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Comparative study of esophagectomy, endoscopic therapy, and radiotherapy for cT1N0M0 esophageal cancer in elderly patients: A SEER database analysis
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Zeitschriftentitel: | Thoracic Cancer |
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Personen und Körperschaften: | , , , , , , |
In: | Thoracic Cancer, 10, 2019, 7, S. 1511-1520 |
Format: | E-Article |
Sprache: | Englisch |
veröffentlicht: |
Wiley
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Schlagwörter: |
author_facet |
Qin, Jianjun Peng, Yinjie Chen, Weipeng Ma, Haibo Zheng, Yan Li, Yin Wang, Jun Qin, Jianjun Peng, Yinjie Chen, Weipeng Ma, Haibo Zheng, Yan Li, Yin Wang, Jun |
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author |
Qin, Jianjun Peng, Yinjie Chen, Weipeng Ma, Haibo Zheng, Yan Li, Yin Wang, Jun |
spellingShingle |
Qin, Jianjun Peng, Yinjie Chen, Weipeng Ma, Haibo Zheng, Yan Li, Yin Wang, Jun Thoracic Cancer Comparative study of esophagectomy, endoscopic therapy, and radiotherapy for cT1N0M0 esophageal cancer in elderly patients: A SEER database analysis Pulmonary and Respiratory Medicine Oncology General Medicine |
author_sort |
qin, jianjun |
spelling |
Qin, Jianjun Peng, Yinjie Chen, Weipeng Ma, Haibo Zheng, Yan Li, Yin Wang, Jun 1759-7706 1759-7714 Wiley Pulmonary and Respiratory Medicine Oncology General Medicine http://dx.doi.org/10.1111/1759-7714.13080 <jats:sec><jats:title>Background</jats:title><jats:p>The number of patients diagnosed with early stage disease (T1a or T1b) has been increasing. This study was conducted to investigate the effect of esophagectomy (ES), endoscopic therapy (ET), and radiotherapy (RT) on long‐term survival in elderly patients with cT1N0M0 esophageal cancer.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>We searched the Surveillance, Epidemiology, and End Results (SEER) database to identify the records of elderly patients (≥ 75 years) with cT1N0M0 esophageal cancer between 2004 and 2014. Patient demographics and esophageal cancer parameters were compared among ES, ET, and RT groups. The Kaplan–Meier method and Cox proportional hazard modeling were used to compare long‐term survival.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Data from 954 esophageal cancer patients (ES: <jats:italic>n</jats:italic> = 196; ET: <jats:italic>n</jats:italic> = 224; RT: <jats:italic>n</jats:italic> = 534) were identified. Multivariate Cox regression analysis showed that five‐year survival in the ET and ES groups was significantly higher than in the RT group. After propensity score matching, we found no difference in five‐year survival between ES and ET.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Using SEER data, we identified a significant survival advantage with the use of ES and ET compared to RT in patients with cT1N0M0 esophageal cancer aged > 75 years, while the long‐term survival of patients after ET and ES was not significantly different.</jats:p></jats:sec> Comparative study of esophagectomy, endoscopic therapy, and radiotherapy for cT1N0M0 esophageal cancer in elderly patients: A SEER database analysis Thoracic Cancer |
doi_str_mv |
10.1111/1759-7714.13080 |
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Thoracic Cancer |
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title |
Comparative study of esophagectomy, endoscopic therapy, and radiotherapy for cT1N0M0 esophageal cancer in elderly patients: A SEER database analysis |
title_unstemmed |
Comparative study of esophagectomy, endoscopic therapy, and radiotherapy for cT1N0M0 esophageal cancer in elderly patients: A SEER database analysis |
title_full |
Comparative study of esophagectomy, endoscopic therapy, and radiotherapy for cT1N0M0 esophageal cancer in elderly patients: A SEER database analysis |
title_fullStr |
Comparative study of esophagectomy, endoscopic therapy, and radiotherapy for cT1N0M0 esophageal cancer in elderly patients: A SEER database analysis |
