BRATOVÁ, Monika, Kristián BRAT, Karolina HURDALKOVA, Magda BARINOVA, Marie DROSSLEROVA, Juraj KULTAN, Matyas WANKE, Leona KOUBKOVA, Jana KREJCI and Martin SVATON. Lung Cancer Versus "Young Cancer": Is Non-Small Cell Lung Cancer in Young Patients a Different Entity? JOURNAL OF ADOLESCENT AND YOUNG ADULT ONCOLOGY. NEW ROCHELLE: MARY ANN LIEBERT, INC, 2022, vol. 11, No 5, p. 451-458. ISSN 2156-5333. Available from: https://dx.doi.org/10.1089/jayao.2021.0069.
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Basic information
Original name Lung Cancer Versus "Young Cancer": Is Non-Small Cell Lung Cancer in Young Patients a Different Entity?
Authors BRATOVÁ, Monika (203 Czech Republic, belonging to the institution), Kristián BRAT (703 Slovakia, guarantor, belonging to the institution), Karolina HURDALKOVA (203 Czech Republic), Magda BARINOVA (203 Czech Republic), Marie DROSSLEROVA (203 Czech Republic), Juraj KULTAN, Matyas WANKE (203 Czech Republic), Leona KOUBKOVA (203 Czech Republic), Jana KREJCI (203 Czech Republic) and Martin SVATON (203 Czech Republic).
Edition JOURNAL OF ADOLESCENT AND YOUNG ADULT ONCOLOGY, NEW ROCHELLE, MARY ANN LIEBERT, INC, 2022, 2156-5333.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30204 Oncology
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 2.000
RIV identification code RIV/00216224:14110/22:00125388
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1089/jayao.2021.0069
UT WoS 000715838900001
Keywords in English non-small cell lung cancer; young patients; younger than the age of 40 years; overall survival; prognosis; mutations
Tags 14110215, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 24/2/2023 09:52.
Abstract
Purpose: Aim was to analyze demographic and tumor characteristics, treatment, and survival of patients with lung cancer younger than 40 years of age (U40) compared to older subgroups (41-70 and >70 years).

Methods: We analyzed data of young patients diagnosed and treated in 2011-2019 in five pneumo-oncology centers in Czechia. Standard descriptive statistics, chi-squared test, Fisher exact test, and Kaplan-Meier survival analysis were used. p-Values <0.05 were considered significant. These data were compared with two control subgroups (cohort 1: 41-70 years, cohort 2: >70 years).

Results: We identified 66 patients U40, 61 with non-small cell lung cancer (NSCLC)-50.8% men, mean age 34.6 years, 54.1% nonsmokers, daily good performance status, and 82% in stage IV. Adenocarcinomas dominated, endothelial growth factor receptor (EGFR) positivity was less common than in older groups contrary to anaplastic lymphoma kinase (ALK) mutations. Median progression-free survival was 3.7 months (vs. 4.9 and 6.2 months; p = 0.006) and overall survival reached 11.7 months (vs. 22.3 and 27.3 months; p < 0.001). Young patients in stage IV and never-smokers had shorter survival than older patients.

Conclusion: Patients with NSCLC U40 had significantly worse prognosis than older patients.

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