Key result
Combined detection of serum Ang, VEGF, and CRP demonstrated high diagnostic value in advanced renal cancer, yielding an AUC of 0.883 (95% CI 0.817-0.950) before treatment.
Why the study?
To explore the diagnostic value of serum Ang, VEGF, and CRP combined with the Chinese medicine antitumor formula in the treatment of advanced renal carcinoma.
Does the combined detection of serum Ang, VEGF, and CRP have diagnostic value in patients with advanced renal cancer treated with Chinese medicine antitumor formula?
Observational (n=60)
No
Does the combined detection of serum Ang, VEGF, and CRP have diagnostic value in patients with advanced renal cancer treated with Chinese medicine antitumor formula?
Effect estimate: AUC 0.883 (95% CI 0.817-0.950)
p-value: p=<0.001
The combined detection of serum Ang, VEGF, and CRP provides high diagnostic value for monitoring patients with advanced renal cancer undergoing treatment with a Chinese medicine antitumor formula.
May support combined Ang/VEGF/CRP monitoring in advanced renal cancer on Chinese medicine therapy; leaves open prospective validation before clinical adoption.
Objective. To explore the diagnostic value of serum angiopoietin (Ang), vascular endothelial growth factor (VEGF), and C-reactive protein (CRP) combined with the Chinese medicine antitumor formula in the treatment of advanced renal carcinoma. Methods. Retrospective analysis was performed for the data of 60 patients with advanced renal cancer admitted at Yantaishan Hospital from February 2019 to February 2020. All patients were treated with Chinese medicine antitumor formula. The serum Ang, VEGF, and CRP levels in venous blood samples were detected before and after treatment. Sensitivity, specificity, and AUC of combined serum Ang, VEGF, and CRP were analyzed utilizing the receiver operating characteristic curve (ROC) (95% CI). Results. There were 52 cases of clear-cell carcinoma (86.7%), 7 cases of papillary carcinoma (11.7%), and 1 case of chromophobe renal cell carcinoma (1.7%). The average tumor diameter was (9.67 ± 0.65) cm, and the KPS score was (74.68 ± 1.52). About 75% of the patients had metastasis. After treatment, the level of serum Ang, VEGF, and CRP was immensely lower compared to that before treatment ( P < 0.001). The sensitivity, specificity, and AUC (95%CI) of the combined detection of Ang, VEGF, and CRP before treatment were 86.7%, 90.0%, and 0.883 (0.817–0.950), while the sensitivity, specificity, and AUC (95%CI) of the combined detection of Ang, VEGF, and CRP were 83.3%, 86.7%, and 0.850 (0.776–0.9524), respectively. Conclusion. The combined detection of serum Ang, VEGF, and CRP has high diagnostic value for patients with advanced renal cancer treated with Chinese medicine antitumor formula.
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Dong et al. (2021) conducted an observational in Advanced renal carcinoma (n=60). Chinese medicine antitumor formula vs. Before treatment was evaluated on Diagnostic value (AUC) of combined serum Ang, VEGF, and CRP before treatment (AUC 0.883, 95% CI 0.817-0.950, p=<0.001). Combined detection of serum Ang, VEGF, and CRP demonstrated high diagnostic value in advanced renal cancer, yielding an AUC of 0.883 (95% CI 0.817-0.950) before treatment.
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