Table 3.
Baseline characteristics, treatment-related variables, and long-term outcomes in patients with clinical stage IIIA NSCLC who received combination therapy with chemotherapy and radiation versus those who received trimodality therapy. This table shows an unmatched comparison. The CR group refers to patients who received chemotherapy and radiation in any sequence. The trimodality group refers to patients who underwent preoperative chemotherapy and radiation therapy.
Chemotherapy and Radiation (CR) (n=51979) |
Preoperative Chemotherapy and Radiation (Trimodality) (n=2293) |
P value |
|
---|---|---|---|
Age (years) | 66.3 ± 10.0 | 60.8 ± 9.8 | <.001 |
Male Gender | 30133 (58.0%) | 1166 (50.9%) | <.001 |
Caucasian | 44935 (87.1%) | 2029 (89.2%) | .003 |
Urban Location | 32182 (65.2%) | 1506 (70.9%) | <.001 |
Income >$35000/year | 30876 (62.4%) | 1552 (72.2%) | <.001 |
Charlson/Deyo Score(n=35717 CR, n=2293 Trimodality) | 0 23774 (66.6%) 1 8669 (24.3%) 2 3274 (9.2%) |
0 1546 (67.4%) 1 607 (26.5%) 2 140 (6.1%) |
<.001 |
Distance traveled for treatment (miles) | 37.5 ± 387.0 | 111.8 ± 876.5 | <.001 |
Tumor Size (mm) | 48.1 ± 39.5 | 44.6 ± 30.1 | <.001 |
Facility Reporting Case | Community Cancer Program: 9464 (18.2%) Comprehensive Community Cancer Program: 28183 (54.2%) Academic/Research Program: 13537 (26.0%) Other: 795 (1.5%) |
Community Cancer Program: 260 (11.3%) Comprehensive Community Cancer Program: 1120 (48.8%) Academic/Research Program: 892 (38.9%) Other: 21 (0.9%) |
<.001 |
Chemotherapy Type | Single agent: 4193 (9.1%) Multiagent: 42082 (90.9%) |
Single agent: 83 (4.1%) Multiagent: 1940 (95.9%) |
|
Chemotherapy-Surgery Sequence (available n=2293) | Before surgery: 1912 (83.4%) Before and After: 381 (16.6%) |
||
Cumulative radiation dose (cGy) | 5914.1 ± 3831.8 (26.6% Missing) | 5249.1 ± 2339.9 (10.3% Missing) | <.001 |
Cumulative radiation dose (cGy) (n=2059) | ≤3500: 37 (1.8%) 3501–4500: 744 (36.1%) >4500: 1278 (62.1%) |
||
Cumulative radiation dose (cGy) (n=38166) | ≤4000: 5678 (14.9%) 4001–5000: 4032 (10.6%) 5001–6000: 7643 (20.0%) >6000: 20813 (54.5%) |
||
Radiation Surgery Sequence | Before surgery: 2220 (96.8%) Before and after surgery: 73 (3.2%) |
||
Type of operation | Lobectomy: 1816 (79.2%) Pneumonectomy: 342 (14.9%) Other: 135 (5.9%) |
||
Median Survival (months) | 15.7 ± 0.1 | 36.0 ± 1.5 | <.001 |