Outcomes and patterns of care in a nationwide cohort of pediatric medulloblastoma: Factors affecting proton therapy utilization

Autor: Andrew S. Kopecky, PhD, Atif J. Khan, MD, Wilbur Pan, MD, Richard Drachtman, MD, Rahul R. Parikh, MD
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Advances in Radiation Oncology, Vol 2, Iss 4, Pp 588-596 (2017)
Druh dokumentu: article
ISSN: 2452-1094
DOI: 10.1016/j.adro.2017.07.007
Popis: Purpose: We examined national outcomes and patterns of care for pediatric patients with medulloblastoma (MB) in a large observational cohort. Methods and materials: Using the National Cancer Database, we evaluated the clinical features and survival outcomes of patients diagnosed with MB. The association between intervention, covariables, and outcome was assessed in a multivariable Cox analysis and through logistic regression analysis. Survival was estimated using the Kaplan-Meier method. Results: Among the 4032 patients in the National Cancer Database with pediatric brain tumors, 1300 patients met the inclusion criteria of histologic diagnosis, receipt of chemotherapy and radiation, and age ≤18 years. The median age and follow-up were 8.4 years and 4.5 years, respectively. Five-year survival was 79.0%. In the univariate analysis, inferior outcome (overall survival) was associated with rural residence (hazard ratio [HR], 2.78; 95% confidence interval [CI],1.47-5.29; P
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