Home Neoplasma 2024 Neoplasma Vol.71, No.2, p. 201–208, 2024

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ISSN 1338-4317 (online)

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Neoplasma Vol.71, No.2, p. 201–208, 2024

Title: Impact of the number of therapy lines on survival in advanced gastric and esophagogastric adenocarcinoma - a real-world retrospective analysis from Croatia
Author: Vesna Bišof, Andrija Katić, Majana Soče, Marina Vidović, Jelena Viculin, Stjepko Pleština, Eduard Vrdoljak

Abstract: The aim of the study was to conduct a retrospective database analysis to understand the current treatment patterns and outcomes to plan potential improvements in therapy delivery and patient selection. The electronic patient medical records of 225 patients with advanced gastric and esophagogastric adenocarcinoma treated at two Croatian high-volume tertiary centers from January 2018 to December 2021 were analyzed. Patients ineligible for chemotherapy (66 of 291, 22.7%) due to poor general condition or co-morbidities were not included in the study.
The median overall survival (OS) for the whole cohort was 11.0 months (95% confidence interval (CI) 9.7–12.0). Of the 225 patients who received first-line therapy, 47.6%, 16.9%, and 3.1% received second-, third-, and fourth-line therapy, respectively. Survival correlated significantly with the number of treatment lines received (ppatients receiving multiple lines of therapy as well as the availability of new and effective drugs in real-life clinical practice. The selection of optimal therapy for each patient in the first-line therapy is important because a significant number of patients do not receive second-line therapy.

Keywords: gastric cancer; esophagogastric carcinoma; real-world data; chemotherapy lines; overall survival
Published online: 20-May-2024
Year: 2024, Volume: 71, Issue: 2 Page From: 201, Page To: 208
doi:10.4149/neo_2024_231209N633


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