J 2015

Comparison of Two Prognostic Models in Patients with Metastatic Renal Cancer Treated with Sunitinib: a Retrospective, Registry-Based Study

KUBACKOVA, Katerina; Bohuslav MELICHAR; Zbyněk BORTLÍČEK; Tomáš PAVLÍK; Alexandr POPRACH et al.

Základní údaje

Originální název

Comparison of Two Prognostic Models in Patients with Metastatic Renal Cancer Treated with Sunitinib: a Retrospective, Registry-Based Study

Autoři

KUBACKOVA, Katerina; Bohuslav MELICHAR; Zbyněk BORTLÍČEK; Tomáš PAVLÍK; Alexandr POPRACH; Marek SVOBODA; Radek LAKOMY; Rostislav VYZULA; Igor KISS; Ladislav DUŠEK; Jana PRAUSOVA a Tomas BUCHLER

Vydání

Targeted Oncology, Dordrecht, Springer, 2015, 1776-2596

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30200 3.2 Clinical medicine

Stát vydavatele

Nizozemské království

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 3.197

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/15:00085865

Organizační jednotka

Lékařská fakulta

UT WoS

000365770300010

EID Scopus

2-s2.0-84949100041

Klíčová slova anglicky

CELL CARCINOMA; TARGETED THERAPY; SURVIVAL; VALIDATION; PROGRESSION; CYTOKINES; CRITERIA; DATABASE

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 12. 1. 2016 15:59, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

The study aimed to compare two prognostic models in terms of progression-free survival (PFS), median overall survival (OS), and 1-year survival in patients treated first-line with sunitinib for metastatic renal cell carcinoma (mRCC). Data from patients who met prognostic model criteria for recording of baseline parameters and outcomes in the Czech Patient Registry RENal Information System (RENIS) were included in the retrospective analysis (n = 495). Performance of the modified Memorial Sloan Kettering Cancer Center (MSKCC) model and International Database Consortium (IDC) model was compared. PFS and OS were estimated using the Kaplan-Meier method. The statistical significance of differences in Kaplan-Meier estimates was assessed using the log-rank test. Median OS for prognostic groups according to MSKCC and IDC criteria, respectively, was 39.5 months (95 % confidence interval [CI]: 23.9-55.2) versus 44.3 months (95 % CI: 31.6-56.9) for favourable-risk patients (no adverse factors), 28.5 months (95 % CI: 20.1-36.8) versus 24.8 months (95 % CI: 19.8-29.8) for intermediate-risk patients (1-2 adverse factors), and 10.6 months (95 % CI: 6.3-14.8) versus 9.3 months (95 % CI: 5.1-13.5) for poor-risk patients (a parts per thousand yen3 adverse factors). The majority of MSKCC poor-risk patients (54.1 %, n = 72) were reclassified as intermediate-risk using IDC criteria, and 20.2 % (n = 61) of MSKCC intermediate-risk patients were reclassified to the IDC favourable-risk group. Both prognostic models were validated in the present cohort. Use of the IDC model resulted in an upward shift in prognostic assessment compared to the MSKCC model.