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

Identifieur interne : 002539 ( PubMed/Corpus ); précédent : 002538; suivant : 002540

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

Auteurs : J. Bridgewater ; A. Lopes ; H. Wasan ; D. Malka ; L. Jensen ; T. Okusaka ; J. Knox ; D. Wagner ; D. Cunningham ; J. Shannon ; D. Goldstein ; M. Moehler ; T. Bekaii-Saab ; M G Mcnamara ; J W Valle

Source :

RBID : pubmed:26483051

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

Links to Exploration step

pubmed:26483051

Le document en format XML

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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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<Day>19</Day>
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<Title>Annals of oncology : official journal of the European Society for Medical Oncology</Title>
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<ArticleTitle>Prognostic factors for progression-free and overall survival in advanced biliary tract cancer.</ArticleTitle>
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<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>
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   |texte=   Prognostic factors for progression-free and overall survival in advanced biliary tract cancer.
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Corpus/RBID.i   -Sk "pubmed:26483051" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Corpus/biblio.hfd   \
       | NlmPubMed2Wicri -a AustralieFrV1 

Wicri

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