Abstract | PURPOSE: PATIENTS AND METHODS: Data from Radiation Therapy Oncology Group (RTOG) 87-04 and RTOG 98-11 trials were combined to form three treatment groups: RT/ fluorouracil (FU)/ mitomycin (n = 472), RT/FU/ cisplatin (n = 320), and RT/FU (n = 145). Cox proportional hazards models were used with the following variables: RT duration, RT intensity, RX duration, treatment group, age, sex, Karnofsky performance score (KPS), T stage, N stage, and RT dose. RESULTS: In the univariate analysis, there was a significant association between RX duration and colostomy failure (CF; hazard ratio [HR] = 1.51; 95% CI, 1.07 to 2.14; P = .02), local failure (HR = 1.52; 95% CI, 1.14 to 2.03; P = .005), locoregional failure (HR = 1.51; 95% CI, 1.15 to 1.98; P = .003), and time to failure (HR = 1.40; 95% CI, 1.10 to 1.79; P = .007). The significance of RX duration was maintained after adjusting for treatment group. In multivariate modeling there was a trend toward an association between RX duration and CF (HR = 1.57; 95% CI, 0.98 to 2.50; P = .06) and a statistically significant association with local failure (HR = 1.96; 95% CI, 1.34 to 2.87; P = .0006). Age, sex, KPS, T stage, N stage, and RT dose, but not RT duration, RT intensity, or RX duration, were found to be statistically significant predictors of OS and colostomy-free survival. CONCLUSION:
|
Authors | Edgar Ben-Josef, Jennifer Moughan, Jaffer A Ajani, Marshall Flam, Leonard Gunderson, JonDavid Pollock, Robert Myerson, Rani Anne, Seth A Rosenthal, Christopher Willett |
Journal | Journal of clinical oncology : official journal of the American Society of Clinical Oncology
(J Clin Oncol)
Vol. 28
Issue 34
Pg. 5061-6
(Dec 01 2010)
ISSN: 1527-7755 [Electronic] United States |
PMID | 20956625
(Publication Type: Journal Article, Research Support, N.I.H., Extramural)
|
Chemical References |
- Antineoplastic Agents
- Mitomycin
- Cisplatin
- Fluorouracil
|
Topics |
- Antineoplastic Agents
(administration & dosage)
- Anus Neoplasms
(drug therapy, mortality, radiotherapy)
- Cisplatin
(administration & dosage)
- Clinical Trials as Topic
- Combined Modality Therapy
- Female
- Fluorouracil
(therapeutic use)
- Humans
- Male
- Mitomycin
(administration & dosage)
- Proportional Hazards Models
- Radiotherapy
(methods)
- Radiotherapy Dosage
- Time Factors
|