Back to Search Start Over

Guideline concordant therapy improves survival in high-grade endometrial cancer patients.

Authors :
Scharl, Sophia
Sprötge, Tim
Gerken, Michael
Scharl, Anton
Ortmann, Olaf
Kölbl, Oliver
Klinkhammer‑Schalke, Monika
Papathemelis, Thomas
Source :
Journal of Cancer Research & Clinical Oncology; Jul2023, Vol. 149 Issue 8, p4761-4769, 9p
Publication Year :
2023

Abstract

Purpose: Data from randomized controlled trials in high-grade endometrial cancer are scarce due to its low prevalence. Therefore, guideline recommendations in this cancer subtype rely on relatively few randomized trials and data from retrospective studies. The aim of this study was to evaluate the benefits from guideline-concordant therapy in high-grade endometrial cancer in a real-world patient group. Methods: The effect of treatment according to German S3 guidelines and the former S2k guideline on overall survival (OS) and recurrence-free survival (RFS) was evaluated in a cohort of 293 high-grade endometrial cancer patients. Results: Treatment concordant with the S3 guideline significantly improved OS (HR 0.623, CI 0.420–0.923, p = 0.018) and RFS (HR 0.578, CI 0.387–0.863, p = 0.007). Treatment concordant with the S2k guideline did not result in a significantly higher OS (HR 0.783, CI 0.465–1.316, p = 0.335) or RFS (HR 0.741, CI 0.347–1.740, p = 0.242). Conclusion: Therapy according to the German S3 guideline improved OS and RFS in univariate as well as multivariate analysis in this cohort of high-grade endometrial cancer patients. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
01715216
Volume :
149
Issue :
8
Database :
Complementary Index
Journal :
Journal of Cancer Research & Clinical Oncology
Publication Type :
Academic Journal
Accession number :
164947836
Full Text :
https://doi.org/10.1007/s00432-022-04318-1