Efficacy of chemotherapy on overall survival in metastatic sarcomatoid bladder cancer patients
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Efficacy of chemotherapy on overall survival in metastatic sarcomatoid bladder cancer patients. / Tappero, Stefano; Sorce, Gabriele; Panunzio, Andrea; Hohenhorst, Lukas; Garcia, Cristina Cano; Piccinelli, Mattia Luca; Tian, Zhe; Parodi, Stefano; Chun, Felix K H; Graefen, Markus; Antonelli, Alessandro; De Cobelli, Ottavio; Saad, Fred; Shariat, Shahrokh F; Montorsi, Francesco; Suardi, Nazareno R; Borghesi, Marco; Terrone, Carlo; Karakiewicz, Pierre I.
In: CENT EUR J UROL, Vol. 75, No. 4, 2022, p. 352-356.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Efficacy of chemotherapy on overall survival in metastatic sarcomatoid bladder cancer patients
AU - Tappero, Stefano
AU - Sorce, Gabriele
AU - Panunzio, Andrea
AU - Hohenhorst, Lukas
AU - Garcia, Cristina Cano
AU - Piccinelli, Mattia Luca
AU - Tian, Zhe
AU - Parodi, Stefano
AU - Chun, Felix K H
AU - Graefen, Markus
AU - Antonelli, Alessandro
AU - De Cobelli, Ottavio
AU - Saad, Fred
AU - Shariat, Shahrokh F
AU - Montorsi, Francesco
AU - Suardi, Nazareno R
AU - Borghesi, Marco
AU - Terrone, Carlo
AU - Karakiewicz, Pierre I
N1 - Copyright by Polish Urological Association.
PY - 2022
Y1 - 2022
N2 - INTRODUCTION: The role of chemotherapy in metastatic sarcomatoid bladder cancer (mSBC) is unknown. The current work aimed to test the effect of chemotherapy on overall survival (OS) in mSBC patients.MATERIAL AND METHODS: Using the Surveillance, Epidemiology and End Results database (2001-2018), we identified 110 mSBC patients of all T and N stages (TanyNanyM1). Kaplan-Meier plots and Cox regression models were used. Covariates consisted of type of surgical treatment (no treatment vs radical cystectomy vs other), and patient age. The endpoint of interest was OS.RESULTS: In 110 mSBC patients, 46 (41.8%) were exposed to chemotherapy vs 64 (58.2%) who were chemotherapy naive. Chemotherapy exposed patients were younger (median age 66 vs 70, p = 0.005). Median OS was 8 months in chemotherapy exposed vs 2 months in chemotherapy naive patients. In univariable Cox regression models, chemotherapy exposure was associated with a hazard ratio (HR) of 0.58 (p = 0.007).In multivariable Cox regression models adjusted for case mix, chemotherapy exposure was associated with a HR of 0.60 (p = 0.016).CONCLUSIONS: To the best of our knowledge, this is the first report of chemotherapy effect on OS in mSBC patients. OS is extremely poor. Nonetheless, it is improved in a statistically significant and clinically meaningful fashion, when chemotherapy is administered.
AB - INTRODUCTION: The role of chemotherapy in metastatic sarcomatoid bladder cancer (mSBC) is unknown. The current work aimed to test the effect of chemotherapy on overall survival (OS) in mSBC patients.MATERIAL AND METHODS: Using the Surveillance, Epidemiology and End Results database (2001-2018), we identified 110 mSBC patients of all T and N stages (TanyNanyM1). Kaplan-Meier plots and Cox regression models were used. Covariates consisted of type of surgical treatment (no treatment vs radical cystectomy vs other), and patient age. The endpoint of interest was OS.RESULTS: In 110 mSBC patients, 46 (41.8%) were exposed to chemotherapy vs 64 (58.2%) who were chemotherapy naive. Chemotherapy exposed patients were younger (median age 66 vs 70, p = 0.005). Median OS was 8 months in chemotherapy exposed vs 2 months in chemotherapy naive patients. In univariable Cox regression models, chemotherapy exposure was associated with a hazard ratio (HR) of 0.58 (p = 0.007).In multivariable Cox regression models adjusted for case mix, chemotherapy exposure was associated with a HR of 0.60 (p = 0.016).CONCLUSIONS: To the best of our knowledge, this is the first report of chemotherapy effect on OS in mSBC patients. OS is extremely poor. Nonetheless, it is improved in a statistically significant and clinically meaningful fashion, when chemotherapy is administered.
U2 - 10.5173/ceju.2022.142
DO - 10.5173/ceju.2022.142
M3 - SCORING: Journal article
C2 - 36794025
VL - 75
SP - 352
EP - 356
JO - CENT EUR J UROL
JF - CENT EUR J UROL
SN - 2080-4806
IS - 4
ER -