Effect of Huaier granule on prognosis of breast cancer: A single-center propensity score matching retrospective study

Abstract. Background:. Huaier granule is an important medicinal fungus extract widely used in cancer treatment. Previous retrospective studies have reported its effectiveness in breast cancer patients, but the imbalanced baseline characteristics of participants could have biased the results. Theref...

Full description

Saved in:
Bibliographic Details
Main Authors: Qianqian Guo, Yuting Peng, Ge Zhang, Huan Lin, Qianjun Chen, Sihan Zhou, Xiuyuan Hao
Format: Article
Language:English
Published: Wolters Kluwer 2025-01-01
Series:Chinese Medical Journal
Online Access:http://journals.lww.com/10.1097/CM9.0000000000002966
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841550765903052800
author Qianqian Guo
Yuting Peng
Ge Zhang
Huan Lin
Qianjun Chen
Sihan Zhou
Xiuyuan Hao
author_facet Qianqian Guo
Yuting Peng
Ge Zhang
Huan Lin
Qianjun Chen
Sihan Zhou
Xiuyuan Hao
author_sort Qianqian Guo
collection DOAJ
description Abstract. Background:. Huaier granule is an important medicinal fungus extract widely used in cancer treatment. Previous retrospective studies have reported its effectiveness in breast cancer patients, but the imbalanced baseline characteristics of participants could have biased the results. Therefore, this retrospective study aimed to examine the efficacy of Huaier granule on the prognosis of breast cancer patients. Methods:. In this single-center cohort study, breast cancer patients diagnosed and treated at the Guangdong Provincial Hospital of Chinese Medicine between 2009 and 2017 were selected. The data were retrospectively analyzed and divided into two groups according to whether the patients received Huaier granules. The propensity score matching (PSM) method was used to eliminate selection bias. The disease-free survival (DFS) and overall survival (OS) for these groups were compared using the Kaplan–Meier method and the Cox regression. Results:. This study included 214 early invasive breast cancer patients, 107 in the Huaier group and 107 in the control group. In the Kaplan–Meier analysis, the 2-year and 5-year DFS rates were significantly different in the Huaier group and control group (hazard ratio [HR], 0.495; 95% confidence interval [CI], 0.257–0.953; P = 0.023). The 2-year and 5-year OS rates were also significantly different (HR, 0.308; 95% CI, 0.148–0.644; P = 0.001). On multivariable Cox regression, Huaier granule was associated with improved DFS (HR, 0.440; 95% CI, 0.223–0.868; P = 0.018) and OS (HR, 0.236; 95% CI, 0.103–0.540; P = 0.001). Conclusion:. In this retrospective study, Huaier granules improved the DFS and OS of early invasive breast cancer patients, providing real-world evidence for further prospective studies on treating breast cancer with Huaier granules.
format Article
id doaj-art-5c37eba392b94bc0b7a78c3cc10be440
institution Kabale University
issn 0366-6999
2542-5641
language English
publishDate 2025-01-01
publisher Wolters Kluwer
record_format Article
series Chinese Medical Journal
spelling doaj-art-5c37eba392b94bc0b7a78c3cc10be4402025-01-10T01:10:37ZengWolters KluwerChinese Medical Journal0366-69992542-56412025-01-011381939810.1097/CM9.0000000000002966202501050-00011Effect of Huaier granule on prognosis of breast cancer: A single-center propensity score matching retrospective studyQianqian Guo0Yuting Peng1Ge Zhang2Huan Lin3Qianjun Chen4Sihan ZhouXiuyuan Hao1 Breast Department, Guangdong Provincial Hospital of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, Guangdong 510006, China2 The Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510006, China3 Law Sau Fai Institute for Advancing Translational Medicine in Bone and Joint Diseases (TMBJ), School of Chinese Medicine, Hong Kong Baptist University, Hong Kong 999077, China1 Breast Department, Guangdong Provincial Hospital of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, Guangdong 510006, China1 Breast Department, Guangdong Provincial Hospital of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, Guangdong 510006, ChinaAbstract. Background:. Huaier granule is an important medicinal fungus extract widely used in cancer treatment. Previous retrospective studies have reported its effectiveness in breast cancer patients, but the imbalanced baseline characteristics of participants could have biased the results. Therefore, this retrospective study aimed to examine the efficacy of Huaier granule on the prognosis of breast cancer patients. Methods:. In this single-center cohort study, breast cancer patients diagnosed and treated at the Guangdong Provincial Hospital of Chinese Medicine between 2009 and 2017 were selected. The data were retrospectively analyzed and divided into two groups according to whether the patients received Huaier granules. The propensity score matching (PSM) method was used to eliminate selection bias. The disease-free survival (DFS) and overall survival (OS) for these groups were compared using the Kaplan–Meier method and the Cox regression. Results:. This study included 214 early invasive breast cancer patients, 107 in the Huaier group and 107 in the control group. In the Kaplan–Meier analysis, the 2-year and 5-year DFS rates were significantly different in the Huaier group and control group (hazard ratio [HR], 0.495; 95% confidence interval [CI], 0.257–0.953; P = 0.023). The 2-year and 5-year OS rates were also significantly different (HR, 0.308; 95% CI, 0.148–0.644; P = 0.001). On multivariable Cox regression, Huaier granule was associated with improved DFS (HR, 0.440; 95% CI, 0.223–0.868; P = 0.018) and OS (HR, 0.236; 95% CI, 0.103–0.540; P = 0.001). Conclusion:. In this retrospective study, Huaier granules improved the DFS and OS of early invasive breast cancer patients, providing real-world evidence for further prospective studies on treating breast cancer with Huaier granules.http://journals.lww.com/10.1097/CM9.0000000000002966
spellingShingle Qianqian Guo
Yuting Peng
Ge Zhang
Huan Lin
Qianjun Chen
Sihan Zhou
Xiuyuan Hao
Effect of Huaier granule on prognosis of breast cancer: A single-center propensity score matching retrospective study
Chinese Medical Journal
title Effect of Huaier granule on prognosis of breast cancer: A single-center propensity score matching retrospective study
title_full Effect of Huaier granule on prognosis of breast cancer: A single-center propensity score matching retrospective study
title_fullStr Effect of Huaier granule on prognosis of breast cancer: A single-center propensity score matching retrospective study
title_full_unstemmed Effect of Huaier granule on prognosis of breast cancer: A single-center propensity score matching retrospective study
title_short Effect of Huaier granule on prognosis of breast cancer: A single-center propensity score matching retrospective study
title_sort effect of huaier granule on prognosis of breast cancer a single center propensity score matching retrospective study
url http://journals.lww.com/10.1097/CM9.0000000000002966
work_keys_str_mv AT qianqianguo effectofhuaiergranuleonprognosisofbreastcancerasinglecenterpropensityscorematchingretrospectivestudy
AT yutingpeng effectofhuaiergranuleonprognosisofbreastcancerasinglecenterpropensityscorematchingretrospectivestudy
AT gezhang effectofhuaiergranuleonprognosisofbreastcancerasinglecenterpropensityscorematchingretrospectivestudy
AT huanlin effectofhuaiergranuleonprognosisofbreastcancerasinglecenterpropensityscorematchingretrospectivestudy
AT qianjunchen effectofhuaiergranuleonprognosisofbreastcancerasinglecenterpropensityscorematchingretrospectivestudy
AT sihanzhou effectofhuaiergranuleonprognosisofbreastcancerasinglecenterpropensityscorematchingretrospectivestudy
AT xiuyuanhao effectofhuaiergranuleonprognosisofbreastcancerasinglecenterpropensityscorematchingretrospectivestudy