KUBACKOVA, Katerina, Bohuslav MELICHAR, Zbyněk BORTLÍČEK, Tomáš PAVLÍK, Alexandr POPRACH, Marek SVOBODA, Radek LAKOMY, Rostislav VYZULA, Igor KISS, Ladislav DUŠEK, Jana PRAUSOVA and Tomas BUCHLER. Comparison of Two Prognostic Models in Patients with Metastatic Renal Cancer Treated with Sunitinib: a Retrospective, Registry-Based Study. Targeted Oncology. Dordrecht: Springer, 2015, vol. 10, No 4, p. 557-563. ISSN 1776-2596. Available from: https://dx.doi.org/10.1007/s11523-015-0366-9.
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Basic information
Original name Comparison of Two Prognostic Models in Patients with Metastatic Renal Cancer Treated with Sunitinib: a Retrospective, Registry-Based Study
Authors KUBACKOVA, Katerina (203 Czech Republic), Bohuslav MELICHAR (203 Czech Republic), Zbyněk BORTLÍČEK (203 Czech Republic, guarantor, belonging to the institution), Tomáš PAVLÍK (203 Czech Republic, belonging to the institution), Alexandr POPRACH (203 Czech Republic), Marek SVOBODA (203 Czech Republic), Radek LAKOMY (203 Czech Republic), Rostislav VYZULA (203 Czech Republic), Igor KISS (203 Czech Republic), Ladislav DUŠEK (203 Czech Republic, belonging to the institution), Jana PRAUSOVA (203 Czech Republic) and Tomas BUCHLER (203 Czech Republic).
Edition Targeted Oncology, Dordrecht, Springer, 2015, 1776-2596.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30200 3.2 Clinical medicine
Country of publisher Netherlands
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 3.197
RIV identification code RIV/00216224:14110/15:00085865
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1007/s11523-015-0366-9
UT WoS 000365770300010
Keywords in English CELL CARCINOMA; TARGETED THERAPY; SURVIVAL; VALIDATION; PROGRESSION; CYTOKINES; CRITERIA; DATABASE
Tags EL OK
Tags International impact, Reviewed
Changed by Changed by: Ing. Mgr. Věra Pospíšilíková, učo 9005. Changed: 12/1/2016 15:59.
Abstract
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.
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