1. Prognostic significance of ethnicity and age in advanced stage epithelial ovarian cancer: An NRG oncology/gynecologic oncology group study
- Author
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duPont, Nefertiti C, Enserro, Danielle, Brady, Mark F, Moxley, Katherine, Walker, Joan L, Cosgrove, Casey, Bixel, Kristin, Tewari, Krishnansu S, Thaker, Premal, Wahner Hendrickson, Andrea E, Rubin, Stephen, Fujiwara, Keiichi, Casey, A Catherine, Soper, John, Burger, Robert A, and Monk, Bradley J
- Subjects
Reproductive Medicine ,Biomedical and Clinical Sciences ,Oncology and Carcinogenesis ,Cancer ,Ovarian Cancer ,Clinical Trials and Supportive Activities ,Clinical Research ,Rare Diseases ,Prevention ,Patient Safety ,Adenocarcinoma ,Black or African American ,Age Factors ,Aged ,Aged ,80 and over ,Angiogenesis Inhibitors ,Antineoplastic Combined Chemotherapy Protocols ,Asian ,Bevacizumab ,Carboplatin ,Carcinoma ,Endometrioid ,Carcinoma ,Ovarian Epithelial ,Chemotherapy ,Adjuvant ,Ethnicity ,Fallopian Tube Neoplasms ,Female ,Hispanic or Latino ,Humans ,Middle Aged ,Neoplasm Staging ,Neoplasms ,Cystic ,Mucinous ,and Serous ,Ovarian Neoplasms ,Paclitaxel ,Peritoneal Neoplasms ,Prognosis ,Proportional Hazards Models ,Survival Rate ,White People ,Minority populations ,Asian women ,African American women ,Elderly ,Ovarian cancer ,Paediatrics and Reproductive Medicine ,Oncology & Carcinogenesis ,Clinical sciences ,Oncology and carcinogenesis ,Reproductive medicine - Abstract
BackgroundAge and ethnicity are among several factors that influence overall survival (OS) in ovarian cancer. The study objective was to determine whether ethnicity and age were of prognostic significance in women enrolled in a clinical trial evaluating the addition of bevacizumab to front-line therapy.MethodsWomen with advanced stage ovarian, primary peritoneal, or fallopian tube cancer were enrolled in a phase III clinical trial. All women had surgical staging and received adjuvant chemotherapy with one of three regimens. Cox proportional hazards models were used to evaluate the relationship between OS with age and race/ethnicity among the study participants.ResultsOne-thousand-eight-hundred-seventy-three women were enrolled in the study. There were 280 minority women and 328 women over the age of 70. Women age 70 and older had a 34% increase risk for death when compared to women under 60 (HR = 1.34; 95% CI 1.16-1.54). Non-Hispanic Black women had a 54% decreased risk of death with the addition of maintenance bevacizumab (HR = 0.46, 95% CI:0.26-0.83). Women of Asian descent had more hematologic grade 3 or greater adverse events and a 27% decrease risk of death when compared to non-Hispanic Whites (HR = 0.73; 95% CI: 0.59-0.90).ConclusionsNon-Hispanic Black women showed a decreased risk of death with the addition of bevacizumab and patients of Asian ancestry had a lower death rate than all other minority groups, but despite these clinically meaningful improvements there was no statistically significant difference in OS among the groups.
- Published
- 2022