It is still controversial whether cervical cancer patients with clinical responses after neoadjuvant chemotherapy (NACT) have a better long-term survival or not. This study was designed to investigate the effect of the clinical response on the disease-free survival (DFS) of cervical cancer patients undergoing NACT. A total of 853 patients from a retrospective study were used to evaluate whether the clinical response was an indicator for the long-term response, and 493 patients from a prospective cohort study were used for further evaluation. The survival difference was detected by log-rank test, univariate and multivariate Cox regression and a pooled analysis. The log-rank test revealed that compared with non-responders, the DFS of responders was significantly higher in the retrospective data (P = 0.007). Univariate Cox regression showed that the clinical response was an indicator of long-term survival in the retrospective study (HR 1.83, 95% CI 1.18-2.85, P = 0.007). In a multivariate Cox model, the clinical response was still retained as an independent significant prognostic factor in the retrospective study (HR 1.59, 95% CI 1.01-2.50, P = 0.046). The result was also validated in the prospective data with similar results. These findings implied that the clinical response can be regarded as an independent predictor of DFS.
基金:
International S&T Cooperation Program of China [2013DFA31400]; Program for New Century Excellent Talents in University [NECT-12-0646]; Foundation of China (973 Program) [2009CB521808]; National Natural Science Foundation of China [81501217, 81300460, 81402160, 81302267, 81302264, 81201639, 81300453, 81072132, 81372781, 81370469, 81230038, 81230052, 30973472, 81001151, 81071663, 30973205, 30973184, 81172464, 81101964]; National Major Science and Technology Project [2009ZX09103-739]
第一作者单位:[1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Obstet & Gynecol, Wuhan, Hubei, Peoples R China[2]Wuhan Cent Hosp, Dept Obstet & Gynecol, Wuhan, Hubei, Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Li Xiong,Huang Kecheng,Zhang Qinghua,et al.Early response to neoadjuvant chemotherapy can help predict long-term survival in patients with cervical cancer[J].ONCOTARGET.2016,7(52):87485-87495.doi:10.18632/oncotarget.11460.
APA:
Li, Xiong,Huang, Kecheng,Zhang, Qinghua,Shen, Jian,Zhou, Hang...&Ma, Ding.(2016).Early response to neoadjuvant chemotherapy can help predict long-term survival in patients with cervical cancer.ONCOTARGET,7,(52)
MLA:
Li, Xiong,et al."Early response to neoadjuvant chemotherapy can help predict long-term survival in patients with cervical cancer".ONCOTARGET 7..52(2016):87485-87495