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397101

Prognostic Factors for Platinum-Chemotherapy Response and Survival Outcomes in Patients with Advanced Stage Non-Small Cell Lung Cancer

Article

Last updated: 24 Dec 2024

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Tags

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Abstract

The majority of patients diagnosed with non-small cell lung cancer (NSCLC) present with the disease in an advanced stage, consequently experiencing a diminished overall survival rate. The influence of patients' characteristics on their response to treatment and survival rates remains ambiguous. The current study evaluated the effect of patients' prognostic variables on clinical outcomes of platinum-based chemotherapy in NSCLC patients. A total of seventy-five patients with stage IIIB–IV NSCLC were enrolled; baseline demographics and clinical data were collected. Patients received gemcitabine/platinum combination therapy. Response to treatment was evaluated using the RECIST Version 1.1. Patients were monitored over an 18-month period subsequent to the initiation of treatment to assess the overall survival outcomes and progression-free survival. The associations between the clinicopathological and treatment parameters and patient's response and survival were analyzed. The current study found that poor response to treatment was associated with performance status (PS) of 2 compared to PS 0-1 (p = 0.005) and receiving carboplatin rather than cisplatin doublets (p= 0.004). Poor survival was associated with being males (p = 0.027), and having stage IV of the disease (p = 0.020). Age at diagnosis, histopathology, smoking status, family history of cancer and number of chemotherapy cycles were not associated with treatment outcomes. In conclusion, in terms of radiological response cisplatin was more effective than carboplatin and PS 0-1 was associated with better response among the study cohort. While males and stage IV disease were independently associated with shorter survival in patients with advanced stage of NSCLC receiving platinum.

DOI

10.21608/aps.2024.308259.1185

Keywords

Non-Small Cell Lung Cancer, prognosis, progression free survival, Overall survival, platinum chemotherapy

Authors

First Name

Yara

Last Name

Abdelwahed

MiddleName

S.

Affiliation

Clinical Pharmacy Unit, Ain Shams Specialized Hospital, Cairo, Egypt

Email

yara.awes@gmail.com

City

Cairo

Orcid

-

First Name

Lamia

Last Name

El Wakeel

MiddleName

M.

Affiliation

Department of Clinical Pharmacy, Faculty of Pharmacy, Ain Shams University, Cairo, 11566, Egypt

Email

lamia.elwakeel@pharma.asu.edu.eg

City

Cairo

Orcid

0000-0003-0250-1709

First Name

Ahmed

Last Name

Nagy

MiddleName

A.

Affiliation

Department of Clinical Oncology and Nuclear Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Email

ahmedalyangy@yahoo.com

City

Cairo

Orcid

-

First Name

May

Last Name

Shawki

MiddleName

Ahmed

Affiliation

Department of Clinical Pharmacy, Faculty of Pharmacy, Ain Shams University, Cairo, 11566, Egypt

Email

mayahmed@pharma.asu.edu.eg

City

-

Orcid

-

Volume

8

Article Issue

2

Related Issue

52127

Issue Date

2024-12-01

Receive Date

2024-08-01

Publish Date

2024-12-01

Page Start

328

Page End

339

Print ISSN

2356-8380

Online ISSN

2356-8399

Link

https://aps.journals.ekb.eg/article_397101.html

Detail API

https://aps.journals.ekb.eg/service?article_code=397101

Order

397,101

Type

Original Article

Type Code

657

Publication Type

Journal

Publication Title

Archives of Pharmaceutical Sciences Ain Shams University

Publication Link

https://aps.journals.ekb.eg/

MainTitle

Prognostic Factors for Platinum-Chemotherapy Response and Survival Outcomes in Patients with Advanced Stage Non-Small Cell Lung Cancer

Details

Type

Article

Created At

24 Dec 2024