African–
American patients;
community oncology;
metastatic triple-negative breast cancer;
overall survival;
progression-free survival;
treatment patterns;
AFRICAN-AMERICAN;
RETROSPECTIVE ANALYSIS;
SURVIVAL;
WOMEN;
CHEMOTHERAPY;
ASSOCIATION;
ERIBULIN;
WORSE;
D O I:
10.2217/fon-2020-1021
中图分类号:
R73 [肿瘤学];
学科分类号:
100214 ;
摘要:
Lay abstract Aim: This study looked at treatment received and advancement of disease through death among patients with metastatic triple-negative breast cancer (mTNBC) from US community cancer centers. Materials & methods: Patients included in the study were females, aged >= 18 years, diagnosed with mTNBC starting from January 2010 until the end of January 2016. Study analysis looked at worsening disease until death. Results: The study group included 608 patients who were on average 57.5 years old, and most of the patients (83 in 100) received cancer treatment. This study found that patients who were African-American had shorter time from treatment until death than patients who were White (9.3 months compared with 13.7 months). Conclusion: More than 15 in 100 women with mTNBC were not treated, showing the need for more treatment choices. The usual course of mTNBC remains poor, which highlights the opportunity for newer therapies to improve outcomes. Aim: This study examined treatment patterns and effectiveness outcomes of patients with metastatic triple-negative breast cancer (mTNBC) from US community oncology centers. Materials & methods: Eligible patients were females, aged >= 18 years, diagnosed with mTNBC between 1 January 2010 and 31 January 2016. Kaplan-Meier and Cox regression methods were used. Results: Sample comprised 608 patients with average age of 57.5 years and 505/608 patients (83.1%) received systemic treatment. Overall survival (OS) from first-line treatment found that African-American patients had shorter OS than White (9.3 vs 13.7 months; hazard ratio: 1.35; p = 0.006). Conclusion: More than 15% of women with mTNBC were not treated, indicating a high unmet need. Overall prognosis remains poor, which highlights the opportunity for newer therapies to improve progression-free survival and OS.
机构:
Washington Univ, Sch Med, Dept Internal Med, St Louis, MO 63110 USAWashington Univ, Sch Med, Dept Internal Med, St Louis, MO 63110 USA
Pacheco, Jose M.
Gao, Feng
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Washington Univ, Sch Med, Div Biostat, St Louis, MO 63110 USAWashington Univ, Sch Med, Dept Internal Med, St Louis, MO 63110 USA
Gao, Feng
Bumb, Caroline
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机构:
Washington Univ, Sch Med, Dept Med, Sect Breast Oncol,Div Oncol, St Louis, MO 63110 USAWashington Univ, Sch Med, Dept Internal Med, St Louis, MO 63110 USA
Bumb, Caroline
Ellis, Matthew J.
论文数: 0引用数: 0
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机构:
Washington Univ, Sch Med, Dept Med, Sect Breast Oncol,Div Oncol, St Louis, MO 63110 USA
Washington Univ, Sch Med, Alvin J Siteman Canc Ctr, St Louis, MO 63110 USAWashington Univ, Sch Med, Dept Internal Med, St Louis, MO 63110 USA
Ellis, Matthew J.
Ma, Cynthia X.
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Washington Univ, Sch Med, Dept Med, Sect Breast Oncol,Div Oncol, St Louis, MO 63110 USA
Washington Univ, Sch Med, Alvin J Siteman Canc Ctr, St Louis, MO 63110 USAWashington Univ, Sch Med, Dept Internal Med, St Louis, MO 63110 USA
机构:
Univ Calif San Diego, Dept Med, Div Hematol Oncol, La Jolla, CA 92039 USAUniv Calif San Diego, Dept Med, Div Hematol Oncol, La Jolla, CA 92039 USA
Zhang, Xiaojie
Yeung, Kay T.
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机构:
Univ Calif San Diego, Moores Canc Ctr, Dept Med, Div Hematol Oncol, 3855 Hlth Sci Dr, La Jolla, CA 92039 USAUniv Calif San Diego, Dept Med, Div Hematol Oncol, La Jolla, CA 92039 USA
机构:
Ohio State Univ, Dept Surg, Coll Med, Columbus, OH 43210 USAOhio State Univ, Dept Surg, Coll Med, Columbus, OH 43210 USA
Oppong, Bridget A.
Rolle, Angel A.
论文数: 0引用数: 0
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机构:
Cent State Univ, Wilberforce, OH USAOhio State Univ, Dept Surg, Coll Med, Columbus, OH 43210 USA
Rolle, Angel A.
