丹麦队列研究:早期非小细胞肺癌患者的特征和总生存率。
Characteristics and overall survival of patients with early-stage non-small cell lung cancer: A cohort study in Denmark.
机构信息
Department of Clinical Epidemiology, Aarhus University, Aarhus, Denmark.
AstraZeneca, Cambridge, UK.
出版信息
Cancer Med. 2023 Jan;12(1):30-37. doi: 10.1002/cam4.4946. Epub 2022 Jun 20.
Non-small cell lung cancer (NSCLC) accounts for the majority of all lung cancer diagnoses, and approximately 35% of patients with NSCLC are diagnosed at an early stage (I-IIIA). This study aimed to describe epidermal growth factor receptor (EGFR) testing, patient characteristics, and overall survival (OS) among patients with early-stage NSCLC in Denmark. Patients with early-stage NSCLC registered in the Danish Lung Cancer Registry in 2013-2018 were followed through 2019. We described EGFR testing, descriptively summarised patient characteristics, and calculated OS by EGFR testing and mutation status. The association between EGFR mutation (EGFRm) and all-cause mortality was estimated using Cox proportional-hazards regression, in subgroups defined by stage at diagnosis, age at diagnosis, comorbidity, and receipt of surgery. In 2013-2018, 21,282 patients with NSCLC were registered in the Danish Lung Cancer Registry, of whom 8758 were diagnosed at an early stage. Of those, 4071 (46%) were tested for EGFRm at diagnosis. Median OS was 5.7 years among patients with EGFRm-positive status (n = 361) and 4.4 years among patients with EGFRm-negative status (n = 3710). EGFRm-positive status was associated with lower all-cause mortality in all subgroups. This study contributes to population-based evidence on the epidemiology of early-stage NSCLC treated in routine clinical practice.
非小细胞肺癌(NSCLC)占所有肺癌诊断的大多数,约 35%的 NSCLC 患者在早期(I-IIIA)诊断。本研究旨在描述丹麦早期 NSCLC 患者的表皮生长因子受体(EGFR)检测、患者特征和总生存期(OS)。2013-2018 年在丹麦肺癌登记处登记的早期 NSCLC 患者在 2019 年进行了随访。我们描述了 EGFR 检测,描述性地总结了患者特征,并根据 EGFR 检测和突变状态计算了 OS。使用 Cox 比例风险回归,在诊断时的分期、诊断时的年龄、合并症和接受手术等亚组中,估计 EGFR 突变(EGFRm)与全因死亡率之间的关联。2013-2018 年,丹麦肺癌登记处登记了 21282 例 NSCLC 患者,其中 8758 例诊断为早期。其中,4071 例(46%)在诊断时接受了 EGFRm 检测。EGFRm 阳性状态患者的中位 OS 为 5.7 年(n=361),EGFRm 阴性状态患者的中位 OS 为 4.4 年(n=3710)。EGFRm 阳性状态与所有亚组的全因死亡率降低相关。本研究为基于人群的早期 NSCLC 治疗在常规临床实践中的流行病学提供了证据。