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• W2899719917 abstract "Abstract Background Esophageal small cell carcinoma ( ESCC ) is a rare malignancy for which there is no consensus management approach. This is the largest known analysis of nonmetastatic ESCC patients to date, evaluating national practice patterns and outcomes of surgical‐based therapy vs chemoradiotherapy ( CRT ) vs chemotherapy alone. Methods The National Cancer Data Base was queried for esophageal cancer patients with histologically confirmed nonmetastatic ESCC . Univariable and multivariable logistic regression ascertained factors associated with receipt of surgical‐based management. Kaplan‐Meier analysis evaluated overall survival ( OS ) and the log‐rank test is used to compare OS between groups; Cox univariate and multivariate analyses determined variables associated with OS . Results Altogether, 323 patients were analyzed; 64 (20%) patients underwent surgical‐based therapy, 211 (65%) CRT , and 48 (15%) chemotherapy alone. On multivariable analysis, no single factor significantly predicted for administration of surgery. Despite no OS differences between the surgery‐based (median OS 21 months) and CRT arms (18 months), both were superior to CT alone (10 months) ( P < 0.001). Among other factors, receiving any local therapy independently predicted for higher OS over chemotherapy alone on Cox multivariate analysis ( P < 0.001). Conclusions This study of a large, contemporary national database demonstrates that most ESCC is treated with CRT in the United States; adding local therapy to systemic therapy may be beneficial to these patients, although individualized multidisciplinary management is still recommended." @default.
• W2899719917 created "2018-11-16" @default.
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• W2899719917 date "2018-11-06" @default.
• W2899719917 modified "2023-09-30" @default.
• W2899719917 title "National Cancer Database report of nonmetastatic esophageal small cell carcinoma" @default.
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• W2899719917 doi "https://doi.org/10.1002/cam4.1712" @default.
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