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.