for patients undergoing curative gastrectomy for gastric cancer.

11.
J Therm Biol ; 100: 103033, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34503778

RESUMO

The objective of this study was to explore the responses of beef calves to long-term heat stress (HS) exposure at various levels in comparison with the animals under thermoneutral conditions by evaluating growth performance, physiological, blood, and behavioural parameters. Data were collected from sixteen beef calves (BW: 136.9 ± 6.23 kg; age: 169.6 ± 4.60 d) kept at four stress levels of designated temperature humidity index (THI): threshold (22-24 °C, 60%; THI = 70 to 73), mild (26-28 °C, 60%; THI = 74 to 76), moderate (29-31 °C, 80%; THI = 81 to 83), and severe (32-34 °C, 80%; THI = 89 to 91) stress levels in climatic controlled chambers. Feed and water intake were recorded daily, and body weight was measured once a week. Blood was sampled every three days to analyse metabolite parameters. Dry matter intake (DMI) (p = 0.069, tendency) and blood glucose levels (p = 0.028) were decreased after sudden exposure to HS conditions (severe THI levels). Also, blood cortisol (p = 0.002), glutamic-oxaloacetic transaminase (GOT) (p = 0.009), blood urea nitrogen (BUN) (p = 0.004) and standing time (p = 0.009) were increased in moderate and severe THI levels compared with threshold after exposure to HS conditions. However, in the severe THI group, blood cortisol (p < 0.05), glucose (p < 0.05), GOT (p < 0.05) and BUN (p < 0.05) levels were returned to normal range after 6-13 days of continuous HS exposure. In conclusion, DMI, blood cortisol, GOT, glucose, BUN, and standing time were closely associated with long-term HS condition in beef calves. In addition, calves exposed to HS modulated their physiological responses that resulted in the regulation of the pertinent blood metabolites in the blood to maintain homeostasis during the long-term HS.

12.
Mol Med Rep ; 24(5)2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34515326

RESUMO

Stroke is one of the main causes of disease­related mortality worldwide. Buyang Huanwu Decoction (BHD) has been used to protect against stroke and stroke­induced disability for several years in China. Studies have shown that BHD can relieve neuronal damage in rats with cerebral ischemia/reperfusion (I/R) injury. However, the mechanism remains unclear. A middle cerebral artery occlusion and reperfusion (MCAO­R) model was used in the present study. The animals were treated with BHD (5, 10 and 20 g/kg) or rapamycin. Infarct size and modified neurological severity score were calculated on day 5 following MCAO­R surgery. Cellular changes around the ischemic penumbra were revealed by hematoxylin and eosin and Nissl staining. The protein expression levels of nestin, brain­derived neurotrophic factor (BDNF), doublecortin on the X chromosome (DCX) and autophagy­related proteins (beclin 1, LC3­II and p62) in the peri­ischemic area of the brain were detected. The results demonstrated that post­surgical treatment with BHD reduced the brain infarct size and improved neurological deficits in MCAO­R rats. BHD protected against MCAO­R­induced neuronal impairment and promoted neurogenesis, increased the protein expression of nestin, BDNF and DCX and markedly enhanced autophagy by increasing beclin 1 and LC3­II and decreasing p62. Meanwhile, BHD promoted the expression of sirtuin 1 (SIRT1), an important regulator of autophagy. In conclusion, the present study suggested that post­surgical treatment with BHD could protect rat brains from I/R injury, potentially through the SIRT1/autophagy pathway.

13.
Front Pharmacol ; 12: 700587, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34366852

RESUMO

With an increase in aging populations worldwide, age-related diseases such as Alzheimer's disease (AD) have become a global concern. At present, a cure for neurodegenerative disease is lacking. There is an urgent need for a biomarker that can facilitate the diagnosis, classification, prognosis, and treatment response of AD. The recent emergence of highly sensitive mass-spectrometry platforms and high-throughput technology can be employed to discover and catalog vast datasets of small metabolites, which respond to changed status in the body. Metabolomics analysis provides hope for a better understanding of AD as well as the subsequent identification and analysis of metabolites. Here, we review the state-of-the-art emerging candidate biomarkers for AD.

