Split Course Hyperfractionated Accelerated Radio-Chemotherapy (SCHARC) for patients with advanced head and neck cancer: Influence of protocol deviations and hemoglobin on overall survival, a retrospective analysis
2006

SCHARC Treatment for Advanced Head and Neck Cancer

Sample size: 64 publication Evidence: moderate

Author Information

Author(s): Peter Stadler, Kurt Putnik, Thore Kreimeyer, Lisa D Sprague, Oliver Koelbl, Christof Schäfer

Primary Institution: University Hospital Regensburg

Hypothesis

Does the SCHARC protocol improve overall survival in patients with advanced head and neck cancer?

Conclusion

The SCHARC protocol was effective in patients diagnosed with advanced head and neck cancer, leading to long-term disease control and survival in about 50% of the patients.

Supporting Evidence

  • The estimated 3-year overall survival rate was 57%.
  • Patients with a hemoglobin nadir above 10.2 g/dl had a significantly better survival rate.
  • Acute grade 2-3 mucositis occurred in 80% of patients.

Takeaway

Doctors used a special treatment called SCHARC to help people with serious throat and mouth cancers, and it worked for about half of them.

Methodology

The study analyzed 64 patients who received the SCHARC protocol from 1997 to 2004, assessing their survival and treatment outcomes.

Potential Biases

Potential bias due to protocol deviations and the retrospective nature of the analysis.

Limitations

The study was retrospective and not a formal clinical trial, which may affect the reliability of the findings.

Participant Demographics

Patients were mostly male (86%), with a mean age of 56 years; 88% were stage IV cancer.

Statistical Information

P-Value

0.02

Statistical Significance

p<0.01

Digital Object Identifier (DOI)

10.1186/1471-2407-6-279

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