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Prognostic factors for progression-free and overall survival in advanced biliary tract cancer.

Identifieur interne : 001838 ( PubMed/Checkpoint ); précédent : 001837; suivant : 001839

Prognostic factors for progression-free and overall survival in advanced biliary tract cancer.

Auteurs : J. Bridgewater [Royaume-Uni] ; A. Lopes [Royaume-Uni] ; H. Wasan [Royaume-Uni] ; D. Malka [France] ; L. Jensen [Danemark] ; T. Okusaka [Japon] ; J. Knox [Canada] ; D. Wagner [Suisse] ; D. Cunningham [Royaume-Uni] ; J. Shannon [Australie] ; D. Goldstein [Australie] ; M. Moehler [Allemagne] ; T. Bekaii-Saab [États-Unis] ; M G Mcnamara [Royaume-Uni] ; J W Valle [Royaume-Uni]

Source :

RBID : pubmed:26483051

Descripteurs français

English descriptors

Abstract

Biliary tract cancer is an uncommon cancer with a poor outcome. We assembled data from the National Cancer Research Institute (UK) ABC-02 study and 10 international studies to determine prognostic outcome characteristics for patients with advanced disease.

DOI: 10.1093/annonc/mdv483
PubMed: 26483051


Affiliations:


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pubmed:26483051

Le document en format XML

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<term>Bile Duct Neoplasms (diagnosis)</term>
<term>Bile Duct Neoplasms (mortality)</term>
<term>Bile Duct Neoplasms (therapy)</term>
<term>Cholangiocarcinoma (diagnosis)</term>
<term>Cholangiocarcinoma (mortality)</term>
<term>Cholangiocarcinoma (therapy)</term>
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<term>Résultat thérapeutique</term>
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<div type="abstract" xml:lang="en">Biliary tract cancer is an uncommon cancer with a poor outcome. We assembled data from the National Cancer Research Institute (UK) ABC-02 study and 10 international studies to determine prognostic outcome characteristics for patients with advanced disease.</div>
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<ELocationID EIdType="doi" ValidYN="Y">10.1093/annonc/mdv483</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Biliary tract cancer is an uncommon cancer with a poor outcome. We assembled data from the National Cancer Research Institute (UK) ABC-02 study and 10 international studies to determine prognostic outcome characteristics for patients with advanced disease.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Multivariable analyses of the final dataset from the ABC-02 study were carried out. All variables were simultaneously included in a Cox proportional hazards model, and backward elimination was used to produce the final model (using a significance level of 10%), in which the selected variables were associated independently with outcome. This score was validated externally by receiver operating curve (ROC) analysis using the independent international dataset.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 410 patients were included from the ABC-02 study and 753 from the international dataset. An overall survival (OS) and progression-free survival (PFS) Cox model was derived from the ABC-02 study. White blood cells, haemoglobin, disease status, bilirubin, neutrophils, gender, and performance status were considered prognostic for survival (all with P < 0.10). Patients with metastatic disease {hazard ratio (HR) 1.56 [95% confidence interval (CI) 1.20-2.02]} and Eastern Cooperative Oncology Group performance status (ECOG PS) 2 had worse survival [HR 2.24 (95% CI 1.53-3.28)]. In a dataset restricted to patients who received cisplatin and gemcitabine with ECOG PS 0 and 1, only haemoglobin, disease status, bilirubin, and neutrophils were associated with PFS and OS. ROC analysis suggested the models generated from the ABC-02 study had a limited prognostic value [6-month PFS: area under the curve (AUC) 62% (95% CI 57-68); 1-year OS: AUC 64% (95% CI 58-69)].</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">These data propose a set of prognostic criteria for outcome in advanced biliary tract cancer derived from the ABC-02 study that are validated in an international dataset. Although these findings establish the benchmark for the prognostic evaluation of patients with ABC and confirm the value of longheld clinical observations, the ability of the model to correctly predict prognosis is limited and needs to be improved through identification of additional clinical and molecular markers.</AbstractText>
<CopyrightInformation>© The Author 2015. Published by Oxford University Press on behalf of the European Society for Medical Oncology. All rights reserved. For permissions, please email: journals.permissions@oup.com.</CopyrightInformation>
</Abstract>
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<Author ValidYN="Y">
<LastName>Bridgewater</LastName>
<ForeName>J</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>UCL Cancer Institute, UCL, London j.bridgewater@ucl.ac.uk.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Lopes</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>UCL and CRUK Clinical Trials Centre, UCL, London.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Wasan</LastName>
