Cancer Management and Research (Dec 2020)

Survival Analysis of Antineoplastic Treatment for Older Patients with Metastatic Non-Small-Cell Lung Cancer: A Clinical Database Study

  • Yu CH,
  • Cheng YA,
  • Chen RY,
  • Wu YL,
  • Lin MH

Journal volume & issue
Vol. Volume 12
pp. 12957 – 12964

Abstract

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Chin-Hsiu Yu,1 Ya-Ai Cheng,2 Ru-Yih Chen,3 Yu-Lung Wu,4 Min-Hsi Lin5 1Department of Information Engineering, I-Shou University, Kaohsiung, Taiwan; 2Department of Healthcare Administration, I-Shou University, Kaohsiung, Taiwan; 3Department of Family Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; 4Department of Information Management, I-Shou University, Kaohsiung, Taiwan; 5Division of Chest Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, TaiwanCorrespondence: Ru-Yih Chen Department of Family MedicineKaohsiung Veterans General Hospital, No. 386, Dazhong 1st Road, Zuoying District, Kaohsiung City 813414, Taiwan (R.O.C.)Tel +886-7-346-8236Fax +886-7-342-2288Email [email protected]: To explore whether antineoplastic treatment can improve overall survival (OS) in older patients with metastatic non-small-cell lung cancer (mNSCLC).Patients and Methods: Using the cancer registry database of a tertiary medical center in Taiwan, we followed patients 65 years old and above with pathologically proved mNSCLC. Chi-square test and Cox regression were used to analyze differences in clinical characteristics, the treatments they received, and factors predicting survival. Kaplan–Meier survival analysis was used to analyze OS differences.Results: A total of 542 older patients were diagnosed with mNSCLC from 2011 to 2017. Multivariate Cox regression showed that patients receiving targeted therapy (TT) alone, chemotherapy (CT) alone, and crossover (CO) treatment were at significantly less risk of short OS [hazard ratio (HR) 0.351, 95% confidence interval (CI), 0.257– 0.479; HR 0.517, CI 0.376– 0.711; and HR 0.544, CI 0.373– 0.792, respectively]. Patients at significantly increased risk of short OS were those aged ≥ 85 years and those assigned poorer Eastern Cooperative Oncology Group Performance Status (ECOG-PS) scores (HR 1.513, CI 1.135– 2.017, and HR 2.854, CI 2.188– 3.724, respectively). The result of Kaplan–Meier survival analysis of 418 patients with ECOG-PS scores 0– 2 suggested that patients who received antineoplastic treatments had a significantly better median OS than those receiving supportive care (SC), those receiving TT having the best result (SC, 4.00 months; TT, 21.17 months; CT, 12.83 months; CO, 15.83 months, P< 0.001).Conclusion: Antineoplastic treatments, especially TT, can improve OS for selected older patients with mNSCLC.Keywords: chemotherapy, targeted therapy, crossover treatment, stage IV lung cancer, older patient, survival

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