Asian Versus Non-Asian Outcomes in Nasopharyngeal Carcinoma: A North American Population-based Analysis

Autor: Yongliang Zhai, Cheryl Ho, Janessa Laskin, Sarah Hamilton, Paul Mak, Jonn Wu
Rok vydání: 2016
Předmět:
Male
Oncology
Cancer Research
Kaplan-Meier Estimate
Cohort Studies
0302 clinical medicine
Antineoplastic Combined Chemotherapy Protocols
030212 general & internal medicine
education.field_of_study
Nasopharyngeal Carcinoma
Hazard ratio
Chemoradiotherapy
Middle Aged
Prognosis
Combined Modality Therapy
Treatment Outcome
030220 oncology & carcinogenesis
Female
Cohort study
Adult
medicine.medical_specialty
Population
Disease-Free Survival
White People
03 medical and health sciences
Asian People
Internal medicine
medicine
Humans
Neoplasm Invasiveness
education
Survival analysis
Aged
Neoplasm Staging
Proportional Hazards Models
Retrospective Studies
British Columbia
Performance status
business.industry
Proportional hazards model
Carcinoma
Nasopharyngeal Neoplasms
Retrospective cohort study
medicine.disease
Survival Analysis
Nasopharyngeal carcinoma
Multivariate Analysis
Radiotherapy
Conformal

business
Zdroj: American Journal of Clinical Oncology. 39:575-580
ISSN: 0277-3732
Popis: OBJECTIVES The effect of ethnicity on nasopharyngeal cancer (NPC) outcomes is unclear. This retrospective analysis examines survival and the impact of concurrent chemoradiation (chemoRT) among Asian and non-Asian patients. METHODS Subjects included 380 consecutive patients with NPC treated at a Canadian institution from 2000 to 2009. Five-year Kaplan-Meier progression-free survival (PFS), disease-specific survival (DSS), and overall survival (OS) were compared between Asian (n=279) and non-Asian (n=101) subjects. Multivariable analysis was performed using Cox regression modeling. Two-variable interaction terms with concurrent chemoRT were used to examine whether concurrent chemoRT conferred different effects among subgroups. RESULTS Asian subjects presented with earlier stage (P=0.005), were younger, had better performance status, and were less likely smokers (all P
Databáze: OpenAIRE