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Chemotherapy with radiotherapy influences time-to-development of radiation-induced sarcomas: a multicenter study.

Identifieur interne : 001020 ( PubMed/Checkpoint ); précédent : 001019; suivant : 001021

Chemotherapy with radiotherapy influences time-to-development of radiation-induced sarcomas: a multicenter study.

Auteurs : A Y Zhang [Australie] ; I. Judson [Royaume-Uni] ; C. Benson [Royaume-Uni] ; J S Wunder [Canada] ; I. Ray-Coquard [France] ; R J Grimer [Royaume-Uni] ; R. Quek [Singapour] ; E. Wong [Royaume-Uni] ; A B Miah [Royaume-Uni] ; P C Ferguson [Canada] ; A. Dufresne [France] ; J Y H. Teh [Singapour] ; M. Stockler [Australie] ; M H N. Tattersall [Australie]

Source :

RBID : pubmed:28654633

Descripteurs français

English descriptors

Abstract

An increasing number and proportion of cancer patients with apparently localised disease are treated with chemotherapy and radiation therapy in contemporary oncology practice. In a pilot study of radiation-induced sarcoma (RIS) patients, we demonstrated that chemotherapy was associated with a reduced time to development of RIS. We now present a multi-centre collaborative study to validate this association.

DOI: 10.1038/bjc.2017.198
PubMed: 28654633


Affiliations:


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pubmed:28654633

Le document en format XML

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<div type="abstract" xml:lang="en">An increasing number and proportion of cancer patients with apparently localised disease are treated with chemotherapy and radiation therapy in contemporary oncology practice. In a pilot study of radiation-induced sarcoma (RIS) patients, we demonstrated that chemotherapy was associated with a reduced time to development of RIS. We now present a multi-centre collaborative study to validate this association.</div>
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<ISSN IssnType="Electronic">1532-1827</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>117</Volume>
<Issue>3</Issue>
<PubDate>
<Year>2017</Year>
<Month>Jul</Month>
<Day>25</Day>
</PubDate>
</JournalIssue>
<Title>British journal of cancer</Title>
<ISOAbbreviation>Br. J. Cancer</ISOAbbreviation>
</Journal>
<ArticleTitle>Chemotherapy with radiotherapy influences time-to-development of radiation-induced sarcomas: a multicenter study.</ArticleTitle>
<Pagination>
<MedlinePgn>326-331</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1038/bjc.2017.198</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">An increasing number and proportion of cancer patients with apparently localised disease are treated with chemotherapy and radiation therapy in contemporary oncology practice. In a pilot study of radiation-induced sarcoma (RIS) patients, we demonstrated that chemotherapy was associated with a reduced time to development of RIS. We now present a multi-centre collaborative study to validate this association.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">This was a retrospective cohort study of RIS cases across five large international sarcoma centres between 1 January 2000 to 31 December 2014. The primary endpoint was time to development of RIS.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">We identified 419 patients with RIS. Chemotherapy for the first malignancy was associated with a shorter time to RIS development (HR 1.37; 95% CI: 1.08-1.72; P=0.009). In the multi-variable model, older age (HR 2.11; 95% CI 1.83-2.43; P<0.001) and chemotherapy for the first malignancy (HR 1.61; 95% CI 1.26-2.05; P<0·001) were independently associated with a shorter time to RIS. Anthracyclines and alkylating agents significantly contribute to the effect.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This study confirms an association between chemotherapy given for the first malignancy and a shorter time to development of RIS.</AbstractText>
</Abstract>
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<Author ValidYN="Y">
<LastName>Zhang</LastName>
<ForeName>A Y</ForeName>
<Initials>AY</Initials>
<AffiliationInfo>
<Affiliation>The University of Sydney, Sydney 2006, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Chris O'Brien Lifehouse, Sydney 2050, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Judson</LastName>
<ForeName>I</ForeName>
<Initials>I</Initials>
<AffiliationInfo>
<Affiliation>Royal Marsden NHS Foundation Trust, London SW3 6JJ, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Benson</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Royal Marsden NHS Foundation Trust, London SW3 6JJ, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Wunder</LastName>
<ForeName>J S</ForeName>
<Initials>JS</Initials>
<AffiliationInfo>
<Affiliation>Musculoskeletal Oncology Unit, Mount Sinai Hospital, Toronto, ON M5G 1X5, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Surgery, University of Toronto, Toronto, ON M5S, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Ray-Coquard</LastName>
<ForeName>I</ForeName>
<Initials>I</Initials>
<AffiliationInfo>
<Affiliation>Centre Léon Bérard, University Claude Bernard, Lyon 69100, France.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Grimer</LastName>
<ForeName>R J</ForeName>
<Initials>RJ</Initials>
<AffiliationInfo>
<Affiliation>The Royal Orthopaedic Hospital NHS Trust, Birmingham B31 2AP, UK.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Quek</LastName>
<ForeName>R</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>National Cancer Centre, Singapore 169610, Singapore.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Wong</LastName>
<ForeName>E</ForeName>
<Initials>E</Initials>
<AffiliationInfo>
<Affiliation>Royal Marsden NHS Foundation Trust, London SW3 6JJ, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Miah</LastName>
<ForeName>A B</ForeName>
<Initials>AB</Initials>
<AffiliationInfo>
<Affiliation>Royal Marsden NHS Foundation Trust, London SW3 6JJ, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Ferguson</LastName>
<ForeName>P C</ForeName>
<Initials>PC</Initials>
<AffiliationInfo>
<Affiliation>Musculoskeletal Oncology Unit, Mount Sinai Hospital, Toronto, ON M5G 1X5, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Surgery, University of Toronto, Toronto, ON M5S, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Dufresne</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Centre Léon Bérard, University Claude Bernard, Lyon 69100, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Teh</LastName>
<ForeName>J Y H</ForeName>
<Initials>JYH</Initials>
<AffiliationInfo>
<Affiliation>National Cancer Centre, Singapore 169610, Singapore.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Stockler</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Chris O'Brien Lifehouse, Sydney 2050, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>NHMRC Clinical Trials Centre, University of Sydney, Sydney 2006, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Tattersall</LastName>
<ForeName>M H N</ForeName>
<Initials>MHN</Initials>
<AffiliationInfo>
<Affiliation>The University of Sydney, Sydney 2006, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Chris O'Brien Lifehouse, Sydney 2050, Australia.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
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<PublicationType UI="D016448">Multicenter Study</PublicationType>
<PublicationType UI="D023361">Validation Studies</PublicationType>
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<ArticleDate DateType="Electronic">
<Year>2017</Year>
<Month>06</Month>
<Day>27</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>England</Country>
<MedlineTA>Br J Cancer</MedlineTA>
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<ISSNLinking>0007-0920</ISSNLinking>
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<Month>06</Month>
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<li>Auvergne-Rhône-Alpes</li>
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<li>Rhône-Alpes</li>
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<name sortKey="Miah, A B" sort="Miah, A B" uniqKey="Miah A" first="A B" last="Miah">A B Miah</name>
<name sortKey="Wong, E" sort="Wong, E" uniqKey="Wong E" first="E" last="Wong">E. Wong</name>
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<name sortKey="Wunder, J S" sort="Wunder, J S" uniqKey="Wunder J" first="J S" last="Wunder">J S Wunder</name>
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<name sortKey="Ferguson, P C" sort="Ferguson, P C" uniqKey="Ferguson P" first="P C" last="Ferguson">P C Ferguson</name>
</country>
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<region name="Auvergne-Rhône-Alpes">
<name sortKey="Ray Coquard, I" sort="Ray Coquard, I" uniqKey="Ray Coquard I" first="I" last="Ray-Coquard">I. Ray-Coquard</name>
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<name sortKey="Dufresne, A" sort="Dufresne, A" uniqKey="Dufresne A" first="A" last="Dufresne">A. Dufresne</name>
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<name sortKey="Teh, J Y H" sort="Teh, J Y H" uniqKey="Teh J" first="J Y H" last="Teh">J Y H. Teh</name>
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