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
Inglese
Elsevier Inc.
17
1
e97
e103
Pubblicato
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
none
14
info:eu-repo/semantics/article
262
Nazzani, S.; Preisser, F.; Mazzone, E.; Marchioni, M.; Bandini, M.; Tian, Z.; Mistretta, F. A.; Shariat, S. F.; Soulieres, D.; Montanari, E.; Acquati,...espandi
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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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