Early death in Danish stage I lung cancer patients: a population-based case study

Acta Oncologica
Niels Lyhne ChristensenTorben Riis Rasmussen

Abstract

Clinical stage (c-stage) at diagnosis is the most significant prognostic marker for patients with cancer, where 1- and 5-year survival rates as main landmarks when assessing outcomes. This is a population-based case study of Danish c-stage I lung cancer patients who were considered candidates for curative therapy and then died within 1 year after diagnosis (cases). Cases were identified in the Danish Lung Cancer Register (DLCR), and medical records were used to retrieve treatment details and cause of death (CoD). Our aims were, if possible, to identify and describe clusters of patients, in terms of CoD and treatment modality at risk for an adverse short-term outcome. Patients who died early were more frequently male, older, had squamous-cell histology, were less frequently surgically treated and generally had a higher burden of comorbidity. In terms of CoD, 29% died of lung cancer with distant recurrence (DR) as the most common type of recurrence (55%). Death from co-morbidity occurred for 23%, where the largest proportion (36%) died from another cancer. Nineteen percentage died from treatment complications, with the majority being male (p < .001). The remainder died of unknown or other causes. Lung cancer with DR remains the m...Continue Reading

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Citations

May 29, 2020·Acta Oncologica·Niels Lyhne ChristensenSusanne Oksbjerg Dalton
Jun 15, 2021·Expert Review of Anticancer Therapy·Helene GoussaultChristos Chouaïd

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