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Impact of adjuvant chemotherapy on survival in patients with intrahepatic cholangiocarcinoma: a multi-institutional analysis.

Identifieur interne : 000425 ( PubMed/Corpus ); précédent : 000424; suivant : 000426

Impact of adjuvant chemotherapy on survival in patients with intrahepatic cholangiocarcinoma: a multi-institutional analysis.

Auteurs : Bradley N. Reames ; Fabio Bagante ; Aslam Ejaz ; Gaya Spolverato ; Andrea Ruzzenente ; Matthew Weiss ; Sorin Alexandrescu ; Hugo P. Marques ; Luca Aldrighetti ; Shishir K. Maithel ; Carlo Pulitano ; Todd W. Bauer ; Feng Shen ; George A. Poultsides ; Oliver Soubrane ; Guillaume Martel ; Bas G. Koerkamp ; Alfredo Guglielmi ; Endo Itaru ; Timothy M. Pawlik

Source :

RBID : pubmed:28728891

Abstract

The benefit of adjuvant chemotherapy for resected intrahepatic cholangiocarcinoma (ICC) is unclear. The aim of the current study was to investigate the impact of adjuvant chemotherapy on survival among patients undergoing resection of ICC using a multi-institutional database.

DOI: 10.1016/j.hpb.2017.06.008
PubMed: 28728891

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pubmed:28728891

Le document en format XML

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<name sortKey="Itaru, Endo" sort="Itaru, Endo" uniqKey="Itaru E" first="Endo" last="Itaru">Endo Itaru</name>
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<nlm:affiliation>Department of Surgery, Fundeni Clinical Institute, Bucharest, Romania.</nlm:affiliation>
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<name sortKey="Marques, Hugo P" sort="Marques, Hugo P" uniqKey="Marques H" first="Hugo P" last="Marques">Hugo P. Marques</name>
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<nlm:affiliation>Department of Surgery, Curry Cabral Hospital, Lisbon, Portugal.</nlm:affiliation>
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<name sortKey="Aldrighetti, Luca" sort="Aldrighetti, Luca" uniqKey="Aldrighetti L" first="Luca" last="Aldrighetti">Luca Aldrighetti</name>
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<nlm:affiliation>Department of Surgery, Ospedale San Raffaele, Milan, Italy.</nlm:affiliation>
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<name sortKey="Maithel, Shishir K" sort="Maithel, Shishir K" uniqKey="Maithel S" first="Shishir K" last="Maithel">Shishir K. Maithel</name>
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<nlm:affiliation>Department of Surgery, Emory University, Atlanta, GA, USA.</nlm:affiliation>
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<name sortKey="Pulitano, Carlo" sort="Pulitano, Carlo" uniqKey="Pulitano C" first="Carlo" last="Pulitano">Carlo Pulitano</name>
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<nlm:affiliation>Department of Surgery, Royal Prince Alfred Hospital, University of Sydney, Sydney, Australia.</nlm:affiliation>
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<name sortKey="Bauer, Todd W" sort="Bauer, Todd W" uniqKey="Bauer T" first="Todd W" last="Bauer">Todd W. Bauer</name>
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<nlm:affiliation>Department of Surgery, University of Virginia, Charlottesville, VA, USA.</nlm:affiliation>
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<nlm:affiliation>Department of Surgery, Eastern Hepatobiliary Surgery Hospital, Shanghai, China.</nlm:affiliation>
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<name sortKey="Poultsides, George A" sort="Poultsides, George A" uniqKey="Poultsides G" first="George A" last="Poultsides">George A. Poultsides</name>
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<nlm:affiliation>Department of Surgery, Stanford University, Stanford, CA, USA.</nlm:affiliation>
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<name sortKey="Soubrane, Oliver" sort="Soubrane, Oliver" uniqKey="Soubrane O" first="Oliver" last="Soubrane">Oliver Soubrane</name>
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<nlm:affiliation>Department of Hepatobiliopancreatic Surgery and Liver Transplantation, AP-HP, Beaujon Hospital, Clichy, France.</nlm:affiliation>
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<name sortKey="Martel, Guillaume" sort="Martel, Guillaume" uniqKey="Martel G" first="Guillaume" last="Martel">Guillaume Martel</name>
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<name sortKey="Koerkamp, Bas G" sort="Koerkamp, Bas G" uniqKey="Koerkamp B" first="Bas G" last="Koerkamp">Bas G. Koerkamp</name>
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<nlm:affiliation>Department of Surgery, Erasmus University Medical Centre, Rotterdam, The Netherlands.</nlm:affiliation>
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<name sortKey="Guglielmi, Alfredo" sort="Guglielmi, Alfredo" uniqKey="Guglielmi A" first="Alfredo" last="Guglielmi">Alfredo Guglielmi</name>
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<nlm:affiliation>Department of Surgery, University of Verona, Verona, Italy.</nlm:affiliation>
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<name sortKey="Itaru, Endo" sort="Itaru, Endo" uniqKey="Itaru E" first="Endo" last="Itaru">Endo Itaru</name>
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<nlm:affiliation>Gastroenterological Surgery Division, Yokohama City University School of Medicine, Yokohama, Japan.</nlm:affiliation>
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<name sortKey="Pawlik, Timothy M" sort="Pawlik, Timothy M" uniqKey="Pawlik T" first="Timothy M" last="Pawlik">Timothy M. Pawlik</name>
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<nlm:affiliation>Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA. Electronic address: Tim.Pawlik@osumc.edu.</nlm:affiliation>
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<title level="j">HPB : the official journal of the International Hepato Pancreato Biliary Association</title>
<idno type="eISSN">1477-2574</idno>
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<front>
<div type="abstract" xml:lang="en">The benefit of adjuvant chemotherapy for resected intrahepatic cholangiocarcinoma (ICC) is unclear. The aim of the current study was to investigate the impact of adjuvant chemotherapy on survival among patients undergoing resection of ICC using a multi-institutional database.</div>
