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• W2724289659 abstract "Introduction: This study described survival in different subgroups among patients with metastatic gastroenteropancreatic neuroendocrine tumours (GEP-NET) grade 1 or 2 in Sweden. Methods: Patients diagnosed with metastatic GEP-NET grade 1 or 2 between 1 Jul 2005 and 31 Dec 2013 in Sweden were included (n = 811). Data was obtained via linkage of several nationwide registers. Survival was assessed from diagnosis until death or 31 Dec 2013. Results: Overall survival (OS) was defined as time from diagnosis to death (any cause). The median survival time was 7.0 (95% CI 6.2-not reached) years (n = 811). The 1-year survival rate was 87%, the 2-year rate was 79%, and the 5-year rate was 63%. For small intestinal NET, the median survival time was 7.0 (95% CI 6.5-not reached) years (n = 615), for pancreatic NET 4.3 (95% CI 2.8-not reached) years (n = 85) and for other (stomach, colon, or rectum) GEP-NET 4.2 (95% CI 2.5-not reached) years (n = 111). The median survival time was not reached for patients with regional disease (Q1 4.0 years, 95% CI 2.7 -5.7 [n = 150]), and for patients with distant disease it was 6.5 (95% CI 5.1-not reached) years (n = 251). The median survival time was 7.0 (95% CI 6.3-not reached) and 3.2 (95% CI 1.6-6.2) years for patients with hormone producing NETs (n = 762) and non-hormone producing NETs (n = 49), respectively. Hormone-producing NETs were mainly from small intestine NET (81% as compared to 5% pancreatic and 14% other). The median survival time was 6.2 (95% CI 5.7-not reached) years for patients with surgery as first-line treatment (and no further treatment, n = 142), and 4.1 (95% CI 1.7-6.1) years for patients with SSA as first-line treatment (and no further treatment, n = 50). The median survival time was 7.0 (95% CI 5.7-not reached) years for patients with surgery followed by SSA (n = 198), 6.7 (95% CI 5.7-not reached) years for patients with surgery followed by any treatment except SSA (n = 87), not reached for patients with SSA followed by surgery (n = 105), 5.0 (95% CI 2.7-not reached) years for patients with SSA followed by any treatment except surgery (n = 42), and 4.8 (95% CI 2.9-not reached) years for patients with other treatment sequences (n = 67). However, the patient populations were not entirely comparable, (e.g. for patients with surgery as first line, small intestine was 61% as compared to 27% for patients with SSA as first line). Conclusion: Survival tended to be longer for small intestine NET as compared to both pancreatic NET and other GEP-NET, and patients with distant disease had a worse prognosis than patients with regional disease, both findings in agreement with previous studies. The median survival was more than twice as long for patients with hormone-secreting tumours as compared to patients with non-secreting tumours but the various locations of the tumours might bias the interpretation. For patients treated with first line only, survival tended to be longer for patients who had undergone surgery as compared to SSA. Patients treated with SSA followed by surgery tended to have longer survival than other combinations of first/second line. Variations in patient populations might again bias the interpretation." @default.
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• W2724289659 date "2017-06-01" @default.
• W2724289659 modified "2023-10-16" @default.
• W2724289659 title "Overall survival in patients diagnosed with metastatic GEP-NET in Sweden" @default.
• W2724289659 doi "https://doi.org/10.1093/annonc/mdx263.008" @default.
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