Demographics, Clinical Characteristics and Survival Outcomes of Primary Urinary Tract Malignant Melanoma Patients: A Population-Based Analysis
Standard
Demographics, Clinical Characteristics and Survival Outcomes of Primary Urinary Tract Malignant Melanoma Patients: A Population-Based Analysis. / Morra, Simone; Incesu, Reha-Baris; Scheipner, Lukas; Baudo, Andrea; Jannello, Letizia Maria Ippolita; de Angelis, Mario; Siech, Carolin; Goyal, Jordan A; Tian, Zhe; Saad, Fred; Califano, Gianluigi; la Rocca, Roberto; Capece, Marco; Shariat, Shahrokh F; Ahyai, Sascha; Carmignani, Luca; de Cobelli, Ottavio; Musi, Gennaro; Tilki, Derya; Briganti, Alberto; Chun, Felix K H; Longo, Nicola; Karakiewicz, Pierre I.
In: CANCERS, Vol. 15, No. 18, 4498, 10.09.2023.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Demographics, Clinical Characteristics and Survival Outcomes of Primary Urinary Tract Malignant Melanoma Patients: A Population-Based Analysis
AU - Morra, Simone
AU - Incesu, Reha-Baris
AU - Scheipner, Lukas
AU - Baudo, Andrea
AU - Jannello, Letizia Maria Ippolita
AU - de Angelis, Mario
AU - Siech, Carolin
AU - Goyal, Jordan A
AU - Tian, Zhe
AU - Saad, Fred
AU - Califano, Gianluigi
AU - la Rocca, Roberto
AU - Capece, Marco
AU - Shariat, Shahrokh F
AU - Ahyai, Sascha
AU - Carmignani, Luca
AU - de Cobelli, Ottavio
AU - Musi, Gennaro
AU - Tilki, Derya
AU - Briganti, Alberto
AU - Chun, Felix K H
AU - Longo, Nicola
AU - Karakiewicz, Pierre I
PY - 2023/9/10
Y1 - 2023/9/10
N2 - All primary urinary tract malignant melanoma (ureter vs. bladder vs. urethra) patients were identified from within the Surveillance, Epidemiology, and End Results (SEER) database 2000-2020. Kaplan-Maier plots depicted the overall survival (OS) rates. Univariable and multivariable Cox regression (MCR) models were fitted to test the differences in overall mortality (OM). In the overall cohort (n = 74), the median OS was 22 months. No statistically significant or clinically meaningful differences were recorded according to sex (female vs. male; p = 0.9) and treatment of the primary (endoscopic vs. surgical; p = 0.6). Conversely, clinically meaningful but not statistically significant (p ≥ 0.05) differences were recorded according to the patient's age at diagnosis (≤80 vs. ≥80 years old; p = 0.2), marital status (married 26 vs. unmarried 16 months; p = 0.2), and SEER stage (localized 31 vs. regional 14 months; p = 0.4), and the type of systemic therapy (exposed 31 vs. not exposed 20 months; p = 0.06). Finally, in univariable and MCR analyses, after adjustment for the SEER stage and type of systemic therapy, tumor origin within the bladder was associated with a three-fold higher OM (Hazard ratio: 3.00; p = 0.004), compared to tumor origin within the urethra. In conclusion, primary urinary tract malignant melanoma patients have poor survival. Specifically, tumor origin within the bladder independently predicted a higher OM, even after adjustment for the SEER stage and systemic therapy status.
AB - All primary urinary tract malignant melanoma (ureter vs. bladder vs. urethra) patients were identified from within the Surveillance, Epidemiology, and End Results (SEER) database 2000-2020. Kaplan-Maier plots depicted the overall survival (OS) rates. Univariable and multivariable Cox regression (MCR) models were fitted to test the differences in overall mortality (OM). In the overall cohort (n = 74), the median OS was 22 months. No statistically significant or clinically meaningful differences were recorded according to sex (female vs. male; p = 0.9) and treatment of the primary (endoscopic vs. surgical; p = 0.6). Conversely, clinically meaningful but not statistically significant (p ≥ 0.05) differences were recorded according to the patient's age at diagnosis (≤80 vs. ≥80 years old; p = 0.2), marital status (married 26 vs. unmarried 16 months; p = 0.2), and SEER stage (localized 31 vs. regional 14 months; p = 0.4), and the type of systemic therapy (exposed 31 vs. not exposed 20 months; p = 0.06). Finally, in univariable and MCR analyses, after adjustment for the SEER stage and type of systemic therapy, tumor origin within the bladder was associated with a three-fold higher OM (Hazard ratio: 3.00; p = 0.004), compared to tumor origin within the urethra. In conclusion, primary urinary tract malignant melanoma patients have poor survival. Specifically, tumor origin within the bladder independently predicted a higher OM, even after adjustment for the SEER stage and systemic therapy status.
U2 - 10.3390/cancers15184498
DO - 10.3390/cancers15184498
M3 - SCORING: Journal article
C2 - 37760467
VL - 15
JO - CANCERS
JF - CANCERS
SN - 2072-6694
IS - 18
M1 - 4498
ER -