title_full_unstemmed |
Comparative study of esophagectomy, endoscopic therapy, and radiotherapy for cT1N0M0 esophageal cancer in elderly patients: A SEER database analysis |
title_short |
Comparative study of esophagectomy, endoscopic therapy, and radiotherapy for cT1N0M0 esophageal cancer in elderly patients: A SEER database analysis |
title_sort |
comparative study of esophagectomy, endoscopic therapy, and radiotherapy for ct1n0m0 esophageal cancer in elderly patients: a seer database analysis |
topic |
Pulmonary and Respiratory Medicine Oncology General Medicine |
url |
http://dx.doi.org/10.1111/1759-7714.13080 |
publishDate |
2019 |
physical |
1511-1520 |
description |
<jats:sec><jats:title>Background</jats:title><jats:p>The number of patients diagnosed with early stage disease (T1a or T1b) has been increasing. This study was conducted to investigate the effect of esophagectomy (ES), endoscopic therapy (ET), and radiotherapy (RT) on long‐term survival in elderly patients with cT1N0M0 esophageal cancer.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>We searched the Surveillance, Epidemiology, and End Results (SEER) database to identify the records of elderly patients (≥ 75 years) with cT1N0M0 esophageal cancer between 2004 and 2014. Patient demographics and esophageal cancer parameters were compared among ES, ET, and RT groups. The Kaplan–Meier method and Cox proportional hazard modeling were used to compare long‐term survival.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Data from 954 esophageal cancer patients (ES: <jats:italic>n</jats:italic> = 196; ET: <jats:italic>n</jats:italic> = 224; RT: <jats:italic>n</jats:italic> = 534) were identified. Multivariate Cox regression analysis showed that five‐year survival in the ET and ES groups was significantly higher than in the RT group. After propensity score matching, we found no difference in five‐year survival between ES and ET.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Using SEER data, we identified a significant survival advantage with the use of ES and ET compared to RT in patients with cT1N0M0 esophageal cancer aged > 75 years, while the long‐term survival of patients after ET and ES was not significantly different.</jats:p></jats:sec> |
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author | Qin, Jianjun, Peng, Yinjie, Chen, Weipeng, Ma, Haibo, Zheng, Yan, Li, Yin, Wang, Jun |
author_facet | Qin, Jianjun, Peng, Yinjie, Chen, Weipeng, Ma, Haibo, Zheng, Yan, Li, Yin, Wang, Jun, Qin, Jianjun, Peng, Yinjie, Chen, Weipeng, Ma, Haibo, Zheng, Yan, Li, Yin, Wang, Jun |
author_sort | qin, jianjun |
container_issue | 7 |
container_start_page | 1511 |
container_title | Thoracic Cancer |
container_volume | 10 |
description | <jats:sec><jats:title>Background</jats:title><jats:p>The number of patients diagnosed with early stage disease (T1a or T1b) has been increasing. This study was conducted to investigate the effect of esophagectomy (ES), endoscopic therapy (ET), and radiotherapy (RT) on long‐term survival in elderly patients with cT1N0M0 esophageal cancer.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>We searched the Surveillance, Epidemiology, and End Results (SEER) database to identify the records of elderly patients (≥ 75 years) with cT1N0M0 esophageal cancer between 2004 and 2014. Patient demographics and esophageal cancer parameters were compared among ES, ET, and RT groups. The Kaplan–Meier method and Cox proportional hazard modeling were used to compare long‐term survival.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Data from 954 esophageal cancer patients (ES: <jats:italic>n</jats:italic> = 196; ET: <jats:italic>n</jats:italic> = 224; RT: <jats:italic>n</jats:italic> = 534) were identified. Multivariate Cox regression analysis showed that five‐year survival in the ET and ES groups was significantly higher than in the RT group. After propensity score matching, we found no difference in five‐year survival between ES and ET.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Using SEER data, we identified a significant survival advantage with the use of ES and ET compared to RT in patients with cT1N0M0 esophageal cancer aged > 75 years, while the long‐term survival of patients after ET and ES was not significantly different.</jats:p></jats:sec> |
