dostęp otwarty

Tom 5, Nr 4 (2020)
Artykuł oryginalny / Original article
Opublikowany online: 2020-07-28
Pobierz cytowanie

Survival analysis of patients with locally advanced non-small cell lung cancer treated at the Nu-Med Radiotherapy Center in Elbląg

Marcin Kurowicki1, Karolina Osowiecka2, Sergiusz Nawrocki3, Łukasz Cieśliński1, Barbara Szostakiewicz1, Andrzej Badzio4
Biuletyn Polskiego Towarzystwa Onkologicznego Nowotwory 2020;5(4):184-192.
Afiliacje
  1. Nu-Med Radiotherapy Center, Elblag
  2. Department of Psychology and Sociology of Health and Public Health, School of Public Health, University of Warmia and Mazury in Olsztyn Department of Public Health, Medical University of Warsaw
  3. Department of Oncology, Faculty of Medical Sciences, Collegium Medicum, University of Warmia and Mazury in Olsztyn
  4. Department of Oncology and Radiotherapy, Medical University of Gdansk

dostęp otwarty

Tom 5, Nr 4 (2020)
Artykuł oryginalny / Original article
Opublikowany online: 2020-07-28

Streszczenie

Introduction.  The study aimed to report the efficiency of radical radiotherapy and chemoradiotherapy in patients with non-small cell lung cancer (NSCLC) treated in the Nu-Med Radiotherapy Center in Elbląg.

Material and methods.  Ninety-two patients diagnosed with NSCLC treated between 2013 and 2016 were included in the analysis. Overall survival (OS) was estimated by the Kaplan-Meier method.

Results.  The 2-year OS for all patients was 36% (median 1.5 years). Two prognostic factors had a significant impact: tre­atment method and performance status (PS). Patients who underwent concurrent radiochemotherapy and were treated sequentially had a better 2-year OS in comparison with those treated with radiotherapy alone (respectively 46% and 37% vs. 25%, p ≤ 0.05). Patients with PS 0–1 had better OS (median 1.6 years) compared with PS 2 (median 0.7 years, p = 0.04). Other prognostic factors analysed had no impact on OS in our study.

Conclusions.  The treatment results of our patients are comparable to those in published trials and meta-analyses.

Streszczenie

Introduction.  The study aimed to report the efficiency of radical radiotherapy and chemoradiotherapy in patients with non-small cell lung cancer (NSCLC) treated in the Nu-Med Radiotherapy Center in Elbląg.

Material and methods.  Ninety-two patients diagnosed with NSCLC treated between 2013 and 2016 were included in the analysis. Overall survival (OS) was estimated by the Kaplan-Meier method.

Results.  The 2-year OS for all patients was 36% (median 1.5 years). Two prognostic factors had a significant impact: tre­atment method and performance status (PS). Patients who underwent concurrent radiochemotherapy and were treated sequentially had a better 2-year OS in comparison with those treated with radiotherapy alone (respectively 46% and 37% vs. 25%, p ≤ 0.05). Patients with PS 0–1 had better OS (median 1.6 years) compared with PS 2 (median 0.7 years, p = 0.04). Other prognostic factors analysed had no impact on OS in our study.

Conclusions.  The treatment results of our patients are comparable to those in published trials and meta-analyses.

Pobierz cytowanie

Słowa kluczowe

non-small cell lung cancer; chemoradiotherapy; radiotherapy; overall survival

Informacje o artykule
Tytuł

Survival analysis of patients with locally advanced non-small cell lung cancer treated at the Nu-Med Radiotherapy Center in Elbląg

Czasopismo

Biuletyn Polskiego Towarzystwa Onkologicznego Nowotwory

Numer

Tom 5, Nr 4 (2020)

Strony

184-192

Opublikowany online

2020-07-28

Wyświetlenia strony

218

Wyświetlenia/pobrania artykułu

122

Rekord bibliograficzny

Biuletyn Polskiego Towarzystwa Onkologicznego Nowotwory 2020;5(4):184-192.

