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Blood Vessel Invasion as a Strong Independent Prognostic Indicator in Non-Small Cell Lung Cancer: A Systematic Review and Meta-Analysis

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  • Jun Wang
  • Jianpeng Chen
  • Xi Chen
  • Baocheng Wang
  • Kainan Li
  • Jingwang Bi

Abstract

Background and Objective: Blood vessel invasion plays a very important role in the progression and metastasis of cancer. However, blood vessel invasion as a prognostic factor for survival in non-small cell lung cancer (NSCLC) remains controversial. The aim of this study is to explore the relationship between blood vessel invasion and outcome in patients with NSCLC using meta-analysis. Methods: A meta-analysis of published studies was conducted to investigate the effects of blood vessel invasion on both relapse-free survival (RFS) and overall survival (OS) for patients with NSCLC. Hazard ratios (HRs) with 95% confidence intervals (95% CIs) were used to assess the strength of this association. Results: A total of 16,535 patients from 52 eligible studies were included in the systematic review and meta-analysis. In total, blood vessel invasion was detected in 29.8% (median; range from 6.2% to 77.0%) of patients with NSCLC. The univariate and multivariate estimates for RFS were 3.28 (95% CI: 2.14–5.05; P

Suggested Citation

  • Jun Wang & Jianpeng Chen & Xi Chen & Baocheng Wang & Kainan Li & Jingwang Bi, 2011. "Blood Vessel Invasion as a Strong Independent Prognostic Indicator in Non-Small Cell Lung Cancer: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 6(12), pages 1-8, December.
  • Handle: RePEc:plo:pone00:0028844
    DOI: 10.1371/journal.pone.0028844
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    Cited by:

    1. Jun Wang & Baocheng Wang & Weipeng Zhao & Yan Guo & Hong Chen & Huili Chu & Xiuju Liang & Jingwang Bi, 2012. "Clinical Significance and Role of Lymphatic Vessel Invasion as a Major Prognostic Implication in Non-Small Cell Lung Cancer: A Meta-Analysis," PLOS ONE, Public Library of Science, vol. 7(12), pages 1-11, December.

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