14.
Adv Mater ; 33(38): e2103173, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34337804

RESUMO

Li-rich Mn-based cathode materials (LRMs) are potential cathode materials for high energy density lithium-ion batteries. However, low initial Coulombic efficiency (ICE) severely hinders the commercialization of LRM. Herein, a facile oleic acid-assisted interface engineering is put forward to precisely control the ICE, enhance reversible capacity and rate performance of LRM effectively. As a result, the ICE of LRM can be precisely adjusted from 84.1% to 100.7%, and a very high specific capacity of 330 mAh g-1 at 0.1 C, as well as outstanding rate capability with a fascinating specific capacity of 250 mAh g-1 at 5 C, are harvested. Theoretical calculations reveal that the introduced cation/anion double defects can reduce the diffusion barrier of Li+ ions, and in situ surface reconstruction layer can induce a self-built-in electric field to stabilize the surface lattice oxygen. Moreover, this facile interface engineering is universal and can enhance the ICEs of other kinds of LRM effectively. This work provides a valuable new idea for improving the comprehensive electrochemical performance of LRM through multistrategy collaborative interface engineering technology.

15.
J Cell Mol Med ; 25(17): 8148-8158, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34378314

RESUMO

Papillary thyroid carcinoma (PTC), accounting for approximately 85% cases of thyroid cancer, is a common endocrine tumour with a relatively low mortality but an alarmingly high rate of recurrence or persistence. Long non-coding RNAs (lncRNAs) is emerging as a critical player modulating diverse cellular mechanisms correlated with the progression of various cancers, including PTC. Herein, we aimed to investigate the role of lncRNA SLC26A4-AS1 in regulating autophagy and tumour growth during PTC progression. Initially, ITPR1 was identified by bioinformatics analysis as a differentially expressed gene. Then, Western blot and RT-qPCR were conducted to determine the expression of ITPR1 and SLC26A4-AS1 in PTC tissues and cells, both of which were found to be poorly expressed in PTC tissues and cells. Then, we constructed ITPR1-overexpressing cells and revealed that ITPR1 overexpression could trigger the autophagy of PTC cells. Further, we performed a series of gain- and loss-of function experiments. The results suggested that silencing of SLC26A4-AS1 led to declined ITPR1 level, up-regulation of ETS1 promoted ITPR1 expression, and either ETS1 knockdown or autophagy inhibitor Bafilomycin A1 could mitigate the promoting effects of SLC26A4-AS1 overexpression on PTC cell autophagy. In vivo experiments also revealed that SLC26A4-AS1 overexpression suppressed PTC tumour growth. In conclusion, our study elucidated that SLC26A4-AS1 overexpression promoted ITPR1 expression through recruiting ETS1 and thereby promotes autophagy, alleviating PTC progression. These finding provides insight into novel target therapy for the clinical treatment of PTC.

16.
Front Oncol ; 11: 694997, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34295822

RESUMO

Purpose: The purpose of the current study was to evaluate the impact of colorectal cancer (CRC) surgery on type 2 diabetes mellitus (T2DM) and to analyze the change in T2DM on overall survival after CRC surgery. Methods: Patients who underwent CRC surgery were retrospectively enrolled from January 2013 to December 2019. The status of T2DM pre- and 1-year after CRC surgery was recorded, and predictive factors for T2DM remission and overall survival were analyzed. Results: A total of 296 patients were included in this study. Thirty-eight patients experienced remission of T2DM 1 year after CRC surgery, and the remission rate was 12.8%. Weight loss was significantly higher in the T2DM remission group (p = 0.038), and the T2DM duration was significantly shorter in the T2DM remission group (p = 0.015). In the multivariate logistic regression analysis, higher weight loss (p = 0.046, odds ratio = 1.060, 95% CI = 1.001-1.122) and shorter T2DM duration (p = 0.019, odds ratio = 1007, 95% CI = 1.001-1.014) were predictive factors for remission of T2DM. Furthermore, in multivariate Cox regression analysis, lower TNM stage (p = 0.000, odds ratio = 2.147, 95% CI = 1.474-3.128) and T2DM remission (p = 0.033, odds ratio = 2.999, 95% CI = 1.091-8.243) were the predictive factors for better overall survival. Conclusion: Patients with concurrent CRC and T2DM had a 12.8% remission 1 year after CRC surgery. Higher weight loss and shorter T2DM duration contributed to T2DM remission, and patients with T2DM remission could improve in terms of their overall survival.

