Survival of small-cell lung cancer and its determinants of outcome in Singapore
Annals of the Academy of Medicine, Singapore
; : 181-188, 2007.
Article
in En
| WPRIM
| ID: wpr-250853
Responsible library:
WPRO
ABSTRACT
<p><b>INTRODUCTION</b>The survival and epidemiology of small-cell lung cancer (SCLC) in Singapore has not been described. We aim to present the characteristics as well as determine the survival outcome and important prognostic factors for SCLC patients.</p><p><b>MATERIALS AND METHODS</b>A retrospective analysis of SCLC patients diagnosed from 1999 to 2002 was conducted at the Outram campus, Singapore. Clinical characteristics and treatment data were obtained from case records and survival data were checked with the registry of births and deaths on 30 May 2005.</p><p><b>RESULTS</b>One hundred and eleven patients were analysed. There were 38 (34.2%) limited-disease (LD) patients and 73 (65.8%) extensive-disease (ED) patients. The majority were current or former smokers (94.7% among LD and 94.5% among ED). More patients with LD had good performance status (92% versus 63%, P = 0.0003) and were treated with combined chemotherapy and radiotherapy (82% versus 48%, P = 0.012). The median survival time of LD patients treated with curative chemoradiotherapy was 14.2 months (95% CI, 10.96 to 17.44). Those given prophylactic cranial irradiation had a median survival time of 16.9 months (95% CI, 11.83 to 21.97). For ED patients, the median survival time was 8.17 months (95%CI, 5.44 to 10.89). None of the factors analysed were significant prognostic factors for LD patients while performance status and type of treatment given were significant among ED patients.</p><p><b>CONCLUSIONS</b>We found that the characteristics and survival of SCLC patients in Singapore are fairly similar to that of other countries.</p>
Full text:
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Index:
WPRIM
Main subject:
Prognosis
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Singapore
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Therapeutics
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Epidemiology
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Retrospective Studies
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Mortality
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Carcinoma, Small Cell
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Combined Modality Therapy
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Lung Neoplasms
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Aged
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Female
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Humans
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Male
Country/Region as subject:
Asia
Language:
En
Journal:
Annals of the Academy of Medicine, Singapore
Year:
2007
Type:
Article