<ForeName>H</ForeName>
<Initials>H</Initials>
<AffiliationInfo>
<Affiliation>Department of Oncology, Imperial Healthcare, London, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Malka</LastName>
<ForeName>D</ForeName>
<Initials>D</Initials>
<AffiliationInfo>
<Affiliation>Department of Cancer Medicine, Institute Gustave Roussy, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Jensen</LastName>
<ForeName>L</ForeName>
<Initials>L</Initials>
<AffiliationInfo>
<Affiliation>Department of Oncology, Vejle Hospital, Vejle, Denmark.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Okusaka</LastName>
<ForeName>T</ForeName>
<Initials>T</Initials>
<AffiliationInfo>
<Affiliation>Division of Hepatobiliary and Pancreatic Oncology, National Cancer Centre Hospital, Tokyo, Japan.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Knox</LastName>
<ForeName>J</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Department of Oncology, Princess Margaret Cancer Centre, Toronto, Canada.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Wagner</LastName>
<ForeName>D</ForeName>
<Initials>D</Initials>
<AffiliationInfo>
<Affiliation>Department of Oncology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.</Affiliation>
</AffiliationInfo>
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<LastName>Cunningham</LastName>
<ForeName>D</ForeName>
<Initials>D</Initials>
<AffiliationInfo>
<Affiliation>Department of Medicine, Royal Marsden Hospital, Sutton, UK.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Shannon</LastName>
<ForeName>J</ForeName>
<Initials>J</Initials>
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<Affiliation>Department of Oncology, Nepean Cancer Centre, Sydney.</Affiliation>
</AffiliationInfo>
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<LastName>Goldstein</LastName>
<ForeName>D</ForeName>
<Initials>D</Initials>
<AffiliationInfo>
<Affiliation>Department of Oncology, Prince of Wales Hospital, Sydney, Australia.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Moehler</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
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<Affiliation>Department of Internal Medicine, Johannes Gutenberg-University of Mainz, Mainz, Germany.</Affiliation>
</AffiliationInfo>
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<LastName>Bekaii-Saab</LastName>
<ForeName>T</ForeName>
<Initials>T</Initials>
<AffiliationInfo>
<Affiliation>Department of Oncology, The Ohio State University, Columbus, USA.</Affiliation>
</AffiliationInfo>
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<LastName>McNamara</LastName>
<ForeName>M G</ForeName>
<Initials>MG</Initials>
<AffiliationInfo>
<Affiliation>Institute of Cancer Sciences, The University of Manchester and The Christie NHS Foundation Trust, Manchester, UK.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Valle</LastName>
<ForeName>J W</ForeName>
<Initials>JW</Initials>
<AffiliationInfo>
<Affiliation>Institute of Cancer Sciences, The University of Manchester and The Christie NHS Foundation Trust, Manchester, UK.</Affiliation>
</AffiliationInfo>
</Author>
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<Language>eng</Language>
<GrantList CompleteYN="Y">
<Grant>
<GrantID>C444/A15953</GrantID>
<Agency>Cancer Research UK</Agency>
<Country>United Kingdom</Country>
</Grant>
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<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D017418">Meta-Analysis</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<ArticleDate DateType="Electronic">
<Year>2015</Year>
<Month>10</Month>
<Day>19</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>England</Country>
<MedlineTA>Ann Oncol</MedlineTA>
<NlmUniqueID>9007735</NlmUniqueID>
<ISSNLinking>0923-7534</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D001650" MajorTopicYN="N">Bile Duct Neoplasms</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
<QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D018281" MajorTopicYN="N">Cholangiocarcinoma</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
<QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D018572" MajorTopicYN="N">Disease-Free Survival</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D015999" MajorTopicYN="N">Multivariate Analysis</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016016" MajorTopicYN="N">Proportional Hazards Models</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012372" MajorTopicYN="N">ROC Curve</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">ABC-02</Keyword>
<Keyword MajorTopicYN="N">advanced disease</Keyword>
<Keyword MajorTopicYN="N">biliary tract cancer</Keyword>
<Keyword MajorTopicYN="N">cisplatin and gemcitabine</Keyword>
<Keyword MajorTopicYN="N">performance status</Keyword>
<Keyword MajorTopicYN="N">prognostic model</Keyword>
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<Year>2015</Year>
<Month>07</Month>
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<PubMedPubDate PubStatus="accepted">
<Year>2015</Year>
<Month>09</Month>
<Day>24</Day>
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<Month>9</Month>
<Day>23</Day>
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