Treatment of Advanced Non Small Cell Lung Cancer in Routine Care: A Retrospective Analysis of 212 Consecutive Patients Treated in a Community Based Oncology Group Practice

作者: Hubert Koeppler , Jochen Heymanns , Joerg Thomalla , Kristina Kleboth , Ulrike Mergenthaler

DOI: 10.4137/CMO.S2199

关键词:

摘要: Treatment outcome data generated in prospective trials are intrinsically biased due to necessary selection criteria. Therefore the results obtained may not reflect actual impact of current treatment options for an unselected general population. We analysed modalities and 212 consecutive patients with non small cell lung cancer stages IIIB IV who were seen a community based oncology group practice between 6/1995 6/2006. 93 presented stage 119 IV. Chemotherapy was given 194/212 (92%), 114 (54%) received palliative radiation at one point during treatment. consisted chemotherapy only 86 (40%) 6 patients. 12 best supportive care only. Patients have survival rates 12, 24 36 months 64%, 27% 21% respectively 40%, 19% 11% respectively. The median is 16 11 In multivariate analysis incorporating factors (IIIB vs. IV), age (70 70 years) performance status (WHO 0/1 2/3) independent survival. These retrospective concerning , response toxicity setting confirm published phase II-III studies indicate that can be transferred into routine care.

参考文章(23)
Chemaissani A, Mattson K, Bergman B, Sederholm C, von Pawel J, ten Bokkel Huinink W, Stahel P, Wagenius G, Manegold C, Kellokumpu-Lehtinen P, Dornoff W, Ricci S, Liippo K, Drings P, van Walree N, A randomized study of gemcitabine monotherapy versus etoposide/cisplatin in the treatment of locally advanced or metastatic non-small cell lung cancer. Seminars in Oncology. ,vol. 24, ,(1997)
Frank V. Fossella, Russell DeVore, Ronald N. Kerr, Jeffrey Crawford, Ronald R. Natale, Frank Dunphy, Leonard Kalman, Vincent Miller, Jin Soo Lee, Melvin Moore, David Gandara, Daniel Karp, Everett Vokes, Mark Kris, Yong Kim, Francis Gamza, Luz Hammershaimb, , Randomized Phase III Trial of Docetaxel Versus Vinorelbine or Ifosfamide in Patients With Advanced Non–Small-Cell Lung Cancer Previously Treated With Platinum-Containing Chemotherapy Regimens Journal of Clinical Oncology. ,vol. 18, pp. 2354- 2362 ,(2000) , 10.1200/JCO.2000.18.12.2354
J Klastersky, J P Sculier, G Bureau, P Libert, P Ravez, G Vandermoten, J Thiriaux, J Lecomte, R Cordier, G Dabouis, Cisplatin versus cisplatin plus etoposide in the treatment of advanced non-small-cell lung cancer. Lung Cancer Working Party, Belgium. Journal of Clinical Oncology. ,vol. 7, pp. 1087- 1092 ,(1989) , 10.1200/JCO.1989.7.8.1087
R P Perng, Y M Chen, J Ming-Liu, C M Tsai, W C Lin, K Y Yang, J Whang-Peng, Gemcitabine versus the combination of cisplatin and etoposide in patients with inoperable non-small-cell lung cancer in a phase II randomized study. Journal of Clinical Oncology. ,vol. 15, pp. 2097- 2102 ,(1997) , 10.1200/JCO.1997.15.5.2097
P.S. Mitrou, M. Graubner, W.E. Berdel, S. Mende, C. Gropp, V. Diehl, T.H. Klippstein, cis-platinum (DDP) and VP 16-213 (etoposide) combination chemotherapy for advanced non-small cell lung cancer. A phase II clinical trial European Journal of Cancer and Clinical Oncology. ,vol. 20, pp. 347- 351 ,(1984) , 10.1016/0277-5379(84)90080-4
U. Gatzemeier, R. Zschaber, D.K. Hossfeld, D. Radenbach, Cisplatin, Vindesin und VP 16–213 in der Behandlung des inoperablen nicht-kleinzelligen Bronchialkarzinoms Onkologie. ,vol. 7, pp. 308- 315 ,(1984) , 10.1159/000215466
Glen J. Weiss, Corey Langer, Rafael Rosell, Nasser Hanna, Frances Shepherd, Lawrence H. Einhorn, Binh Nguyen, Sofia Paul, Patrick McAndrews, Paul A. Bunn, Karen Kelly, Elderly Patients Benefit From Second-Line Cytotoxic Chemotherapy: A Subset Analysis of a Randomized Phase III Trial of Pemetrexed Compared With Docetaxel in Patients With Previously Treated Advanced Non–Small-Cell Lung Cancer Journal of Clinical Oncology. ,vol. 24, pp. 4405- 4411 ,(2006) , 10.1200/JCO.2006.06.7835
C.P. Belani, A. Einzig, P. Bonomi, T. Dobbs, M.J. Capozzoli, R. Earhart, L.J. Cohen, J.D. Luketich, Multicenter phase II trial of docetaxel and carboplatin in patients with stage IIIB and IV non-small-cell lung cancer Annals of Oncology. ,vol. 11, pp. 673- 678 ,(2000) , 10.1023/A:1008342116536
Jose R. Pereira, Filippo De Marinis, Joachim von Pawel, Ulrich Gatzemeier, Thomas Chang Yao Tsao, Miklos Pless, Thomas Muller, Hong-Liang Lim, Christopher Desch, Klara Szondy, Radj Gervais, Shaharyar, Christian Manegold, Sofia Paul, Paolo Paoletti, Lawrence Einhorn, Paul A. Bunn, Nasser Hanna, Frances A. Shepherd, Frank V. Fossella, Randomized Phase III Trial of Pemetrexed Versus Docetaxel in Patients With Non–Small-Cell Lung Cancer Previously Treated With Chemotherapy Journal of Clinical Oncology. ,vol. 22, pp. 1589- 1597 ,(2004) , 10.1200/JCO.2004.08.163