Prognostic significance of eighth edition TNM stage criteria in combined small-cell lung cancer

ObjectivesThis study aimed to evaluate the prognostic significance of the eighth edition TNM stage criteria in patients with combined small-cell lung cancer (C-SCLC) on a population level.MethodsUsing the Surveillance, Epidemiology, and End Results (SEER) database, patients diagnosed with C-SCLC (hi...

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Main Authors: Ziran Zhao, Yibo Gao, Fengwei Tan, Qi Xue, Shugeng Gao, Jie He
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1018288/full
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author Ziran Zhao
Yibo Gao
Fengwei Tan
Qi Xue
Shugeng Gao
Jie He
author_facet Ziran Zhao
Yibo Gao
Fengwei Tan
Qi Xue
Shugeng Gao
Jie He
author_sort Ziran Zhao
collection DOAJ
description ObjectivesThis study aimed to evaluate the prognostic significance of the eighth edition TNM stage criteria in patients with combined small-cell lung cancer (C-SCLC) on a population level.MethodsUsing the Surveillance, Epidemiology, and End Results (SEER) database, patients diagnosed with C-SCLC (histology code 8245) between the years 2004 and 2015 were identified. We performed a Kaplan–Meier analysis and used the multivariable cox regression proportional hazards model to obtain prognostic overall survival estimates for each group of patients.ResultsA total of 477 patients diagnosed with C-SCLC were identified. The T, N, M, TNM, and combined TNM stage status of the eighth edition were all significant prognostic factors for patients’ overall survivals, with the best discrimination identified in the combined stages. Surgery was also found to be a prognostic factor (HR =1.95, 95%CI =1.49-2.56, p<0.01) for patients with C-SCLC.ConclusionsThe combined eighth edition of the TNM staging criteria shows reliable prognostic significance in patients with C-SCLC. Moreover, surgery might be significant for improving the patients’ prognosis.
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spelling doaj.art-e08c249529254a578d70949f6d1bee2a2023-03-08T06:55:30ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-03-011310.3389/fonc.2023.10182881018288Prognostic significance of eighth edition TNM stage criteria in combined small-cell lung cancerZiran ZhaoYibo GaoFengwei TanQi XueShugeng GaoJie HeObjectivesThis study aimed to evaluate the prognostic significance of the eighth edition TNM stage criteria in patients with combined small-cell lung cancer (C-SCLC) on a population level.MethodsUsing the Surveillance, Epidemiology, and End Results (SEER) database, patients diagnosed with C-SCLC (histology code 8245) between the years 2004 and 2015 were identified. We performed a Kaplan–Meier analysis and used the multivariable cox regression proportional hazards model to obtain prognostic overall survival estimates for each group of patients.ResultsA total of 477 patients diagnosed with C-SCLC were identified. The T, N, M, TNM, and combined TNM stage status of the eighth edition were all significant prognostic factors for patients’ overall survivals, with the best discrimination identified in the combined stages. Surgery was also found to be a prognostic factor (HR =1.95, 95%CI =1.49-2.56, p<0.01) for patients with C-SCLC.ConclusionsThe combined eighth edition of the TNM staging criteria shows reliable prognostic significance in patients with C-SCLC. Moreover, surgery might be significant for improving the patients’ prognosis.https://www.frontiersin.org/articles/10.3389/fonc.2023.1018288/fullcombined small cell lung cancer (c-SCLC)8th TNM stage criteriaprognostic significanceSEER databasesurgery
spellingShingle Ziran Zhao
Yibo Gao
Fengwei Tan
Qi Xue
Shugeng Gao
Jie He
Prognostic significance of eighth edition TNM stage criteria in combined small-cell lung cancer
Frontiers in Oncology
combined small cell lung cancer (c-SCLC)
8th TNM stage criteria
prognostic significance
SEER database
surgery
title Prognostic significance of eighth edition TNM stage criteria in combined small-cell lung cancer
title_full Prognostic significance of eighth edition TNM stage criteria in combined small-cell lung cancer
title_fullStr Prognostic significance of eighth edition TNM stage criteria in combined small-cell lung cancer
title_full_unstemmed Prognostic significance of eighth edition TNM stage criteria in combined small-cell lung cancer
title_short Prognostic significance of eighth edition TNM stage criteria in combined small-cell lung cancer
title_sort prognostic significance of eighth edition tnm stage criteria in combined small cell lung cancer
topic combined small cell lung cancer (c-SCLC)
8th TNM stage criteria
prognostic significance
SEER database
surgery
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1018288/full
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