Prognostic factors affecting long-term outcomes in patients with resected stage IIIA pN2 non-small-cell lung cancer: 5-year follow-up of a phase II study
2006

Prognostic Factors in Lung Cancer Treatment

Sample size: 75 publication 10 minutes Evidence: moderate

Author Information

Author(s): Betticher D C, Hsu Schmitz S-F, Tötsch M, Hansen E, Joss C, von Briel C, Schmid R A, Pless M, Habicht J, Roth A D, Spiliopoulos A, Stahel R, Weder W, Stupp R, Egli F, Furrer M, Honegger H, Wernli M, Cerny T, Ris H-B

Primary Institution: Clinic of Medical Oncology, Hospital of Fribourg, Switzerland

Hypothesis

The aim was to investigate the efficacy of neoadjuvant docetaxel–cisplatin and identify prognostic factors for outcome in locally advanced stage IIIA (pN2) non-small-cell lung cancer patients.

Conclusion

Neoadjuvant docetaxel–cisplatin was effective and tolerable in stage IIIA pN2 NSCLC, with chemotherapy contributing significantly to outcomes.

Supporting Evidence

  • 75 patients underwent surgery after chemotherapy.
  • Median overall survival was 35 months for patients who underwent surgery.
  • 36% of patients were alive and tumor-free at 3 years.
  • Factors associated with better outcomes included complete tumor resection and chemotherapy activity.

Takeaway

This study looked at how well a specific chemotherapy worked for lung cancer patients and found that it helped many of them live longer.

Methodology

Patients received three cycles of docetaxel and cisplatin before surgery, and their outcomes were analyzed based on various prognostic factors.

Potential Biases

Potential biases may arise from the single-arm design and the lack of a control group.

Limitations

The study had a relatively small sample size and was limited to a specific patient population.

Participant Demographics

Patients were aged 18-75 years, with a mix of genders and performance statuses.

Statistical Information

P-Value

p=0.0002

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6603075

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