1. Young age and adequate BCG are key factors for optimal BCG treatment efficacy in non-muscle-invasive bladder cancer.
- Author
-
Liu, Kang, Nicoletti, Rossella, Zhao, Hongda, Chen, Xuan, Wu, Hongwei, Leung, Chi-Ho, D'Andrea, David, Laukhtina, Ekaterina, Soria, Francesco, Gallioli, Andrea, Wroclawski, Marcelo Langer, Castellani, Daniele, Gauhar, Vineet, Rivas, Juan Gomez, Enikeev, Dmitry, Gontero, Paolo, Shariat, Shahrokh F., Chiu, Peter Ka-Fung, Ng, Chi-Fai, and Teoh, Jeremy Yuen-Chun
- Subjects
- *
NON-muscle invasive bladder cancer , *BCG immunotherapy , *OLDER patients , *OVERALL survival , *TREATMENT effectiveness - Abstract
Objective: To investigate the impact of ageing on survival outcomes in Bacillus Calmette–Guérin (BCG) treated non-muscle invasive bladder cancer (NMIBC) patients and its synergy with adequate BCG treatment. Method: Patients with NMIBC who received BCG treatment from 2001 to 2020 were divided into group 1 (< = 70 years) and group 2 (> 70 years). Overall Survival (OS), Cancer-Specific Survival (CSS), Recurrence-Free Survival (RFS), and Progression-Free Survival (PFS) were analyzed using the Kaplan–Meier method. Multivariable Cox regression analysis was used to adjust potential confounding factors and to estimate Hazard Ratio (HR) and 95% Confidence Interval (CI). Subgroup analysis was performed according to adequate versus inadequate BCG treatment. Results: Overall, 2602 NMIBC patients were included: 1051 (40.4%) and 1551 (59.6%) in groups 1 and 2, respectively. At median follow-up of 11.0 years, group 1 (< = 70 years) was associated with better OS, CSS, and RFS, but not PFS as compared to group 2 (> 70 years). At subgroup analysis, patients in group 1 treated with adequate BCG showed better OS, CSS, RFS, and PFS as compared with inadequate BCG treatment in group 2, while patients in group 2 receiving adequate BCG treatment had 41% less progression than those treated with inadequate BCG from the same group. Conclusions: Being younger (< = 70 years) was associated with better OS, CSS, and RFS, but not PFS. Older patients (> 70 years) who received adequate BCG treatment had similar PFS as those younger with adequate BCG treatment. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF