Impact of the availability of active cytotoxic agents on the survival of patients with advanced gastric cancer

  • Authors:
    • Byung Ha Cho
    • Hye Sook Han
    • Jihyun Kwon
    • Joung‑Ho Han
    • Soon Man Yoon
    • Dae Hoon Kim
    • Hyo Yung Yun
    • Ki Hyeong Lee
    • Sei Jin Youn
    • Seung Taik Kim
  • View Affiliations

  • Published online on: August 4, 2015     https://doi.org/10.3892/ol.2015.3564
  • Pages: 2481-2486
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Abstract

Several cytotoxic agents, including fluoropyrimidines, platinums, taxanes and irinotecan, are effective in the treatment of advanced gastric cancer (AGC). However, the effect of the availability of cytotoxic agents on survival has not yet been evaluated. Therefore, the present study assessed the impact of the availability of active cytotoxic agents on the survival of patients with AGC. The records of 216 patients with newly diagnosed AGC that were treated with palliative chemotherapy between March 2002 and November 2012 at Chungbuk National University Hospital were reviewed. For the present study, the patients were divided according to the availability of active cytotoxic agents over the course of treatment: Group 1 received fluoropyrimidine and platinum; group 2 received fluoropyrimidine, platinum and taxane or irinotecan; and group 3 received fluoropyrimidine, platinum, taxane and irinotecan. The median overall survival times for groups 1, 2 and 3 were 6.3, 9.9 and 14.3 months, respectively (P<0.0001). Multivariate analysis revealed that the Eastern Cooperative Oncology Group (ECOG) performance status and the availability of active cytotoxic agents were independent prognostic factors, as the hazard ratios for mortality were 3.25 for patients with an ECOG performance status of 2‑3 [95% confidence interval (CI), 1.99‑5.30; P<0.0001], 0.58 for patients in group 2 (95% CI, 0.42‑0.80; P=0.0009), and 0.40 for patients in group 3 (95% CI, 0.28‑0.58; P<0.0001). The present study reveals that the availability of active cytotoxic agents is associated with an improved survival time in patients with AGC.
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October-2015
Volume 10 Issue 4

Print ISSN: 1792-1074
Online ISSN:1792-1082

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Spandidos Publications style
Cho BH, Han HS, Kwon J, Han JH, Yoon SM, Kim DH, Yun HY, Lee KH, Youn SJ, Kim ST, Kim ST, et al: Impact of the availability of active cytotoxic agents on the survival of patients with advanced gastric cancer. Oncol Lett 10: 2481-2486, 2015.
APA
Cho, B.H., Han, H.S., Kwon, J., Han, J., Yoon, S.M., Kim, D.H. ... Kim, S.T. (2015). Impact of the availability of active cytotoxic agents on the survival of patients with advanced gastric cancer. Oncology Letters, 10, 2481-2486. https://doi.org/10.3892/ol.2015.3564
MLA
Cho, B. H., Han, H. S., Kwon, J., Han, J., Yoon, S. M., Kim, D. H., Yun, H. Y., Lee, K. H., Youn, S. J., Kim, S. T."Impact of the availability of active cytotoxic agents on the survival of patients with advanced gastric cancer". Oncology Letters 10.4 (2015): 2481-2486.
Chicago
Cho, B. H., Han, H. S., Kwon, J., Han, J., Yoon, S. M., Kim, D. H., Yun, H. Y., Lee, K. H., Youn, S. J., Kim, S. T."Impact of the availability of active cytotoxic agents on the survival of patients with advanced gastric cancer". Oncology Letters 10, no. 4 (2015): 2481-2486. https://doi.org/10.3892/ol.2015.3564