Survival Analysis in Advanced Non Small Cell Lung Cancer Treated with Platinum Based Chemotherapy in Combination with Paclitaxel, Gemcitabine and Etoposide

Natukula, Kirmani; Jamil, Kaiser; Pingali, Usha Rani; Attili, Venkata Satya Suresh; Madireddy, Umamaheshwar Rao Naidu

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자료유형: 학술저널

저자정보: Natukula, Kirmani (Department of Genetics, Bhagwan Mahavir Medical Research Centre) Jamil, Kaiser (Department of Genetics, Bhagwan Mahavir Medical Research Centre) Pingali, Usha Rani (Department of Clinical Pharmacology and Therapeutics, Nizam's Institute of Medical Sciences) Attili, Venkata Satya Suresh (Department of Medical Oncology, BIBI General Hospitals and Cancer Centre) Madireddy, Umamaheshwar Rao Naidu (Central Research Institute of Unani Medicine)

저널정보: 아시아태평양암예방학회 Asian Pacific journal of cancer prevention : APJCP Asian Pacific journal of cancer prevention : APJCP 제14권 제8호

발행연도: 2013.1

수록면: 4,661 - 4,666 (6page)

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Background: The wide spectrum of clinical features in advanced stages of non-small cell lung cancer (NSCLC) probably contributes to disparities in outcomes because of different prognostic variables significant for stage IIIB/IV patients. Hence the aim of this study was to check for favorable response of patients to various chemotherapeutic combinations with respect to patient survival in stage IIIB and stage IV NSCLC disease. We selected those patients for our study who were receiving treatment with paclitaxel, gemcitabine or etoposide in combination with platinum based drugs. Materials and Methods: Seventy-two patients who visited the hospital from June 2009 to November 2012 with confirmed diagnosis of lung cancer were included, and data were collected for follow up and classified according to treatment received with respect to patients' regimen and response, and overall survival. This study analyzed tumor variables that were associated with clinical outcome in advanced NSCLC patients who were undergoing first-line chemotherapy for stage IIIB/IV NSCLC. Results: Comparative data on various parameters like age, gender, stage, histology, site of disease, metastatic site and chemo-regimens was analyzed; these parameters predicted variable significant improvement for overall survival ($p{\geq}0.05$). One and two year survival rates were 20.8% and 15.3%. Conclusions: In this study we found slight improvement in survival rates in NSCLC and clinical outcomes with one combination (carboplatin+paclitaxel). Overall there were only marginal differences in survival rates for other chemo-regimens evaluated in this study.

#Non small cell lung cancer #chemotherapy #metastatic cancer #survival

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