Is breast cancer survival improving

作者: Sharon H. Giordano , Aman U. Buzdar , Terry L. Smith , Shu-Wan Kau , Ying Yang

DOI: 10.1002/CNCR.11859

关键词: MedicineCancerSurgeryOncologyDiseaseStage (cooking)Metastatic breast cancerMultivariate analysisMammary glandPrognostic variableBreast cancerInternal medicine

摘要: BACKGROUND Despite advances in therapies for breast cancer, improvement survival patients with recurrent or metastatic cancer has been difficult to establish. The objective of the current study was determine whether women improved from 1974 2000. METHODS The authors analyzed experience 834 who developed between November and December 2000. All had treated previously adjuvant anthracycline-based protocols. Patients were divided into five consecutive groups based on year recurrence, compared across groups. Because some prognostic variables unevenly among cohorts, a multivariate model created association recurrence after accounting other factors. RESULTS In unadjusted analysis, there statistically significant groups, more recent cohorts longer (P < 0.001). Other that predicted included smaller initial tumor size, lower stage disease, fewer lymph nodes involved, disease-free interval, estrogen receptor–positive tumors, nonvisceral dominant site disease recurrence. In which adjusted these factors, associated trend toward survival, 1% reduction risk each increasing year. CONCLUSIONS For patients, present data suggesting prognosis Cancer 2004;100:44–52. © 2003 American Society.

参考文章(18)
Early Breast Cancer Trialists' Collaborative Group, None, Polychemotherapy for early breast cancer: an overview of the randomised trials The Lancet. ,vol. 352, pp. 930- 942 ,(1998) , 10.1016/S0140-6736(98)03301-7
Vasily Assikis, Aman Buzdar, Ying Yang, Terry Smith, Richard Theriault, Daniel Booser, Vicente Valero, Ronald Walters, Eva Singletary, Frederick Ames, Gabriel Hortobagyi, A phase III trial of sequential adjuvant chemotherapy for operable breast carcinoma: final analysis with 10-year follow-up. Cancer. ,vol. 97, pp. 2716- 2723 ,(2003) , 10.1002/CNCR.11396
David R. Cox, Regression Models and Life-Tables Springer Series in Statistics. ,vol. 34, pp. 527- 541 ,(1992) , 10.1007/978-1-4612-4380-9_37
J.-M. Nabholtz, H. J. Senn, W. R. Bezwoda, D. Melnychuk, L. Deschênes, J. Douma, T. A. Vandenberg, B. Rapoport, R. Rosso, V. Trillet-Lenoir, J. Drbal, A. Molino, J.W.R. Nortier, D. J. Richel, T. Nagykalnai, P. Siedlecki, N. Wilking, J. Y. Genot, P.S.G.J. Hupperets, F. Pannuti, D. Skarlos, E. M. Tomiak, M. Murawsky, M. Alakl, A. Riva, M. Aapro, Prospective Randomized Trial of Docetaxel Versus Mitomycin Plus Vinblastine in Patients With Metastatic Breast Cancer Progressing Despite Previous Anthracycline-Containing Chemotherapy Journal of Clinical Oncology. ,vol. 17, pp. 1413- 1424 ,(1999) , 10.1200/JCO.1999.17.5.1413
A U Buzdar, G N Hortobagyi, S W Kau, T L Smith, G Fraschini, F A Holmes, J U Gutterman, V M Hug, S E Singletary, F C Ames, Adjuvant therapy with escalating doses of doxorubicin and cyclophosphamide with or without leukocyte alpha-interferon for stage II or III breast cancer. Journal of Clinical Oncology. ,vol. 10, pp. 1540- 1546 ,(1992) , 10.1200/JCO.1992.10.10.1540
Aman U. Buzdar, George R. Blumenschein, Terry L. Smith, Kimberly C. Powell, Gabriel N. Hortobagyi, Hwee Y. Yap, Frank C. Schell, Brian C. Barnes, Frederick C. Ames, Richard G. Martin, Evan M. Hersh, Adjuvant chemotherapy with fluorouracil, doxorubicin, and cyclophosphamide, with or without Bacillus Calmette-Guerin and with or without irradiation in operable breast cancer a prospective randomized trial Cancer. ,vol. 53, pp. 384- 389 ,(1984) , 10.1002/1097-0142(19840201)53:3<384::AID-CNCR2820530303>3.0.CO;2-G
A. Jemal, T. Murray, A. Samuels, A. Ghafoor, E. Ward, M. J. Thun, Cancer statistics, 2003. CA: A Cancer Journal for Clinicians. ,vol. 53, pp. 5- 26 ,(2003) , 10.3322/CANJCLIN.53.1.5
Joyce O’Shaughnessy, David Miles, Svetislava Vukelja, Vladimir Moiseyenko, Jean-Pierre Ayoub, Guadalupe Cervantes, Pierre Fumoleau, Stephen Jones, Wing-Yiu Lui, Louis Mauriac, Chris Twelves, Guy Van Hazel, Shailendra Verma, Robert Leonard, Superior Survival With Capecitabine Plus Docetaxel Combination Therapy in Anthracycline-Pretreated Patients With Advanced Breast Cancer: Phase III Trial Results Journal of Clinical Oncology. ,vol. 20, pp. 2812- 2823 ,(2002) , 10.1200/JCO.2002.09.002
I. Craig Henderson, Donald A. Berry, George D. Demetri, Constance T. Cirrincione, Lori J. Goldstein, Silvana Martino, James N. Ingle, M. Robert Cooper, Daniel F. Hayes, Katherine H. Tkaczuk, Gini Fleming, James F. Holland, David B. Duggan, John T. Carpenter, Emil Frei, Richard L. Schilsky, William C. Wood, Hyman B. Muss, Larry Norton, Improved Outcomes From Adding Sequential Paclitaxel but Not From Escalating Doxorubicin Dose in an Adjuvant Chemotherapy Regimen for Patients With Node-Positive Primary Breast Cancer Journal of Clinical Oncology. ,vol. 21, pp. 976- 983 ,(2003) , 10.1200/JCO.2003.02.063
Aman U. Buzdar, Gabriel N. Hortobagyi, Terry L. Smith, Shu Kau, Connie Marcus, Frankie A. Holmes, Verena Hug, Giuseppe Fraschini, Frederick C. Ames, Richard G. Martin, Adjuvant therapy of breast cancer with or without additional treatment with alternate drugs Cancer. ,vol. 62, pp. 2098- 2104 ,(1988) , 10.1002/1097-0142(19881115)62:10<2098::AID-CNCR2820621005>3.0.CO;2-B