Patterns of survival in patients with advanced Hodgkin's disease treated in a single centre over 20 years
1992

Survival Patterns in Advanced Hodgkin's Disease

Sample size: 164 publication 10 minutes Evidence: moderate

Author Information

Author(s): A.M. Oza, T.S. Ganesan, M. Dorreen, P.W.M. Johnson, J. Waxman, W. Gregory, J. Lim, J. Wright, L. Dadiotis, V. Barbounis, A.G. Stansfeld, A.Z.S. Rohatiner, J.S. Malpas, P.F.M. Wrigley, T.A. Lister

Primary Institution: ICRF Department of Medical Oncology, St Bartholomew's Hospital, London

Hypothesis

What are the long-term survival patterns and remission rates in patients with advanced Hodgkin's disease treated with MVPP chemotherapy?

Conclusion

The study found that achieving complete remission significantly improves long-term survival in patients with advanced Hodgkin's disease.

Supporting Evidence

  • Complete remission was achieved in 59% of patients after six cycles of chemotherapy.
  • Patients with higher serum albumin levels had better remission rates.
  • The median survival from presentation was 14 years for patients who achieved remission.

Takeaway

This study looked at how well people with advanced Hodgkin's disease did over a long time after getting treatment. Most people who got better stayed that way for many years.

Methodology

The study analyzed 164 adults with advanced Hodgkin's disease who received MVPP chemotherapy and followed their outcomes over a median of 14 years.

Potential Biases

There may be biases related to the treatment protocols and patient selection over the 20-year study period.

Limitations

The study is limited by its retrospective nature and the potential for selection bias in the patient population.

Participant Demographics

The cohort consisted of 122 males and 42 females, with ages ranging from 13 to 79 years, and a median age of 36.

Statistical Information

P-Value

0.0002

Statistical Significance

p<0.05

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