Ndumele, Amara
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机构:
Ohio State Univ, Wexner Coll Med, Columbus, OH 43210 USAOhio State Univ, Dept Surg, Coll Med, Columbus, OH 43210 USA
Ndumele, Amara
Li, Yaming
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机构:
Ohio State Univ, Dept Surg, Coll Med, Columbus, OH 43210 USAOhio State Univ, Dept Surg, Coll Med, Columbus, OH 43210 USA
Li, Yaming
Fisher, James L.
论文数: 0引用数: 0
h-index: 0
机构:
Ohio State Univ, James Canc Hosp, Columbus, OH 43210 USA
Ohio State Univ, Solove Res Inst, Columbus, OH 43210 USAOhio State Univ, Dept Surg, Coll Med, Columbus, OH 43210 USA
Fisher, James L.
Bhattacharyya, Oindrila
论文数: 0引用数: 0
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机构:
Ohio State Univ, James Canc Hosp, Columbus, OH 43210 USA
Ohio State Univ, Solove Res Inst, Columbus, OH 43210 USAOhio State Univ, Dept Surg, Coll Med, Columbus, OH 43210 USA
Bhattacharyya, Oindrila
Adeyanju, Toyin
论文数: 0引用数: 0
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机构:
Ohio State Univ, Dept Med, Columbus, OH 43210 USA
Ohio State Univ, Comprehens Canc Ctr, Columbus, OH 43210 USAOhio State Univ, Dept Surg, Coll Med, Columbus, OH 43210 USA
Adeyanju, Toyin
Paskett, Electra D.
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机构:
Ohio State Univ, Dept Med, Columbus, OH 43210 USA
Ohio State Univ, Comprehens Canc Ctr, Columbus, OH 43210 USAOhio State Univ, Dept Surg, Coll Med, Columbus, OH 43210 USA
机构:
Carol Davila Univ Med & Pharm, Dept Oncol Radiotherapy & Med Imaging, Bucharest 020021, Romania
Coltea Clin Hosp, Dept Med Oncol, Bucharest 030167, Romania
Coltea Clin Hosp, Dept Radiotherapy, Bucharest 030167, RomaniaCarol Davila Univ Med & Pharm, Dept Oncol Radiotherapy & Med Imaging, Bucharest 020021, Romania
Miron, Andreea-Iuliana
Anghel, Alexandra-Valentina
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机构:
Carol Davila Univ Med & Pharm, Dept Oncol Radiotherapy & Med Imaging, Bucharest 020021, RomaniaCarol Davila Univ Med & Pharm, Dept Oncol Radiotherapy & Med Imaging, Bucharest 020021, Romania
Anghel, Alexandra-Valentina
Barnonschi, Andrei-Alexandru
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机构:
Carol Davila Univ Med & Pharm, Dept Oncol Radiotherapy & Med Imaging, Bucharest 020021, RomaniaCarol Davila Univ Med & Pharm, Dept Oncol Radiotherapy & Med Imaging, Bucharest 020021, Romania
Barnonschi, Andrei-Alexandru
Mitre, Ruxandra
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机构:
Coltea Clin Hosp, Dept Med Oncol, Bucharest 030167, RomaniaCarol Davila Univ Med & Pharm, Dept Oncol Radiotherapy & Med Imaging, Bucharest 020021, Romania
Mitre, Ruxandra
Liscu, Horia-Dan
论文数: 0引用数: 0
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机构:
Carol Davila Univ Med & Pharm, Dept Oncol Radiotherapy & Med Imaging, Bucharest 020021, Romania
Coltea Clin Hosp, Dept Radiotherapy, Bucharest 030167, RomaniaCarol Davila Univ Med & Pharm, Dept Oncol Radiotherapy & Med Imaging, Bucharest 020021, Romania
Liscu, Horia-Dan
Gainariu, Estera
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机构:
Coltea Clin Hosp, Dept Med Oncol, Bucharest 030167, RomaniaCarol Davila Univ Med & Pharm, Dept Oncol Radiotherapy & Med Imaging, Bucharest 020021, Romania
Gainariu, Estera
Patru, Raluca
论文数: 0引用数: 0
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机构:
Coltea Clin Hosp, Dept Med Oncol, Bucharest 030167, RomaniaCarol Davila Univ Med & Pharm, Dept Oncol Radiotherapy & Med Imaging, Bucharest 020021, Romania
Patru, Raluca
Coniac, Simona
论文数: 0引用数: 0
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机构:
Coltea Clin Hosp, Dept Med Oncol, Bucharest 030167, RomaniaCarol Davila Univ Med & Pharm, Dept Oncol Radiotherapy & Med Imaging, Bucharest 020021, Romania
机构:
Chinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Dept Med Oncol,Natl Clin Res Ctr Canc, Beijing, Peoples R ChinaChinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Dept Med Oncol,Natl Clin Res Ctr Canc, Beijing, Peoples R China
Xiu, Meng
Zhang, Pin
