Real-world outcomes in patients with advanced endometrial cancer: A retrospective cohort study of US electronic health records.
Gynecol Oncol
; 164(2): 325-332, 2022 02.
Article
in En
| MEDLINE
| ID: mdl-34952707
ABSTRACT
OBJECTIVES:
To characterize clinical outcomes of women with advanced/recurrent endometrial cancer (AEC) in routine practice using electronic health records from a real-world database.METHODS:
Adult women diagnosed with AEC (stage III/IV, or early stage with locoregional/distant recurrence) between January 1, 2013 and September 30, 2020, inclusive, were eligible provided they received platinum-based chemotherapy at any time following diagnosis and had ≥2 clinical visits. Follow-up was from initiation of systemic treatment after advanced diagnosis (index) until March 30, 2021, last available follow-up, or death, whichever occurred first. Outcomes, by histological subtype, included Kaplan-Meier estimates of overall survival (OS) and time to first subsequent therapy or death (TFST).RESULTS:
Of the 2202 women with AEC, most were treated in a community setting (82.7%) and presented with stage III/IV disease at initial diagnosis (74.0%). The proportion with endometrioid carcinoma, uterine serous carcinoma (USC), and other AEC subtypes was 59.8%, 25.0%, and 15.2%, respectively. The most common first systemic treatment following advanced/recurrent diagnosis was platinum-based combination chemotherapy (82.0%). Median OS (95% CI) from initiation of first systemic treatment was shorter with USC (31.3 [27.7-34.3] months) and other AECs (29.4 [21.4-43.9] months) versus endometrioid carcinoma (70.8 [60.5-83.2] months). Similar results were observed for TFST. Black/African American women had worse OS and TFST than white women.CONCLUSIONS:
Women with AEC had poor survival outcomes, demonstrating the requirement for more effective therapies. To our knowledge, this is the most comprehensive evaluation of contemporary treatment of AEC delivered in a community setting to date.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Antineoplastic Combined Chemotherapy Protocols
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Endometrial Neoplasms
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Neoplasms, Cystic, Mucinous, and Serous
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Carcinoma, Endometrioid
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Antineoplastic Agents, Immunological
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Neoplasm Recurrence, Local
Type of study:
Etiology_studies
/
Incidence_studies
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Observational_studies
/
Risk_factors_studies
Limits:
Aged
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Female
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Humans
/
Middle aged
Country/Region as subject:
America do norte
Language:
En
Journal:
Gynecol Oncol
Year:
2022
Type:
Article