National practice patterns for clinical T1N0 nasopharyngeal cancer in the elderly

A national cancer data base analysis

Carl M. Post, Chi Lin, Sebastian Adeberg, Mrigank Gupta, Weining Zhen, Vivek Verma

Research output: Contribution to journalArticle

Abstract

Background: The standard of care for T1N0 nasopharyngeal cancer (NPC) is definitive radiation therapy (RT). However, practice patterns in the elderly may not necessarily follow national guidelines. Herein, we investigated national practice patterns for T1N0 NPC. Materials and Methods: The National Cancer Data Base (NCDB) was queried for clinical T1N0 primary NPC cases (2004-2013) in patients ≥70 years old. Patient, tumor, and treatment parameters were extracted. Kaplan–Meier analysis was used to compare overall survival (OS) between patients receiving RT versus those under observation. Logistic regression was used to examine variables associated with receipt of RT. Cox proportional hazards modeling determined variables associated with OS. Landmark analysis of patients surviving 1 year or more was performed to assess survival differences between groups. Results: In total, data of 147 patients were analyzed. RT was delivered to 89 patients (61%), whereas 58 (39%) patients underwent observation. On multivariable analysis, older patients were less likely to receive RT (p=0.003), but there were no differences between groups in terms of Charlson-Deyo comorbidity index. Median and 5-year OS in patients receiving RT versus those under observation were 71 and 33 months, and 59% and 48% (p=0.011), respectively. For patients surviving 1 year or more (n=96), there was a strong trend showing that receipt of RT was associated with better median and 5-year OS. Conclusion: This National Data Base analysis shows that observation is relatively common for T1N0 NPC in the elderly, but is associated with poorer survival.

Original languageEnglish (US)
Pages (from-to)1651-1657
Number of pages7
JournalAnticancer Research
Volume38
Issue number3
DOIs
StatePublished - Mar 1 2018

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Physicians' Practice Patterns
Nasopharyngeal Neoplasms
Databases
Radiotherapy
Neoplasms
Survival
Observation
Standard of Care
Comorbidity
Logistic Models

Keywords

  • Nasopharyngeal cancer
  • Nasopharynx
  • Observation
  • Radiation therapy
  • Survival

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

National practice patterns for clinical T1N0 nasopharyngeal cancer in the elderly : A national cancer data base analysis. / Post, Carl M.; Lin, Chi; Adeberg, Sebastian; Gupta, Mrigank; Zhen, Weining; Verma, Vivek.

In: Anticancer Research, Vol. 38, No. 3, 01.03.2018, p. 1651-1657.

Research output: Contribution to journalArticle

Post, Carl M. ; Lin, Chi ; Adeberg, Sebastian ; Gupta, Mrigank ; Zhen, Weining ; Verma, Vivek. / National practice patterns for clinical T1N0 nasopharyngeal cancer in the elderly : A national cancer data base analysis. In: Anticancer Research. 2018 ; Vol. 38, No. 3. pp. 1651-1657.
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abstract = "Background: The standard of care for T1N0 nasopharyngeal cancer (NPC) is definitive radiation therapy (RT). However, practice patterns in the elderly may not necessarily follow national guidelines. Herein, we investigated national practice patterns for T1N0 NPC. Materials and Methods: The National Cancer Data Base (NCDB) was queried for clinical T1N0 primary NPC cases (2004-2013) in patients ≥70 years old. Patient, tumor, and treatment parameters were extracted. Kaplan–Meier analysis was used to compare overall survival (OS) between patients receiving RT versus those under observation. Logistic regression was used to examine variables associated with receipt of RT. Cox proportional hazards modeling determined variables associated with OS. Landmark analysis of patients surviving 1 year or more was performed to assess survival differences between groups. Results: In total, data of 147 patients were analyzed. RT was delivered to 89 patients (61{\%}), whereas 58 (39{\%}) patients underwent observation. On multivariable analysis, older patients were less likely to receive RT (p=0.003), but there were no differences between groups in terms of Charlson-Deyo comorbidity index. Median and 5-year OS in patients receiving RT versus those under observation were 71 and 33 months, and 59{\%} and 48{\%} (p=0.011), respectively. For patients surviving 1 year or more (n=96), there was a strong trend showing that receipt of RT was associated with better median and 5-year OS. Conclusion: This National Data Base analysis shows that observation is relatively common for T1N0 NPC in the elderly, but is associated with poorer survival.",
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AB - Background: The standard of care for T1N0 nasopharyngeal cancer (NPC) is definitive radiation therapy (RT). However, practice patterns in the elderly may not necessarily follow national guidelines. Herein, we investigated national practice patterns for T1N0 NPC. Materials and Methods: The National Cancer Data Base (NCDB) was queried for clinical T1N0 primary NPC cases (2004-2013) in patients ≥70 years old. Patient, tumor, and treatment parameters were extracted. Kaplan–Meier analysis was used to compare overall survival (OS) between patients receiving RT versus those under observation. Logistic regression was used to examine variables associated with receipt of RT. Cox proportional hazards modeling determined variables associated with OS. Landmark analysis of patients surviving 1 year or more was performed to assess survival differences between groups. Results: In total, data of 147 patients were analyzed. RT was delivered to 89 patients (61%), whereas 58 (39%) patients underwent observation. On multivariable analysis, older patients were less likely to receive RT (p=0.003), but there were no differences between groups in terms of Charlson-Deyo comorbidity index. Median and 5-year OS in patients receiving RT versus those under observation were 71 and 33 months, and 59% and 48% (p=0.011), respectively. For patients surviving 1 year or more (n=96), there was a strong trend showing that receipt of RT was associated with better median and 5-year OS. Conclusion: This National Data Base analysis shows that observation is relatively common for T1N0 NPC in the elderly, but is associated with poorer survival.

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