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Clinical study on long-term overall survival of advanced non-small-cell lung cancer patients treated with Chinese medicine and western medicine.
- Source :
- Chinese Journal of Integrative Medicine; Mar2014, Vol. 20 Issue 3, p179-183, 5p
- Publication Year :
- 2014
-
Abstract
- Objective: To investigate the prognostic influence on long-term overall survival (OS) from treatment with Chinese medicine (CM) and chemotherapy or targeted therapy in advanced non-small-cell lung cancer (NSCLC) patients. Methods: The clinical data of 206 advanced NSCLC patients who were treated with CM and Western medicine in Beijing Cancer Hospital from April 1999 to July 2013 were retrospectively analyzed. Long-term survivors were defined as OS ⩾ 3 years after treatment with CM and chemotherapy. Twenty-eight patients had OS ⩾ 3 years, 178 had OS < 3 years, and all clinical data were statistically analyzed with the Cox model. Variables were gender, age, smoking status, performance status (PS) score, pathological type, clinical stage, first-line chemotherapy, targeted therapy, and use of CM. Univariate survival analysis was performed using the Kaplan-Meier method and log-rank sequential inspection. Multivariate survival analysis was used to analyze the meaningful factors of univariate survival analysis with the Cox model. Results: The survival rate of patients with OS ⩾ 3 years was 13.6% (28/206). Cox multivariate regression analysis showed that PS score, clinical stage, disease control rate to first-line chemotherapy, and use of CM were independent factors of longterm OS (all <0.05). However, gender, age, smoking, and use of epidermal growth factor receptor tyrosinekinase inhibitor were not significant ( P>0.05). Conclusion: PS score, clinical stage, disease control rate to firstline chemotherapy, and use of CM are probably independent prognostic factors for long-term OS in patients with advanced NSCLC. [ABSTRACT FROM AUTHOR]
- Subjects :
- LUNG cancer treatment
ADENOCARCINOMA
CHI-squared test
COMBINED modality therapy
COMPARATIVE studies
LUNG cancer
CHINESE medicine
HEALTH outcome assessment
PROGNOSIS
REGRESSION analysis
RESEARCH funding
SMOKING
SURVIVAL analysis (Biometry)
TUMOR classification
TREATMENT effectiveness
PROPORTIONAL hazards models
RETROSPECTIVE studies
DATA analysis software
KAPLAN-Meier estimator
Subjects
Details
- Language :
- English
- ISSN :
- 16720415
- Volume :
- 20
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Chinese Journal of Integrative Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 94852198
- Full Text :
- https://doi.org/10.1007/s11655-014-1770-6