Chemotherapy (CHT) might offer a survival benefit in patients with nonsurgically treated metastatic primary upper tract urothelial carcinoma (mUTUC). We tested this hypothesis within 539 patients with mUTUC: 277 (51.4%) underwent CHT. In nonadjusted and fully adjusted Kaplan-Meier analyses, CHT was associated with better overall survival (9 vs. 2 months; P <.001 in both analyses). In multivariable Cox regression models, CHT administration independently predicted lower overall mortality (hazard ratio, 0.31; 95% confidence interval, 0.25-0.39; P <.001). Our analyses suggest a survival benefit of CHT in primary mUTUC.

Survival Effect of Chemotherapy in Metastatic Upper Urinary Tract Urothelial Carcinoma

Mazzone E.;Bandini M.;Briganti A.;
2019-01-01

Abstract

Chemotherapy (CHT) might offer a survival benefit in patients with nonsurgically treated metastatic primary upper tract urothelial carcinoma (mUTUC). We tested this hypothesis within 539 patients with mUTUC: 277 (51.4%) underwent CHT. In nonadjusted and fully adjusted Kaplan-Meier analyses, CHT was associated with better overall survival (9 vs. 2 months; P <.001 in both analyses). In multivariable Cox regression models, CHT administration independently predicted lower overall mortality (hazard ratio, 0.31; 95% confidence interval, 0.25-0.39; P <.001). Our analyses suggest a survival benefit of CHT in primary mUTUC.
2019
Chemotherapy
Inverse probability after treatment weighting
Metastatic
SEER
Upper urinary tract urothelial carcinoma
Aged
Aged, 80 and over
Antineoplastic Combined Chemotherapy Protocols
Female
Follow-Up Studies
Humans
Male
Middle Aged
Neoplasm Metastasis
Prognosis
Retrospective Studies
SEER Program
Survival Rate
Urologic Neoplasms
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11768/108541
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