World Journal of Oncology, ISSN 1920-4531 print, 1920-454X online, Open Access
Article copyright, the authors; Journal compilation copyright, World J Oncol and Elmer Press Inc
Journal website https://www.wjon.org

Original Article

Volume 13, Number 2, April 2022, pages 53-58


Impact of the Discordance Between Scales of Memorial Sloan-Kettering Cancer Center and International Metastatic Renal Cell Carcinoma Database Consortium in Patients’ Prognosis With Metastatic Renal Cancer

Figures

Figure 1.
Figure 1. Progression-free survival in patients with agreement and discordance between scales of Memorial Sloan-Kettering Cancer Center and International Metastatic Renal Cell Carcinoma Database Consortium.
Figure 2.
Figure 2. Overall survival in patients with agreement and discordance between scales of Memorial Sloan-Kettering Cancer Center and International Metastatic Renal Cell Carcinoma Database Consortium.

Tables

Table 1. General Characteristics of the Study Population
 
CharacteristicNumber of patientsPercentage
SD: standard deviation.
Sex26100
  Women830.8
  Man1869.2
Age26Median ± SD: 65 ± 10 years
Nephrectomy24/2692
Histology26100
  Clear cells2388
  Chromophobe16
  Papillary16
Sarcomatoid pattern5/2620
State IV at diagnosis14/2653
Pulmonary metastases21/2680
Liver metastases6/2623
Brain metastases9/2634
Bone metastases10/2638
Treatment
First-line26100
  Targeted therapy2492
  Immunotherapy28
Second-line1453
  Targeted therapy1142
  Immunotherapy311
Third-line830
  Targeted therapy623
  Immunotherapy27
Metastasectomy934
Palliative radiotherapy623
Use of bisphosphonates415

 

Table 2. Risk Group According to MSKCC and IMDC Scales
 
PopulationNumber of patients (%)Median survival (months)
MSKCC: Memorial Sloan-Kettering Cancer Center; IMDC: Metastatic Renal Cell Carcinoma Database Consortium.
Global26 (100%)91.1
Risk per MSKCC
  Favorable5 (19.2%)158.8
  Intermediate16 (61.6%)45.1
  Poor5 (19.2%)5
Risk per IMDC
  Favorable4 (15.38%)91.1
  Intermediate14 (53.84%)120.2
  Poor8 (30.76%)6.8

 

Table 3. Agreement and Discordance Between Scales of MSKCC and IMDC
 
CategoryFrequencyOverall survivalProgression-free survival
MSKCC: Memorial Sloan-Kettering Cancer Center; IMDC: Metastatic Renal Cell Carcinoma Database Consortium.
Agreement between scales16 (61%)112 months18.9 months
Discordance (MSKCC vs. IMDC)10 (38%)32.8 months3.1 months
  Favorable to intermediate2
  Intermediate to poor5
  Intermediate to Favorable1
  Poor to intermediate2
Log rank
  Xi20.0003.902
  Significance0.9900.048