17.
Nanomicro Lett ; 13(1): 55, 2021 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-34138220

RESUMO

High-performance and low-cost sodium-ion capacitors (SICs) show tremendous potential applications in public transport and grid energy storage. However, conventional SICs are limited by the low specific capacity, poor rate capability, and low initial coulombic efficiency (ICE) of anode materials. Herein, we report layered iron vanadate (Fe5V15O39 (OH)9·9H2O) ultrathin nanosheets with a thickness of ~ 2.2 nm (FeVO UNSs) as a novel anode for rapid and reversible sodium-ion storage. According to in situ synchrotron X-ray diffractions and electrochemical analysis, the storage mechanism of FeVO UNSs anode is Na+ intercalation pseudocapacitance under a safe potential window. The FeVO UNSs anode delivers high ICE (93.86%), high reversible capacity (292 mAh g-1), excellent cycling stability, and remarkable rate capability. Furthermore, a pseudocapacitor-battery hybrid SIC (PBH-SIC) consisting of pseudocapacitor-type FeVO UNSs anode and battery-type Na3(VO)2(PO4)2F cathode is assembled with the elimination of presodiation treatments. The PBH-SIC involves faradaic reaction on both cathode and anode materials, delivering a high energy density of 126 Wh kg-1 at 91 W kg-1, a high power density of 7.6 kW kg-1 with an energy density of 43 Wh kg-1, and 9000 stable cycles. The tunable vanadate materials with high-performance Na+ intercalation pseudocapacitance provide a direction for developing next-generation high-energy capacitors.

18.
World J Surg Oncol ; 19(1): 167, 2021 Jun 09.
Artigo em Inglês | MEDLINE | ID: mdl-34107967

RESUMO

PURPOSE: The purpose of this meta-analysis was to evaluate the effect of liver cirrhosis (LC) on the short-term and long-term surgical outcomes of colorectal cancer (CRC). METHODS: The PubMed, Embase, and Cochrane Library databases were searched from inception to March 23, 2021. The Newcastle-Ottawa Scale (NOS) was used to assess the quality of enrolled studies, and RevMan 5.3 was used for data analysis in this meta-analysis. The registration ID of this current meta-analysis on PROSPERO is CRD42021238042. RESULTS: In total, five studies with 2485 patients were included in this meta-analysis. For the baseline information, no significant differences in age, sex, tumor location, or tumor T staging were noted. Regarding short-term outcomes, the cirrhotic group had more major complications (OR=5.15, 95% CI=1.62 to 16.37, p=0.005), a higher re-operation rate (OR=2.04, 95% CI=1.07 to 3.88, p=0.03), and a higher short-term mortality rate (OR=2.85, 95% CI=1.93 to 4.20, p<0.00001) than the non-cirrhotic group. However, no significant differences in minor complications (OR=1.54, 95% CI=0.78 to 3.02, p=0.21) or the rate of intensive care unit (ICU) admission (OR=0.76, 95% CI=0.10 to 5.99, p=0.80) were noted between the two groups. Moreover, the non-cirrhotic group exhibited a longer survival time than the cirrhotic group (HR=2.96, 95% CI=2.28 to 3.85, p<0.00001). CONCLUSION: Preexisting LC was associated with an increased postoperative major complication rate, a higher rate of re-operation, a higher short-term mortality rate, and poor overall survival following CRC surgery.


Assuntos
Neoplasias Colorretais , Procedimentos Cirúrgicos do Sistema Digestório , Neoplasias Colorretais/cirurgia , Humanos , Cirrose Hepática/complicações , Prognóstico , Resultado do Tratamento
20.
Biomed Res Int ; 2021: 5541613, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33997003

RESUMO

Purpose: The purpose of the current meta-analysis was to evaluate whether multidisciplinary team improved overall survival of colorectal cancer. Methods: PubMed, EMBASE, and Cochrane Library database were searched from inception to October 25, 2020. The hazard ratio (HR) and 95% confidence (CI) of overall survival (OS) were calculated. Results: A total of 11 studies with 30814 patients were included in this meta-analysis. After pooling the HRs, the MDT group was associated with better OS compared with the non-MDT group (HR = 0.81, 95% CI 0.69-0.94, p = 0.005). In subgroup analysis of stage IV colorectal cancer, the MDT group was associated with better OS as well (HR = 0.73, 95% CI 0.59-0.90, p = 0.004). However, in terms of postoperative mortality, no significant difference was found between MDT and non-MDT groups (OR = 0.84, 95% CI 0.44-1.61, p = 0.60). Conclusion: MDT could improve OS of colorectal cancer patients.


Assuntos
Neoplasias Colorretais/mortalidade , Neoplasias Colorretais/terapia , Equipe de Assistência ao Paciente/estatística & dados numéricos , Feminino , Humanos , Masculino , Análise de Sobrevida
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