Prognostic factors for survival in locally advanced NSCLC treated with concurrent chemo- radiation: An institutional analysis.

Authors

null

Sowmini Medavaram

Suny Stony Brook, Stony Brook, NY

Sowmini Medavaram , Amna Falak Sher , Barbara Nemesure , Roger Keresztes

Organizations

Suny Stony Brook, Stony Brook, NY, Stony Brook Univ Medcl Ctr, Stonybrook, NY, State University of New York at Stony Brook, Stony Brook, NY, SUNY Stony Brook University, Stony Brook, NY

Research Funding

Other

Title: Prognostic factors for survival in locally advanced NSCLC treated with concurrent chemoradiation (CRT): An institutional analysis Background: CRT is the standard of care for patients with locally advanced non-small cell lung cancer (NSCLC). Analysis of prognostic factors in NSCLC has defined patient subsets with varying survival .There is limited data about these factors in patients treated with CRT. The purpose of this study is to explore factors predictive of survival in this patient population. Methods: In this retrospective study, data from patients with locally advanced NSCLC, treated with CRT at Stony Brook University Hospital from 2007 to 2015 were collected. Age, gender, histology, TNM stage and number of positive lymph node stations (PLNS) were evaluated as independent prognostic factors.3-year Kaplan-Meier survival curves were generated and log rank tests were used to evaluate the difference in survival between groups. Results: 134 patients were included in the study. 3-year overall survival (OS) was 24.6 %, which was comparable to estimates published in literature. Advanced stage and number of nodal stations significantly affected OS. 3-year OS for stage II, III and IV patients was 42.9%, 25.5 % and 0% (p = 0.006), respectively. Patients with less than 3 PLNS had improved OS outcomes compared to those with 3 or more PLNS (29.7% vs 18.3%, p = 0.019). Age, gender and histology did not significantly affect survival. Conclusions: TNM stage and number of PLNS have the greatest impact on survival in locally advanced NSCLC patients treated with CRT. Our study suggests that these factors should be included in risk stratification models in this patient population.

3-Yr OS in Locally advanced NSCLC treated with CRT

VariablesNo. of patients3-Yr OS %P value
Age (yrs)
    < 655717.50.234
    65+7729.9
Gender
    Male6624.20.761
    Female6825.0
Stage*
    II742.90.006
    III11025.5
    IV120.0
Nodal Stations
    < 37429.70.019
    3+6018.3
Histology
    Squamous5822.40.76
    Non squamous7626.3
Total13424.6

*5 patients were missing information on stage

Disclaimer

This material on this page is ©2024 American Society of Clinical Oncology, all rights reserved. Licensing available upon request. For more information, please contact licensing@asco.org

Abstract Details

Meeting

2018 ASCO Annual Meeting

Session Type

Publication Only

Session Title

Publication Only: Lung Cancer-Non-Small Cell Local-Regional/Small Cell/Other Thoracic Cancers

Track

Lung Cancer

Sub Track

Local-Regional Non–Small Cell Lung Cancer

Citation

J Clin Oncol 36, 2018 (suppl; abstr e20512)

DOI

10.1200/JCO.2018.36.15_suppl.e20512

Abstract #

e20512

Abstract Disclosures