Survival score to characterize prognosis in inoperable stage III NSCLC after chemoradiotherapy.

Non-small cell lung cancer (NSCLC) multimodal therapy prognostic factors survival-score

Journal

Translational lung cancer research
ISSN: 2218-6751
Titre abrégé: Transl Lung Cancer Res
Pays: China
ID NLM: 101646875

Informations de publication

Date de publication:
Oct 2019
Historique:
entrez: 19 11 2019
pubmed: 19 11 2019
medline: 19 11 2019
Statut: ppublish

Résumé

Stage III non-small cell lung cancer (NSCLC) represents a heterogeneous disease regarding principal patient- and tumor characteristics. A simple score may aid in personalizing multimodal therapy. The data of 99 consecutive patients with performance status ECOG 0-1 treated until the end of 2016 with multimodal approach for inoperable NSCLC (UICC 7 Most Patients were treated with concurrent (78%) or sequential (11%) chemoradiotherapy. 53% received induction chemotherapy. Median survival for the entire cohort was 20.8 (range: 15.3-26.3) months. Age (P=0.020), gender (P=0.007), pack years (P=0.015), tumor-associated atelectasis (P=0.004) and histology (P=0.004) had a significant impact on overall survival and were scored with one point each. Twelve, 59 and 28 patients were defined to have a low (0-1 points), intermediate (2-3 points) and high-risk (4-5 points) score. Median survival, 1-, 2- and 3-year survival rates were not reached, 100%, 83% and 67% in the low, 22.9 months, 80%, 47% and 24% intermediate and 13.7 months, 57%, 25% and 18% high-risk patients, respectively (P<0.001). Median survival was not reached in prospective cohort; analysis has revealed a trend for the 1-year survival rates with 100% for the low, 93% intermediate and 69% high-risk patients (P=0.100). The score demonstrated remarkable survival differences in inoperable stage III NSCLC patients with good performance status receiving multimodal therapy.

Sections du résumé

BACKGROUND BACKGROUND
Stage III non-small cell lung cancer (NSCLC) represents a heterogeneous disease regarding principal patient- and tumor characteristics. A simple score may aid in personalizing multimodal therapy.
METHODS METHODS
The data of 99 consecutive patients with performance status ECOG 0-1 treated until the end of 2016 with multimodal approach for inoperable NSCLC (UICC 7
RESULTS RESULTS
Most Patients were treated with concurrent (78%) or sequential (11%) chemoradiotherapy. 53% received induction chemotherapy. Median survival for the entire cohort was 20.8 (range: 15.3-26.3) months. Age (P=0.020), gender (P=0.007), pack years (P=0.015), tumor-associated atelectasis (P=0.004) and histology (P=0.004) had a significant impact on overall survival and were scored with one point each. Twelve, 59 and 28 patients were defined to have a low (0-1 points), intermediate (2-3 points) and high-risk (4-5 points) score. Median survival, 1-, 2- and 3-year survival rates were not reached, 100%, 83% and 67% in the low, 22.9 months, 80%, 47% and 24% intermediate and 13.7 months, 57%, 25% and 18% high-risk patients, respectively (P<0.001). Median survival was not reached in prospective cohort; analysis has revealed a trend for the 1-year survival rates with 100% for the low, 93% intermediate and 69% high-risk patients (P=0.100).
CONCLUSIONS CONCLUSIONS
The score demonstrated remarkable survival differences in inoperable stage III NSCLC patients with good performance status receiving multimodal therapy.

Identifiants

pubmed: 31737496
doi: 10.21037/tlcr.2019.09.19
pii: tlcr-08-05-593
pmc: PMC6835102
doi:

Types de publication

Journal Article

Langues

eng

Pagination

593-604

Informations de copyright

2019 Translational Lung Cancer Research. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of Interest: The authors have no conflicts of interest to declare.

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Auteurs

Julian Taugner (J)

Department of Radiation Oncology, University Hospital Munich (LMU), München, Germany.

Lukas Käsmann (L)

Department of Radiation Oncology, University Hospital Munich (LMU), München, Germany.
Comprehensive Pneumology Center Munich (CPC-M), Member of the German Center for Lung Research (DZL), Munich, Germany.
German Cancer Consortium (DKTK), partner site Munich, Munich, Germany.

Chukwuka Eze (C)

Department of Radiation Oncology, University Hospital Munich (LMU), München, Germany.
Comprehensive Pneumology Center Munich (CPC-M), Member of the German Center for Lung Research (DZL), Munich, Germany.

Maurice Dantes (M)

Department of Radiation Oncology, University Hospital Munich (LMU), München, Germany.
Comprehensive Pneumology Center Munich (CPC-M), Member of the German Center for Lung Research (DZL), Munich, Germany.

Olarn Roengvoraphoj (O)

Department of Radiation Oncology, University Hospital Munich (LMU), München, Germany.

Kathrin Gennen (K)

Department of Radiation Oncology, University Hospital Munich (LMU), München, Germany.

Monika Karin (M)

Department of Radiation Oncology, University Hospital Munich (LMU), München, Germany.

Oleg Petruknov (O)

Department of Radiation Oncology, University Hospital Munich (LMU), München, Germany.

Amanda Tufman (A)

Comprehensive Pneumology Center Munich (CPC-M), Member of the German Center for Lung Research (DZL), Munich, Germany.
Division of Respiratory Medicine and Thoracic Oncology, Department of Internal Medicine V, Thoracic Oncology Centre Munich, Ludwig-Maximilians University, München, Germany.

Claus Belka (C)

Department of Radiation Oncology, University Hospital Munich (LMU), München, Germany.

Farkhad Manapov (F)

Department of Radiation Oncology, University Hospital Munich (LMU), München, Germany.
Comprehensive Pneumology Center Munich (CPC-M), Member of the German Center for Lung Research (DZL), Munich, Germany.

Classifications MeSH