Clinical Medicine: Oncology
Synopsis: An open access, peer reviewed electronic journal that covers cancer research and treatment.
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ISSN: 1177-9314
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
Authors: Hubert Koeppler, Jochen Heymanns, Joerg Thomalla, Kristina Kleboth, Ulrike Mergenthaler and Rudolf Weide
Publication Date: 01 May 2009
Clinical Medicine: Oncology 2009:3 63-70
Hubert Koeppler1, Jochen Heymanns1, Joerg Thomalla1, Kristina Kleboth2, Ulrike Mergenthaler2 and Rudolf Weide1
1Praxisklinik für Hämatologie und Onkologie Koblenz. 2Institut für Versorgungsforschung in der Onkologie.
Abstract
Treatment outcome data generated in prospective trials are intrinsically biased due to necessary selection criteria. Therefore the results obtained may not reflect the actual impact of current treatment options for an unselected general population. We analysed the treatment modalities and the outcome in 212 consecutive patients with non small cell lung cancer stages IIIB and IV who were seen in a community based oncology group practice between 6/1995 and 6/2006. 93 presented with stage IIIB and 119 with stage IV. Chemotherapy was given to 194/212 patients (92%), 114 patients (54%) received palliative radiation at one point during treatment. Treatment consisted of chemotherapy only in 86 patients (40%) and radiation only in 6 patients. 12 patients received best supportive care only. Patients with stage IIIB have survival rates at 12, 24 and 36 months of 64%, 27% and 21% respectively and for patients with stage IV the survival rates at 12, 24 and 36 months are 40%, 19% and 11% respectively. The median survival for stages IIIB and IV is 16 and 11 months respectively. In a multivariate analysis incorporating the factors stage (IIIB vs. IV), age (70 vs. 70 years) and performance status (WHO 0/1 vs. 2/3) only stage and performance status were independent factors for survival. These retrospective data concerning analysis of survival , response rates and toxicity in a community setting confirm published results of phase II-III studies and indicate that results generated in prospective trials can be transferred into routine care.
Categories: Oncology
Keywords: cohort study, chemotherapy, survival rate, elderly, patient selection, outcome
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VEGF 936C > T Polymorphism and Association of BI-RADS Score in Women with Suspected Breast Cancer - 06/Oct/2009
Dysfunction of Corticomotoneurons in Guillain-Barré Syndrome (GBS)? - 01/Oct/2009
Metabolic Complications of Bypass Surgery for Morbid Obesity - 18/Sep/2009
Asymmetrical Weakness Associated with Central Nervous System Involvement in a Patient with Guillain-Barrè Syndrome - 03/Sep/2009
Modulation of the BRCA1 Protein and Induction of Apoptosis in Triple Negative Breast Cancer Cell Lines by the Polyphenolic Compound Curcumin - 02/Sep/2009
Unblocking Blockbusters: Using Boolean Text-Mining to Optimise Clinical Trial Design and Timeline for Novel Anticancer Drugs - 17/Aug/2009
Growth Factor Receptors and Apoptosis Regulators: Signaling Pathways, Prognosis, Chemosensitivity and Treatment Outcomes of Breast Cancer - 17/Aug/2009
Molecular Imaging of Proteases in Cancer - 17/Aug/2009
New Advanced Technologies to Provide Decentralised and Secure Access to Medical Records: Case Studies in Oncology - 07/Aug/2009
The Bimodality Index: A Criterion for Discovering and Ranking Bimodal Signatures from Cancer Gene Expression Profiling Data - 05/Aug/2009
A Generalized Beta Model for the Age Distribution of Cancers: Application to Pancreatic and Kidney Cancer - 04/Aug/2009
Methotrexate-Induced Acute Leukemia: Report of Three Cases and Review of the Literature - 31/Jul/2009
Sarcomatoid Carcinoma of the Urinary Bladder Treated with Adjuvant Radiotherapy: A Case Report - 30/Jul/2009
Linguistic Processing and Classification of Semi Structured Bibliographic Data on Complementary Medicine - 06/Jul/2009
Quality of Life and Neutropenia in Patients with Early Stage Breast Cancer: A Randomized Pilot Study Comparing Additional Treatment with Mistletoe Extract to Chemotherapy Alone - 06/Jul/2009
Dysfunction of Corticomotoneurons in Guillain-Barré Syndrome (GBS)? - 01/Oct/2009
Metabolic Complications of Bypass Surgery for Morbid Obesity - 18/Sep/2009
Asymmetrical Weakness Associated with Central Nervous System Involvement in a Patient with Guillain-Barrè Syndrome - 03/Sep/2009
Modulation of the BRCA1 Protein and Induction of Apoptosis in Triple Negative Breast Cancer Cell Lines by the Polyphenolic Compound Curcumin - 02/Sep/2009
Unblocking Blockbusters: Using Boolean Text-Mining to Optimise Clinical Trial Design and Timeline for Novel Anticancer Drugs - 17/Aug/2009
Growth Factor Receptors and Apoptosis Regulators: Signaling Pathways, Prognosis, Chemosensitivity and Treatment Outcomes of Breast Cancer - 17/Aug/2009
Molecular Imaging of Proteases in Cancer - 17/Aug/2009
New Advanced Technologies to Provide Decentralised and Secure Access to Medical Records: Case Studies in Oncology - 07/Aug/2009
The Bimodality Index: A Criterion for Discovering and Ranking Bimodal Signatures from Cancer Gene Expression Profiling Data - 05/Aug/2009
A Generalized Beta Model for the Age Distribution of Cancers: Application to Pancreatic and Kidney Cancer - 04/Aug/2009
Methotrexate-Induced Acute Leukemia: Report of Three Cases and Review of the Literature - 31/Jul/2009
Sarcomatoid Carcinoma of the Urinary Bladder Treated with Adjuvant Radiotherapy: A Case Report - 30/Jul/2009
Linguistic Processing and Classification of Semi Structured Bibliographic Data on Complementary Medicine - 06/Jul/2009
Quality of Life and Neutropenia in Patients with Early Stage Breast Cancer: A Randomized Pilot Study Comparing Additional Treatment with Mistletoe Extract to Chemotherapy Alone - 06/Jul/2009