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 15, Number 1, February 2024, pages 126-135


Treatment Patterns and Survival Outcomes in Patients With Stage T1-2N0M0 Small Cell Lung Cancer Undergoing Surgery: A Retrospective Cohort Study

Figures

Figure 1.
Figure 1. Flowchart illustrating the patient selection process. CRT: chemoradiotherapy; CT: chemotherapy; RT: radiotherapy; SCLC: small cell lung cancer.
Figure 2.
Figure 2. Comparison of cancer-specific survival among different treatment patterns.
Figure 3.
Figure 3. Multivariate regression analysis of prognostic factors for cancer-specific survival.
Figure 4.
Figure 4. Comparison of overall survival among different treatment patterns.
Figure 5.
Figure 5. Multivariate regression analysis of prognostic factors for overall survival.

Tables

Table 1. Patient Characteristics
 
Surgery alone (n = 65)Surgery + CT (n = 70)Surgery + CRT (n = 52)P
CRT: chemoradiotherapy; CT: chemotherapy.
Age0.532
  < 6736 (55.4%)32 (45.7%)26 (50.0%)
  ≥ 6729 (44.6%)38 (54.3%)26 (50.0%)
Sex0.673
  Female41 (63.1%)39 (55.7%)30 (57.7%)
  Male24 (36.9%)31 (44.3%)22 (42.3%)
Race0.423
  White61 (93.8%)68 (97.1%)49 (94.2%)
  Black3 (4.7%)0 (0.0%)2 (3.9%)
  Others1 (1.5%)2 (2.9%)1 (1.9%)
Site0.575
  Upper lobe45 (69.2%)44 (62.9%)28 (53.8%)
  Middle lobe4 (6.2%)5 (7.1%)3 (5.8%)
  Lower lobe15 (23.1%)20 (28.6%)18 (34.6%)
  Others1 (1.5%)1 (1.4%)3 (5.8%)
Laterality0.516
  Left30 (46.2%)29 (41.4%)27 (51.9%)
  Right35 (53.8%)41 (58.6%)25 (48.1%)
Grade0.124
  III/IV45 (69.2%)37 (52.9%)34 (65.4%)
  I/II/unknown20 (30.8%)33 (47.1%)18 (34.6%)
T stage0.363
  T1N0M038 (58.5%)48 (68.6%)36 (69.2%)
  T2N0M027 (41.5%)22 (31.4%)16 (30.8%)

 

Table 2. Univariable Proportional Hazards Regressions
 
Cancer-specific survivalOverall survival
HR95% CIPHR95% CIP
CI: confidence interval; CRT: chemoradiotherapy; CT: chemotherapy; HR: hazard ratio.
Age
  < 67ReferenceReference
  ≥ 671.821.13 - 2.930.0141.741.19 - 2.550.004
Sex
  FemaleReferenceReference
  Male1.130.71 - 1.820.6001.150.79 - 1.690.455
Race
  WhiteReferenceReference
  Black2.410.76 - 7.690.1371.480.47 - 4.670.506
  Others1.520.37 - 6.220.5591.550.49 - 4.890.458
Site
  Upper lobeReferenceReference
  Middle lobe0.780.31 - 1.980.6040.450.18 - 1.120.085
  Lower lobe0.800.47 - 1.380.4270.690.45 - 1.070.100
  Others1.560.48 - 5.010.4590.910.29 - 2.880.870
Laterality
  LeftReferenceReference
  Right0.670.42 - 1.070.0930.680.47 - 0.990.047
Grade
  III/IVReferenceReference
  I/II/unknown0.910.56 - 1.470.6980.850.58 - 1.250.413
T stage
  T1N0M0ReferenceReference
  T2N0M01.200.74 - 1.940.4501.100.74 - 1.620.641
Treatment
  Surgery aloneReferenceReference
  Surgery + CT0.870.50 - 1.510.6120.620.40 - 0.970.036
  Surgery + CRT0.940.52 - 1.700.8390.760.48 - 1.210.253