Early death during chemotherapy in patients with small-cell lung cancer: derivation of a prognostic index for toxic death and progression
1999

Prognostic Index for Early Death in Small-Cell Lung Cancer Patients

Sample size: 937 publication Evidence: moderate

Author Information

Author(s): Lassen U N, Ă˜sterlind K, Hirsch F R, Bergman B, Dombernowsky P, Hansen H H

Primary Institution: Finsen Center, Department of Oncology, National University Hospital, Copenhagen, Denmark

Hypothesis

Can we identify patients at risk of early non-toxic death and early toxic death during chemotherapy for small-cell lung cancer?

Conclusion

A simple prognostic algorithm can help identify patients at risk of early death during chemotherapy, potentially improving long-term survival.

Supporting Evidence

  • 12.6% of patients died during the first treatment cycle.
  • 4% of deaths were due to sepsis.
  • Significant risk factors for early death included age, performance status, and lactate dehydrogenase levels.

Takeaway

This study found that some patients with small-cell lung cancer are more likely to die early during chemotherapy, and we can use certain factors to identify them.

Methodology

Logistic regression analyses were performed to identify predictive factors for early death based on data from randomized trials.

Participant Demographics

Patients with small-cell lung cancer undergoing chemotherapy.

Statistical Information

P-Value

0.0001

Statistical Significance

p=0.0001

Digital Object Identifier (DOI)

10.1038/sj.bjc.6690080

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