Quality of Life Assessment After Concurrent Chemoradiation for Invasive Bladder Cancer: Results of a Multicenter Prospective Study (GETUG 97-015)
| Autor: | Jean-Léon Lagrange, Jean-Marc Bachaud, Florence Joly, Véronique Beckendorf, Jean-Marc Ferrero, Caroline Bascoul-Mollevi, Andrew Kramar, Bruno Chauvet, Lionnel Geoffrois, Christine Chevreau, Nedjila Allouache |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Cancer Research medicine.medical_specialty medicine.medical_treatment Urinary system Urinary Bladder Cystectomy Quality of life Surveys and Questionnaires Antineoplastic Combined Chemotherapy Protocols medicine Humans Neoplasm Invasiveness Radiology Nuclear Medicine and imaging Prospective Studies Prospective cohort study Aged Neoplasm Staging Carcinoma Transitional Cell Radiation Bladder cancer Urinary bladder business.industry Radiotherapy Dosage Organ Preservation Middle Aged medicine.disease Combined Modality Therapy Surgery Radiation therapy medicine.anatomical_structure Urinary Bladder Neoplasms Oncology Quality of Life Female Fluorouracil Cisplatin business Chemoradiotherapy |
| Zdroj: | International Journal of Radiation Oncology*Biology*Physics. 79:172-178 |
| ISSN: | 0360-3016 |
| DOI: | 10.1016/j.ijrobp.2009.10.038 |
| Popis: | Purpose To evaluate bladder preservation and functional quality after concurrent chemoradiotherapy for muscle-invasive cancer in 53 patients included in a Phase II trial. Patient and Methods Pelvic irradiation delivered 45Gy, followed by an 18-Gy boost. Concurrent chemotherapy with cisplatin and 5-fluorouracil by continuous infusion was performed at Weeks 1, 4, and 7 during radiotherapy. Patients initially suitable for surgery were evaluated with macroscopically complete transurethral resection after 45Gy, followed by radical cystectomy in case of incomplete response. The European Organization for Research and Treatment of Cancer quality of life questionnaire QLQ-C30, specific items on bladder function, and the Late Effects in Normal Tissues–Subjective, Objective, Management, and Analytic (LENT-SOMA) symptoms scale were used to evaluate quality of life before treatment and 6, 12, 24, and 36 months after treatment. Results Median age was 68 years for 51 evaluable patients. Thirty-two percent of patients had T2a tumors, 46% T2b, 16% T3, and 6% T4. A visibly complete transurethral resection was possible in 66%. Median follow-up was 8 years. Bladder was preserved in 67% (95% confidence interval, 52–79%) of patients. Overall survival was 36% (95% confidence interval, 23–49%) at 8 years for all patients, and 45% (28–61%) for the 36 patients suitable for surgery. Satisfactory bladder function, according to LENT-SOMA, was reported for 100% of patients with preserved bladder and locally controlled disease 6–36 months after the beginning of treatment. Satisfactory bladder function was reported for 35% of patients before treatment and for 43%, 57%, and 29%, respectively, at 6, 18, and 36 months. Conclusions Concurrent chemoradiation therapy allowed bladder preservation with tumor control for 67% patients at 8 years. Quality of life and quality of bladder function were satisfactory for 67% of patients. |
| Databáze: | OpenAIRE |
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