Post progression survival analysis of metastatic gastric and gastroesophageal junction cancer patients after second-line treatment

被引:0
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作者
Turkmen, Esma [1 ]
Erdogan, Bulent [1 ]
Kodaz, Hilmi [1 ]
Hacibekiroglu, Ilhan [1 ]
Onal, Yilmaz [2 ]
Uzunoglu, Sernaz [1 ]
Kilic, Nilufer [3 ]
Cicin, Irfan [1 ]
机构
[1] Trakya Univ, Fac Med, Dept Med Oncol, Edirne, Turkey
[2] Trakya Univ, Fac Med, Dept Internal Med, Edirne, Turkey
[3] Trakya Univ, Fac Med, Dept Radiat Oncol, Edirne, Turkey
关键词
metastatic gastric cancer; post progression survival; overall survival performance status; second-line treatment; RANDOMIZED PHASE-III; SUPPORTIVE CARE; CHEMOTHERAPY; COMBINATION; STATISTICS; IRINOTECAN; PLUS;
D O I
暂无
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Purpose : The aim of this study was to define the factors that affect response and post-progression survival of metastatic gastric cancer (MGC) and gastroesophageal junction cancer (GEJ) patients treated with second-line chemotherapy. Methods : We retrospectively reviewed the data of 59 patients with MGC or GEJ adenocarcinoma who received second-line treatment. Results : The median age was 54 years old (26-77). Response to second-line treatment was strongly associated with disease control with first-line treatment (p < 0.01). Median progression-free survival (PFS), overall survival (OS) and post-progression survival (PPS) were 3.2 (95% CI : 2.63-3.80), 6.5 (95% CI : 3.78-9.35) and 2.7 months (95% CI : 1.89-3.68), respectively. PFS (r = 0.55, p < 0.01) and PPS (r = 0.89, p < 0.01) were correlated with OS. Response to second-line treatment was independently related to PFS (HR : 0.12 95% CI : 0.53-0.26, p < 0.001). Having an ECOG 0 performance status (HR : 0.42; 95% CI : 0.21-0.86, p = 0.02) and response to second-line therapy (HR : 0.47; 95% CI : 0.25-0.85, p = 0.01) were independently associated with OS. Conclusion : PPS and PFS were correlated with OS after second-line treatment of MGC. Response to second-line treatment prolonged OS by increasing PFS, and having an ECOG 0 PS prolonged OS by increasing PPS.
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页码:211 / 215
页数:5
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