National Multi-Center Observational Retrospective Study to Understand Treatment Patterns and Outcomes for Stage III Non-Small Cell Lung Cancer Patients in Turkey: Turkish Society for Radiation Oncology Study, STONE Trial
dc.authorid | BERBER, TANJU/0000-0002-4087-4760 | |
dc.authorid | Yalman, Deniz/0000-0002-4010-8353 | |
dc.authorscopusid | 6701367993 | |
dc.authorscopusid | 26432287500 | |
dc.authorscopusid | 7801341856 | |
dc.authorscopusid | 6602174698 | |
dc.authorscopusid | 26537255800 | |
dc.authorscopusid | 16304281300 | |
dc.authorscopusid | 8894510900 | |
dc.authorwosid | BERBER, TANJU/T-1170-2018 | |
dc.authorwosid | Duru Birgi, Sümerya/GZH-1201-2022 | |
dc.authorwosid | Yalman, Deniz/ABG-5077-2020 | |
dc.contributor.author | Onal, Cem | |
dc.contributor.author | Demiral, Ayse Nur | |
dc.contributor.author | Atalar, Banu | |
dc.contributor.author | Yalman, Deniz | |
dc.contributor.author | Dagoglu, Nergiz | |
dc.contributor.author | Hurmuz, Pervin | |
dc.contributor.author | Erpolat, Petek | |
dc.date.accessioned | 2023-01-12T20:17:12Z | |
dc.date.available | 2023-01-12T20:17:12Z | |
dc.date.issued | 2022 | |
dc.department | N/A/Department | en_US |
dc.description.abstract | This study investigated treatment patterns and outcomes in patients with inoperable stage III non-small cell lung cancer (NSCLC) treated with radiotherapy (RT) in Turkey. We included 492 patients with stage III NSCLC in this multi-center retrospective study. Pa-tient demographics, clinical characteristics, and clinical treatment patterns from the time of the initial diagnosis to disease progression were recorded. Additionally, the prognostic factors predicting overall survival (OS) and progression-free survival (PFS) were analyzed. For the initial treatment, 429 patients (89.2%) received chemotherapy and RT, whereas 53 patients (10.8%) were treated only with RT. The first disease progression occurred in 288 patients (58.4%) at 9.3 months (median) after the initial treatment, and 64.6% re-ceived treatment after first progression. The second disease progression occurred in 30 patients, and 20 patients (66.7%) received treatment. Median OS and PFS were 27.0 months and 13.4 months, respectively. Age (p< 0.001), stage (p= 0.04), poor performance score (PS) (p= 0.03) and RT doses (p= 0.002) were independent predictors for OS and PFS in our multivariate analysis. Additional significant predictors for OS in the multivariate analysis were gender (p= 0.004), treatment period (0.02), and irradiation technique (p= 0.02). Disease progression occurred in nearly 58% of the patients, and one-third of these patients remained untreated during the disease progression. These findings indicate a need for additional treatment options in patients with unresectable stage III NSCLC with high-risk features, namely older age, stage IIIB disease, poor PS, and lower RT doses. | en_US |
dc.description.sponsorship | AstraZeneca Turkey | en_US |
dc.description.sponsorship | AstraZeneca Turkey provided the funding for the study. | en_US |
dc.identifier.doi | 10.4999/uhod.225876 | |
dc.identifier.endpage | 34 | en_US |
dc.identifier.issn | 1306-133X | |
dc.identifier.issn | 1306-133X | en_US |
dc.identifier.issue | 1 | en_US |
dc.identifier.scopus | 2-s2.0-85123064473 | en_US |
dc.identifier.scopusquality | N/A | en_US |
dc.identifier.startpage | 23 | en_US |
dc.identifier.uri | https://doi.org/10.4999/uhod.225876 | |
dc.identifier.uri | https://hdl.handle.net/11454/78841 | |
dc.identifier.volume | 32 | en_US |
dc.identifier.wos | WOS:000747924400001 | en_US |
dc.identifier.wosquality | Q4 | en_US |
dc.indekslendigikaynak | Web of Science | en_US |
dc.indekslendigikaynak | Scopus | en_US |
dc.language.iso | en | en_US |
dc.publisher | Akad Doktorlar Yayinevi | en_US |
dc.relation.ispartof | Uhod-Uluslararasi Hematoloji-Onkoloji Dergisi | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Lung cancer | en_US |
dc.subject | Stage III | en_US |
dc.subject | Treatment patterns | en_US |
dc.subject | Chemotherapy | en_US |
dc.subject | Radiotherapy | en_US |
dc.subject | Tnm Classification | en_US |
dc.subject | Open-Label | en_US |
dc.subject | Chemoradiotherapy | en_US |
dc.subject | Chemotherapy | en_US |
dc.subject | Management | en_US |
dc.subject | Proposals | en_US |
dc.subject | Groupings | en_US |
dc.subject | Nivolumab | en_US |
dc.subject | Survival | en_US |
dc.subject | Revision | en_US |
dc.title | National Multi-Center Observational Retrospective Study to Understand Treatment Patterns and Outcomes for Stage III Non-Small Cell Lung Cancer Patients in Turkey: Turkish Society for Radiation Oncology Study, STONE Trial | en_US |
dc.type | Article | en_US |