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Chinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Dept Med Oncol,Natl Clin Res Ctr Canc, Beijing, Peoples R ChinaChinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Dept Med Oncol,Natl Clin Res Ctr Canc, Beijing, Peoples R China
Zhang, Pin
Li, Qing
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Chinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Dept Med Oncol,Natl Clin Res Ctr Canc, Beijing, Peoples R ChinaChinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Dept Med Oncol,Natl Clin Res Ctr Canc, Beijing, Peoples R China
Li, Qing
Yuan, Peng
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机构:
Chinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Dept Med Oncol,Natl Clin Res Ctr Canc, Beijing, Peoples R ChinaChinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Dept Med Oncol,Natl Clin Res Ctr Canc, Beijing, Peoples R China
Yuan, Peng
Wang, Jiayu
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机构:
Chinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Dept Med Oncol,Natl Clin Res Ctr Canc, Beijing, Peoples R ChinaChinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Dept Med Oncol,Natl Clin Res Ctr Canc, Beijing, Peoples R China
Wang, Jiayu
Luo, Yang
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Chinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Dept Med Oncol,Natl Clin Res Ctr Canc, Beijing, Peoples R ChinaChinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Dept Med Oncol,Natl Clin Res Ctr Canc, Beijing, Peoples R China
Luo, Yang
Ma, Fei
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Chinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Dept Med Oncol,Natl Clin Res Ctr Canc, Beijing, Peoples R ChinaChinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Dept Med Oncol,Natl Clin Res Ctr Canc, Beijing, Peoples R China
Ma, Fei
Cai, Ruigang
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Chinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Dept Med Oncol,Natl Clin Res Ctr Canc, Beijing, Peoples R ChinaChinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Dept Med Oncol,Natl Clin Res Ctr Canc, Beijing, Peoples R China
Cai, Ruigang
Fan, Ying
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Chinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Dept Med Oncol,Natl Clin Res Ctr Canc, Beijing, Peoples R ChinaChinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Dept Med Oncol,Natl Clin Res Ctr Canc, Beijing, Peoples R China
Fan, Ying
Li, Qiao
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Chinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Dept Med Oncol,Natl Clin Res Ctr Canc, Beijing, Peoples R ChinaChinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Dept Med Oncol,Natl Clin Res Ctr Canc, Beijing, Peoples R China
Li, Qiao
Xu, Binghe
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Chinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Dept Med Oncol,Natl Clin Res Ctr Canc, Beijing, Peoples R ChinaChinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Dept Med Oncol,Natl Clin Res Ctr Canc, Beijing, Peoples R China
机构:
Univ Calif San Francisco, Helen Diller Family Comprehens Canc Ctr, San Francisco, CA 94115 USAUniv Calif San Francisco, Helen Diller Family Comprehens Canc Ctr, Breast Oncol & Clin Trials Educ, 1600 Divisadero St,Box 1710, San Francisco, CA 94115 USA
Huppert, Laura A.
Gumusay, Ozge
论文数: 0引用数: 0
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机构:
Univ Calif San Francisco, Helen Diller Family Comprehens Canc Ctr, San Francisco, CA 94115 USA
Acibadem Univ, Altunizade Hosp, Istanbul, TurkeyUniv Calif San Francisco, Helen Diller Family Comprehens Canc Ctr, Breast Oncol & Clin Trials Educ, 1600 Divisadero St,Box 1710, San Francisco, CA 94115 USA
Gumusay, Ozge
Rugo, Hope S.
论文数: 0引用数: 0
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机构:
Univ Calif San Francisco, Helen Diller Family Comprehens Canc Ctr, Breast Oncol & Clin Trials Educ, 1600 Divisadero St,Box 1710, San Francisco, CA 94115 USAUniv Calif San Francisco, Helen Diller Family Comprehens Canc Ctr, Breast Oncol & Clin Trials Educ, 1600 Divisadero St,Box 1710, San Francisco, CA 94115 USA