1. Connective Tissue Growth Factor in Digestive System Cancers: A Review and Meta-Analysis.
- Author
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Zhao, Feng, Li, Chan, Wu, Yun, Xia, Jianling, Zeng, Ming, Li, Tao, and Xie, Ke
- Subjects
CONFIDENCE intervals ,GENE expression ,INFORMATION storage & retrieval systems ,MEDICAL databases ,EVALUATION of medical care ,MEDLINE ,META-analysis ,ONLINE information services ,SYSTEMATIC reviews ,CONNECTIVE tissue growth factor ,DATA analysis software ,DESCRIPTIVE statistics - Abstract
Aim. A meta-analysis was conducted to estimate the impact of connective tissue growth factor (CTGF) on outcomes in patients with digestive system cancers. Methods. A systemic literature survey was performed by searching the Cochrane Library and PubMed databases for articles that evaluated the impact of CTGF on outcomes in patients with digestive system cancers. Hazard ratios and 95% confidence intervals were calculated for prognostic factors, overall and recurrence-free survival using RevMan 5.3 software. Results. This meta-analysis was conducted to evaluate a total of 11 studies that included 1730 patients. The results showed that elevated CTGF expression was significantly correlated with advanced age, larger tumor size, multiple tumors, and vascular invasion. Subgroup analysis by cancer type revealed increased risk for lymph node metastasis and advanced tumor node metastasis (TNM) stage in gastric cancer, compared with colorectal cancer. An unfavorable effect of elevated CTGF levels on overall survival was found in patients with hepatocellular carcinoma and patients with gastric cancer, while survival was improved in colorectal cancer patients with high CTGF expression, compared to those with normal levels of CTGF. Conclusions. Elevated CTGF expression may be a novel biomarker for disease status and predicted survival outcomes in patients with specific digestive system cancers. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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