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Outcomes in patients with metastatic bladder cancer in the USA: a retrospective electronic medical record study
被引:36
作者:
Flannery, Kyle
[1
]
Boyd, Marley
[2
]
Black-Shinn, Jenny
[2
]
Robert, Nicholas
[2
]
Kamat, Ashish M.
[3
]
机构:
[1] Merck & Co Inc, Kenilworth, NJ 07033 USA
[2] US Oncol Network McKesson Specialty Hlth, The Woodlands, TX 77380 USA
[3] Univ Texas MD Anderson Canc Ctr, Div Surg, Dept Urol, Houston, TX 77030 USA
关键词:
bladder cancer;
cisplatin eligible;
patient outcomes;
real-world utilization;
treatment patterns;
PHASE-II TRIAL;
TRANSITIONAL-CELL CARCINOMA;
UROTHELIAL CARCINOMA;
PACLITAXEL;
CISPLATIN;
CARBOPLATIN;
CHEMOTHERAPY;
METHOTREXATE;
VINBLASTINE;
MULTICENTER;
D O I:
10.2217/fon-2018-0654
中图分类号:
R73 [肿瘤学];
学科分类号:
100214 ;
摘要:
Aim: Investigate the effectiveness of chemotherapy for first-line (1L) treatment of metastatic bladder cancer (mBC). Methods: Retrospective cohort study evaluating treatment patterns/outcomes in 1155 mBC patients receiving initial treatment in the community practice setting from January 2010 to June 2014, and followed through July 2016. Results: The most commonly utilized 1L and second-line (2L) regimens were platinum-based and taxane-based, respectively. Median (95% CI) OS for all patients from 1L initiation was 12.8 months (11.7-14.6), and median OS for all 2L regimens was 9.4 months (8.2-11.1). Conclusion: mBC patients eligible for and who received cis-based regimens experienced better OS results. Poor renal function was a key driver of cis-ineligibility. The various monotherapy and combination chemotherapy regimens in 2L produced relatively short OS outcomes.
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页码:1323 / 1334
页数:12
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