Słowa kluczowe

non-small cell lung cancer
chemoradiotherapy
radiotherapy
overall survival

Autorzy

Marcin Kurowicki
Karolina Osowiecka
Sergiusz Nawrocki
Łukasz Cieśliński
Barbara Szostakiewicz
Andrzej Badzio

Referencje (25)
  1. Krajowy Rejestr Nowotworów - Nowotwory złośliwe opłucnej i płuca (C33-34). http://onkologia.org.pl/nowotwory-zlosliwe-oplucnej-pluca-c33-34/.
  2. Alberg AJ, Brock MV, Ford JG, et al. Epidemiology of lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2013; 143(5 Suppl): e1S–e29S.
  3. Moura MA, Bergmann A, Aguiar SS, et al. The magnitude of the association between smoking and the risk of developing cancer in Brazil: a multicenter study. BMJ Open. 2014; 4(2): e003736.
  4. Ginsberg JR. Thoracic surgery. Churchill-Livingstone, Philadelphia 2002.
  5. EUROCARE - Survival of cancer patients in Europe. https://w3.iss.it/site/EU5Results/forms/SA0007.aspx.
  6. Krzakowski M, Jassem J, Dziadziuszko R. et al. Nowotwory płuca i opłucnej oraz śródpiersia. 20013: 71.
  7. Yang P, Allen MS, Aubry MC, et al. Clinical features of 5,628 primary lung cancer patients: experience at Mayo Clinic from 1997 to 2003. Chest. 2005; 128(1): 452–462.
  8. Gray JE, Villegas A, Daniel D, et al. PACIFIC Investigators. Overall Survival with Durvalumab after Chemoradiotherapy in Stage III NSCLC. N Engl J Med. 2018; 379(24): 2342–2350.
  9. Feinstein AR, Sosin DM, Wells CK. The Will Rogers phenomenon. Stage migration and new diagnostic techniques as a source of misleading statistics for survival in cancer. N Engl J Med. 1985; 312(25): 1604–1608.
  10. Eberhardt WEE, De Ruysscher D, Weder W, et al. Panel Members. 2nd ESMO Consensus Conference in Lung Cancer: locally advanced stage III non-small-cell lung cancer. Ann Oncol. 2015; 26(8): 1573–1588.
  11. Blanke CD, Johnson DH. Combined modality therapy in non-small cell lung cancer. Curr Opin Oncol. 1995; 7(2): 144–149.
  12. Cakir S, Egehan I. A randomised clinical trial of radiotherapy plus cisplatin versus radiotherapy alone in stage III non-small cell lung cancer. Lung Cancer. 2004; 43(3): 309–316.
  13. Groen HJM, van der Leest AHW, Fokkema E, et al. Continuously infused carboplatin used as radiosensitizer in locally unresectable non-small-cell lung cancer: a multicenter phase III study. Ann Oncol. 2004; 15(3): 427–432.
  14. Dillman RO, Seagren SL, Propert KJ, et al. A randomized trial of induction chemotherapy plus high-dose radiation versus radiation alone in stage III non-small-cell lung cancer. N Engl J Med. 1990; 323(14): 940–945.
  15. O'Rourke N, Roqué I Figuls M, Farré Bernadó N, et al. Concurrent chemoradiotherapy in non-small cell lung cancer. Cochrane Database Syst Rev. 2010(6): CD002140.
  16. Huber RM, Flentje M, Schmidt M, et al. Bronchial Carcinoma Therapy Group. Simultaneous chemoradiotherapy compared with radiotherapy alone after induction chemotherapy in inoperable stage IIIA or IIIB non-small-cell lung cancer: study CTRT99/97 by the Bronchial Carcinoma Therapy Group. J Clin Oncol. 2006; 24(27): 4397–4404.
  17. Curran WJ, Paulus R, Langer CJ, et al. Sequential vs. concurrent chemoradiation for stage III non-small cell lung cancer: randomized phase III trial RTOG 9410. J Natl Cancer Inst. 2011; 103(19): 1452–1460.
