Treatment-related deaths in small cell lung cancer trials: can patients at risk be identified? Medical Research Council Lung Cancer Working Party.

Author: GirlingD J, MachinD, StephensR J

Paper Details 
Original Abstract of the Article :
OBJECTIVES: This paper investigates the problem of treatment-related deaths in small cell lung cancer (SCLC). DESIGN: To observe and define increased hazard levels, and to identify factors relating to these excess deaths. SETTING: The United Kingdom. SUBJECTS: A total of 2196 patients entered int...See full text at original site
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引用元:
https://doi.org/10.1016/0169-5002(94)90546-0

データ提供:米国国立医学図書館(NLM)

Small Cell Lung Cancer: Identifying Patients at Risk of Treatment-Related Deaths

The fight against cancer is a long and arduous journey, often requiring aggressive treatments that can come with their own set of risks. Small cell lung cancer (SCLC) is a particularly aggressive form of the disease, and treatment-related deaths are a significant concern. This study, published in 1996, analyzed data from 2,196 patients enrolled in six randomized clinical trials for SCLC, aiming to identify factors associated with treatment-related deaths. The research identified a high-risk group of patients who had an increased risk of death in the second week after starting chemotherapy, suggesting that personalized treatment approaches may be necessary to minimize these risks.

Risk Factors for Treatment-Related Deaths: Identifying the Vulnerable

The study's findings are crucial for improving patient care, identifying those at increased risk of treatment-related deaths. The researchers identified a number of factors that contribute to this risk, including a Karnofsky Performance (KP) score of ≤ 50, a white blood cell count ≥ 10,000/mm3, and a chemotherapy regimen of four or more drugs. These findings highlight the importance of careful patient selection and individualization of treatment plans based on patient characteristics and risk factors. This research also suggests that further studies are needed to test the efficacy of modified chemotherapy regimens, such as reduced doses, for high-risk patients.

Navigating Cancer Treatment: A Guide to Reducing Risks

This study serves as a reminder that cancer treatment is a complex and individualized process. Open communication with your healthcare provider is essential to discuss your individual risk factors, treatment options, and potential complications. Understanding the potential risks associated with chemotherapy is crucial for making informed decisions about treatment plans, and for minimizing the likelihood of adverse outcomes. This research emphasizes the importance of ongoing research and development in cancer treatment, with a focus on personalized medicine and risk-minimizing strategies.

Dr.Camel's Conclusion

This study delves into the complex world of SCLC treatment, highlighting the importance of identifying patients at risk of treatment-related deaths. The research underscores the need for individualized treatment approaches, careful patient selection, and ongoing research into risk-minimizing strategies to improve patient outcomes in the fight against this aggressive form of cancer.

Date :
  1. Date Completed 1995-02-09
  2. Date Revised 2019-09-20
Further Info :

Pubmed ID

7812703

DOI: Digital Object Identifier

10.1016/0169-5002(94)90546-0

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PICO Info
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Languages

English

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