181. Tuberculosis.
作者: Anete Trajman.;Jonathon R Campbell.;Tenzin Kunor.;Rovina Ruslami.;Farhana Amanullah.;Marcel A Behr.;Dick Menzies.
来源: Lancet. 2025年405卷10481期850-866页
Tuberculosis is a leading cause of death globally. Given the airborne transmission of tuberculosis, anybody can be infected, but people in high-incidence settings are more exposed. Risk of progression to disease is higher in the first years after infection, and in people with undernourishment, immunosuppression, or who smoke, drink alcohol, or have diabetes. Although cough, fever, and weight loss are hallmark symptoms, people with tuberculosis can be asymptomatic, so a high index of suspicion is required. Prompt diagnosis can be made by sputum examination (ideally with rapid molecular tests), but chest radiography can be helpful. Most people with disease can be treated with regimens of 6 months or less; longer regimens may be necessary for those with drug resistance. Central to successful treatment is comprehensive, person-centred care including addressing key determinants, such as undernourishment, smoking, and alcohol use, and optimising management of comorbidities, such as diabetes and HIV. Care should continue after treatment ends, as long-term sequelae are common. Prevention relies mostly on treatment with rifamycin-based regimens; current vaccines have limited efficacy. Ongoing research on shorter and safer regimens for infection and disease treatment, and simpler and more accurate diagnostic methods will be key for tuberculosis elimination.
182. Ivonescimab versus pembrolizumab for PD-L1-positive non-small cell lung cancer (HARMONi-2): a randomised, double-blind, phase 3 study in China.
作者: Anwen Xiong.;Lei Wang.;Jianhua Chen.;Lin Wu.;Baogang Liu.;Jun Yao.;Hua Zhong.;Jie Li.;Ying Cheng.;Yulan Sun.;Hui Ge.;Jifang Yao.;Qin Shi.;Ming Zhou.;Bolin Chen.;Zhengxiang Han.;Jinliang Wang.;Qing Bu.;Yanqiu Zhao.;Junqiang Chen.;Ligong Nie.;Gaofeng Li.;Xingya Li.;Xinmin Yu.;Yinghua Ji.;Daqiang Sun.;Xiaohong Ai.;Qian Chu.;Yu Lin.;Jiqing Hao.;Dingzhi Huang.;Chengzhi Zhou.;Jinlu Shan.;Hongzhong Yang.;Xuewen Liu.;Jing Wang.;Yanhong Shang.;Xiaodong Mei.;Jie Yang.;Dongmei Lu.;Mingxiu Hu.;Zhongmin Maxwell Wang.;Baiyong Li.;Michelle Xia.;Caicun Zhou.
来源: Lancet. 2025年405卷10481期839-849页
Ivonescimab is a bispecific antibody against programmed cell death protein 1 and vascular endothelial growth factor, yielding promising clinical outcomes for patients with advanced non-small cell lung cancer in early-phase studies. We compared the efficacy and safety of ivonescimab with pembrolizumab in patients with programmed cell death ligand-1 (PD-L1)-positive advanced non-small cell lung cancer.
198. Mapping the global prevalence, incidence, and mortality of Plasmodium falciparum and Plasmodium vivax malaria, 2000-22: a spatial and temporal modelling study.
作者: Daniel J Weiss.;Paulina A Dzianach.;Adam Saddler.;Jailos Lubinda.;Annie Browne.;Michael McPhail.;Susan F Rumisha.;Francesca Sanna.;Yalemzewod Gelaw.;Juniper B Kiss.;Sarah Hafsia.;Rubini Jayaseelen.;Hunter S Baggen.;Punam Amratia.;Amelia Bertozzi-Villa.;Olivia Nesbit.;Joanna Whisnant.;Katherine E Battle.;Michele Nguyen.;Kefyalew Addis Alene.;Ewan Cameron.;Melissa A Penny.;Samir Bhatt.;David L Smith.;Tasmin L Symons.;Jonathan F Mosser.;Christopher J L Murray.;Simon I Hay.;Peter W Gething.
来源: Lancet. 2025年405卷10483期979-990页
Malaria remains a leading cause of illness and death globally, with countries in sub-Saharan Africa bearing a disproportionate burden. Global high-resolution maps of malaria prevalence, incidence, and mortality are crucial for tracking spatially heterogeneous progress against the disease and to inform strategic malaria control efforts. We present the latest such maps, the first since 2019, which cover the years 2000-22. The maps are accompanied by administrative-level summaries and include estimated COVID-19 pandemic-related impacts on malaria burden.
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