Nomogram for predicting the long-term outcomes of uterine artery embolization for adenomyosis

Jin, Wen-tao; Zhang, Guofu; TianPin, Wang; Shi-jia, Wang; Zhang, Haiyan; Li, Wentao

doi:10.1016/j.ejrad.2022.110183

Cited by 2 publications

(5 citation statements)

References 25 publications

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“…In a retrospective study involving 221 patients with adenomyosis, preoperative CA125 levels were independently associated with the long-term outcomes of UAE. 10 Additionally, Zheng et al reported that preoperative CA125 levels were significantly associated with the degree of necrosis after UAE. 15 In the present study, we found that normalization of postoperative CA125 levels demonstrated a higher predictive value for TF than preoperative or postoperative CA125 levels.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, more attention has been paid to the prognostic value of CA125 levels in the treatment of adenomyosis. In a retrospective study involving 221 patients with adenomyosis, preoperative CA125 levels were independently associated with the long‐term outcomes of UAE 10 . Additionally, Zheng et al reported that preoperative CA125 levels were significantly associated with the degree of necrosis after UAE 15 .…”

Section: Discussionmentioning

confidence: 99%

“…Although cumulative studies have proven the effectiveness and safety of this procedure, [5][6][7][8] a proportion of patients still experience treatment failure (TF) during follow-up. 9,10 Thus, the factors associated with long-term outcomes after UAE for adenomyosis should be extensively investigated.…”

Section: Introductionmentioning

confidence: 99%

“…Among these, uterine artery embolization (UAE) has become a promising treatment approach for adenomyosis over the past 20 years. Although cumulative studies have proven the effectiveness and safety of this procedure, 5–8 a proportion of patients still experience treatment failure (TF) during follow‐up 9,10 . Thus, the factors associated with long‐term outcomes after UAE for adenomyosis should be extensively investigated.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Association of normalization of postoperative carbohydrate antigen 125 levels with treatment failure following uterine artery embolization for adenomyosis

Liu,

Peng,

Wang

et al. 2023

J of Obstet and Gynaecol

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ObjectiveTo investigate the association between carbohydrate antigen 125 (CA125) level and adenomyosis treatment failure (TF) after uterine artery embolization (UAE).MethodsWe evaluated 224 patients with symptomatic adenomyosis who underwent UAE between January 2016 and December 2020. Improvements in dysmenorrhea and menorrhagia were assessed on the basis of symptom relief criteria. The factors associated with TF were investigated using a multivariate logistic regression model. Patients were analyzed for preoperative CA125 levels, postoperative CA125 levels, and the normalization of postoperative CA125 levels. Long‐term symptom relief and quality of life after UAE were compared between the groups.ResultsDuring the 24‐month follow‐up, 50 patients (22.3%) experienced TF. Compared to patients in the non‐TF group, those in the TF group had significantly higher preoperative and postoperative CA125 levels (p < 0.05). Multivariate analysis revealed that failure to normalize postoperative CA125 levels was independently associated with an increased risk of TF (34.7% vs. 8.5%, p < 0.001; hazard ratio 3.953, 95% confidence interval 1.567–9.973, p = 0.004). After a 3‐month follow‐up period, patients who normalized their CA125 levels were more likely to achieve complete necrosis on magnetic resonance imaging than those who did not (82.1% vs. 56.8%, p < 0.001). Normalization of postoperative CA125 levels was significantly associated with fewer symptoms and better quality of life 12 months after UAE (p < 0.05).ConclusionsFollowing UAE, normalization of postoperative CA125 levels, rather than absolute values, was the strongest predictive marker of TF.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Association of normalization of postoperative carbohydrate antigen 125 levels with treatment failure following uterine artery embolization for adenomyosis

Liu,

Peng,

Wang

et al. 2023

J of Obstet and Gynaecol

View full text Add to dashboard Cite

show abstract

“…However, they overlook dynamic factors crucial for personalized prognosis, including age, surgical interventions, and chemotherapy, thereby limiting their prognostic utility. In contrast, the nomogram prediction model offers a more nuanced approach by quantitatively integrating multiple independent prognostic factors into a comprehensive statistical model, allowing for a more detailed prognostic survival estimation [ [18] , [19] , [20] ]. To date, there has been a lack of research specifically addressing the prognosis and survival evaluation of enteric gastric adenocarcinoma.…”

Section: Introductionmentioning

confidence: 99%

Prognostic value analysis and survival model construction of different treatment methods for advanced intestinal type gastric adenocarcinoma

Liu,

Zhuang,

et al. 2024

Heliyon

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Nomogram for predicting the long-term outcomes of uterine artery embolization for adenomyosis

Cited by 2 publications

References 25 publications

Association of normalization of postoperative carbohydrate antigen 125 levels with treatment failure following uterine artery embolization for adenomyosis

Association of normalization of postoperative carbohydrate antigen 125 levels with treatment failure following uterine artery embolization for adenomyosis

Prognostic value analysis and survival model construction of different treatment methods for advanced intestinal type gastric adenocarcinoma

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