Heng Cao,Yonggui Hong,Shouran Zhao,Nengchao Wang,Fuyou Zhou,Xiaodong Xie. Prognostic factors for the survival of 66 cases with extensive stage-small cell lung cancer. Oncol Transl Med, 2016, 2: 12-15.
Prognostic factors for the survival of 66 cases with extensive stage-small cell lung cancer
Received:June 21, 2015  Revised:January 28, 2016
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KeyWord:extensive stage-small cell lung cancer (ES-SCLC); survival rate; prognosis
Author NameAffiliationE-mail
Heng Cao Department of Oncology, The Fourth Affiliated Hospital of Henan University of Science and Technology, Anyang caoheng123jun@126.com 
Yonggui Hong Department of Oncology, The Fourth Affiliated Hospital of Henan University of Science and Technology, Anyang caoheng123jun@126.com 
Shouran Zhao Department of Oncology, The Fourth Affiliated Hospital of Henan University of Science and Technology, Anyang caoheng123jun@126.com 
Nengchao Wang Department of Oncology, The Fourth Affiliated Hospital of Henan University of Science and Technology, Anyang caoheng123jun@126.com 
Fuyou Zhou Department of Oncology, The Fourth Affiliated Hospital of Henan University of Science and Technology, Anyang 395648947@qq.com 
Xiaodong Xie Department of Oncology, The General Hospital of Shenyang Military, Shenyang 110840, China 67621527@qq.com 
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Abstract:
      Objective: The objective of this retrospective study was to investigate the prognostic factors associated with survival among patients with extensive stage-small cell lung cancer (ES-SCLC). Methods: Clinical data from 66 patients with ES-SCLC diagnosed via histopathology or cytology between July 2005 and July 2009 at Anyang Tumor Hospital (China) were analyzed. Univariate and multivariate Kaplan-Meier, log-rank, and Cox proportional hazard regression analyses were conducted. Results: The 12-, 24-, and 36-month survival rates among patients with ES-SCLC were 40.9%, 13.6%, and 6.1%, respectively. The median survival time (MST) was 10 months. Univariate analyses indicated that weight loss, efficacy of first-line chemotherapy, total number of chemotherapy cycles, treatment method, and serum sodium levels significantly influenced survival among patients with ES-SCLC. Multivariate analyses suggested that the efficacy of first-line chemotherapy, total number of chemotherapy cycles, and serum sodium levels were independent prognostic factors associated with survival. Conclusion: The efficacy of first-line chemotherapy, total number of chemotherapy cycles, and serum sodium levels are important prognostic factors for patients with ES-SCLC.
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