</front>
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<DateCreated>
<Year>2017</Year>
<Month>07</Month>
<Day>21</Day>
</DateCreated>
<DateRevised>
<Year>2017</Year>
<Month>09</Month>
<Day>30</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1477-2574</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>19</Volume>
<Issue>10</Issue>
<PubDate>
<Year>2017</Year>
<Month>Oct</Month>
</PubDate>
</JournalIssue>
<Title>HPB : the official journal of the International Hepato Pancreato Biliary Association</Title>
<ISOAbbreviation>HPB (Oxford)</ISOAbbreviation>
</Journal>
<ArticleTitle>Impact of adjuvant chemotherapy on survival in patients with intrahepatic cholangiocarcinoma: a multi-institutional analysis.</ArticleTitle>
<Pagination>
<MedlinePgn>901-909</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S1365-182X(17)30831-6</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.hpb.2017.06.008</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The benefit of adjuvant chemotherapy for resected intrahepatic cholangiocarcinoma (ICC) is unclear. The aim of the current study was to investigate the impact of adjuvant chemotherapy on survival among patients undergoing resection of ICC using a multi-institutional database.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">1154 ICC patients undergoing curative-intent hepatectomy between 1990 and 2015 were identified from 14 institutions. Cox proportional hazard modeling was used to determine the impact of adjuvant chemotherapy on overall survival (OS).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Following resection, 347 (30%) patients received adjuvant chemotherapy, most commonly a gemcitabine-based regimen (n = 184, 52%). Patients with T2/T3/T4 disease were more likely to receive adjuvant therapy compared with patients with T1a/T1b disease (OR 2.5, 95%CI 1.89-3.23; P < 0.001). Among patients who did and did not receive adjuvant therapy, patients with T2/T3/T4 tumors had a 5-year OS of 37% (95%CI 28.9-44.4) versus 30% (95%CI 23.8-35.6), respectively (p = 0.006). Similarly patients with N1 disease who received adjuvant chemotherapy tended to have improved 5-year OS (18.3%, 95%CI 9.0-30.1 vs. no adjuvant therapy 12%, 95%CI 3.9-24.4; P = 0.050).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">While adjuvant chemotherapy did not influence the prognosis of all ICC patients following surgical resection, it was associated with a potential survival benefit in subgroups of patients at increased risk for recurrence, such as those with advanced tumors.</AbstractText>
<CopyrightInformation>Copyright © 2017 International Hepato-Pancreato-Biliary Association Inc. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation>
</Abstract>
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<LastName>Reames</LastName>
<ForeName>Bradley N</ForeName>
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</AffiliationInfo>
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</AffiliationInfo>
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<Affiliation>Department of Surgery, Fundeni Clinical Institute, Bucharest, Romania.</Affiliation>
</AffiliationInfo>
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<Affiliation>Department of Surgery, Curry Cabral Hospital, Lisbon, Portugal.</Affiliation>
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<Affiliation>Department of Surgery, Ospedale San Raffaele, Milan, Italy.</Affiliation>
</AffiliationInfo>
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<ForeName>Shishir K</ForeName>
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<Affiliation>Department of Surgery, Emory University, Atlanta, GA, USA.</Affiliation>
</AffiliationInfo>
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<LastName>Pulitano</LastName>
<ForeName>Carlo</ForeName>
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<Affiliation>Department of Surgery, Royal Prince Alfred Hospital, University of Sydney, Sydney, Australia.</Affiliation>
</AffiliationInfo>
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<LastName>Bauer</LastName>
<ForeName>Todd W</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Surgery, University of Virginia, Charlottesville, VA, USA.</Affiliation>
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<LastName>Shen</LastName>
<ForeName>Feng</ForeName>
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<Affiliation>Department of Surgery, Eastern Hepatobiliary Surgery Hospital, Shanghai, China.</Affiliation>
</AffiliationInfo>
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<LastName>Poultsides</LastName>
<ForeName>George A</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Surgery, Stanford University, Stanford, CA, USA.</Affiliation>
</AffiliationInfo>
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<ForeName>Oliver</ForeName>
<Initials>O</Initials>
<AffiliationInfo>
<Affiliation>Department of Hepatobiliopancreatic Surgery and Liver Transplantation, AP-HP, Beaujon Hospital, Clichy, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Martel</LastName>
<ForeName>Guillaume</ForeName>
<Initials>G</Initials>
<AffiliationInfo>
<Affiliation>Division of General Surgery, Department of Surgery, University of Ottawa, Ottawa, ON, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Koerkamp</LastName>
<ForeName>Bas G</ForeName>
<Initials>BG</Initials>
<AffiliationInfo>
<Affiliation>Department of Surgery, Erasmus University Medical Centre, Rotterdam, The Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Guglielmi</LastName>
<ForeName>Alfredo</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Surgery, University of Verona, Verona, Italy.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y">
<LastName>Itaru</LastName>
<ForeName>Endo</ForeName>
<Initials>E</Initials>
<AffiliationInfo>
<Affiliation>Gastroenterological Surgery Division, Yokohama City University School of Medicine, Yokohama, Japan.</Affiliation>
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<Author ValidYN="Y">
<LastName>Pawlik</LastName>
<ForeName>Timothy M</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA. Electronic address: Tim.Pawlik@osumc.edu.</Affiliation>
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