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spelling | Qin, Jianjun Peng, Yinjie Chen, Weipeng Ma, Haibo Zheng, Yan Li, Yin Wang, Jun 1759-7706 1759-7714 Wiley Pulmonary and Respiratory Medicine Oncology General Medicine http://dx.doi.org/10.1111/1759-7714.13080 <jats:sec><jats:title>Background</jats:title><jats:p>The number of patients diagnosed with early stage disease (T1a or T1b) has been increasing. This study was conducted to investigate the effect of esophagectomy (ES), endoscopic therapy (ET), and radiotherapy (RT) on long‐term survival in elderly patients with cT1N0M0 esophageal cancer.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>We searched the Surveillance, Epidemiology, and End Results (SEER) database to identify the records of elderly patients (≥ 75 years) with cT1N0M0 esophageal cancer between 2004 and 2014. Patient demographics and esophageal cancer parameters were compared among ES, ET, and RT groups. The Kaplan–Meier method and Cox proportional hazard modeling were used to compare long‐term survival.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Data from 954 esophageal cancer patients (ES: <jats:italic>n</jats:italic> = 196; ET: <jats:italic>n</jats:italic> = 224; RT: <jats:italic>n</jats:italic> = 534) were identified. Multivariate Cox regression analysis showed that five‐year survival in the ET and ES groups was significantly higher than in the RT group. After propensity score matching, we found no difference in five‐year survival between ES and ET.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Using SEER data, we identified a significant survival advantage with the use of ES and ET compared to RT in patients with cT1N0M0 esophageal cancer aged > 75 years, while the long‐term survival of patients after ET and ES was not significantly different.</jats:p></jats:sec> Comparative study of esophagectomy, endoscopic therapy, and radiotherapy for cT1N0M0 esophageal cancer in elderly patients: A SEER database analysis Thoracic Cancer |
spellingShingle | Qin, Jianjun, Peng, Yinjie, Chen, Weipeng, Ma, Haibo, Zheng, Yan, Li, Yin, Wang, Jun, Thoracic Cancer, Comparative study of esophagectomy, endoscopic therapy, and radiotherapy for cT1N0M0 esophageal cancer in elderly patients: A SEER database analysis, Pulmonary and Respiratory Medicine, Oncology, General Medicine |
title | Comparative study of esophagectomy, endoscopic therapy, and radiotherapy for cT1N0M0 esophageal cancer in elderly patients: A SEER database analysis |
title_full | Comparative study of esophagectomy, endoscopic therapy, and radiotherapy for cT1N0M0 esophageal cancer in elderly patients: A SEER database analysis |
title_fullStr | Comparative study of esophagectomy, endoscopic therapy, and radiotherapy for cT1N0M0 esophageal cancer in elderly patients: A SEER database analysis |
title_full_unstemmed | Comparative study of esophagectomy, endoscopic therapy, and radiotherapy for cT1N0M0 esophageal cancer in elderly patients: A SEER database analysis |
title_short | Comparative study of esophagectomy, endoscopic therapy, and radiotherapy for cT1N0M0 esophageal cancer in elderly patients: A SEER database analysis |
title_sort | comparative study of esophagectomy, endoscopic therapy, and radiotherapy for ct1n0m0 esophageal cancer in elderly patients: a seer database analysis |
title_unstemmed | Comparative study of esophagectomy, endoscopic therapy, and radiotherapy for cT1N0M0 esophageal cancer in elderly patients: A SEER database analysis |
topic | Pulmonary and Respiratory Medicine, Oncology, General Medicine |
url | http://dx.doi.org/10.1111/1759-7714.13080 |