  18. Aupérin A, Le Péchoux C, Rolland E, et al. Meta-analysis of concomitant versus sequential radiochemotherapy in locally advanced non-small-cell lung cancer. J Clin Oncol. 2010; 28(13): 2181–2190.
  19. Belani CP, Wang W, Johnson DH, et al. Eastern Cooperative Oncology Group. Phase III study of the Eastern Cooperative Oncology Group (ECOG 2597): induction chemotherapy followed by either standard thoracic radiotherapy or hyperfractionated accelerated radiotherapy for patients with unresectable stage IIIA and B non-small-cell lung cancer. J Clin Oncol. 2005; 23(16): 3760–3767.
  20. Provencio M, Isla D, Sánchez A, et al. Inoperable stage III non-small cell lung cancer: Current treatment and role of vinorelbine. J Thorac Dis. 2011; 3(3): 197–204.
  21. Gouda YS, Kohail HM, Eldeeb NA, et al. Randomized study of concurrent carboplatin, paclitaxel, and radiotherapy with or without prior induction chemotherapy in patients with locally advanced non-small cell lung cancer. J Egypt Natl Canc Inst. 2006; 18(1): 73–81.
  22. Jalal SI, Riggs HD, Melnyk A, et al. Hoosier Oncology Group, US Oncology. Phase III study of cisplatin, etoposide, and concurrent chest radiation with or without consolidation docetaxel in patients with inoperable stage III non-small-cell lung cancer: the Hoosier Oncology Group and U.S. Oncology. J Clin Oncol. 2008; 26(35): 5755–5760.
  23. Bradley JD, Paulus R, Komaki R, et al. Standard-dose versus high-dose conformal radiotherapy with concurrent and consolidation carboplatin plus paclitaxel with or without cetuximab for patients with stage IIIA or IIIB non-small-cell lung cancer (RTOG 0617): a randomised, two-by-two factorial phase 3 study. Lancet Oncol. 2015; 16(2): 187–199.
  24. Walraven I, Damhuis RA, Ten Berge MG, et al. Treatment Variation of Sequential versus Concurrent Chemoradiotherapy in Stage III Non-Small Cell Lung Cancer Patients in the Netherlands and Belgium. Clin Oncol (R Coll Radiol). 2017; 29(11): e177–e185.
  25. Osowiecka K, Rucińska M, Każarnowicz A, et al. Przeżycia chorych na niedrobnokomórkowego raka płuca leczonych napromienianiem w latach 2003–2006 w Samodzielnym Publicznym Zakładzie Opieki Zdrowotnej Ministerstwa Spraw Wewnętrznych z Warmińsko-Mazurskim Centrum Onkologii w Olsztynie. NOWOTWORY J Oncol. 2015; 65(1): 14–22.

Regulamin

Ważne: serwis https://journals.viamedica.pl/ wykorzystuje pliki cookies. Więcej >>

Używamy informacji zapisanych za pomocą plików cookies m.in. w celach statystycznych, dostosowania serwisu do potrzeb użytkownika (np. język interfejsu) i do obsługi logowania użytkowników. W ustawieniach przeglądarki internetowej można zmienić opcje dotyczące cookies. Korzystanie z serwisu bez zmiany ustawień dotyczących cookies oznacza, że będą one zapisane w pamięci komputera. Więcej informacji można znaleźć w naszej Polityce prywatności.

Czym są i do czego służą pliki cookie możesz dowiedzieć się na stronie wszystkoociasteczkach.pl.

Wydawcą serwisu jest VM Media Group sp. z o.o., ul. Świętokrzyska 73, 80–180 Gdańsk
tel.:+48 58 320 94 94, e-mail: viamedica@viamedica.pl