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Research ArticleClinical Studies

Sex Differences in Presentation, Treatment, and Survival in Patients Receiving Palliative (Chemo)Radiotherapy for Non-Small Cell Lung Cancer

CARSTEN NIEDER, SIV GYDA AANES, ASTRID DALHAUG and ELLINOR CHRISTIN HAUKLAND
Anticancer Research January 2024, 44 (1) 301-305; DOI: https://doi.org/10.21873/anticanres.16812
CARSTEN NIEDER
1Department of Oncology and Palliative Medicine, Nordland Hospital, Bodø, Norway;
2Department of Clinical Medicine, Faculty of Health Sciences, University of Tromsø, Tromsø, Norway;
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  • For correspondence: carsten.nieder@nlsh.no
SIV GYDA AANES
1Department of Oncology and Palliative Medicine, Nordland Hospital, Bodø, Norway;
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ASTRID DALHAUG
1Department of Oncology and Palliative Medicine, Nordland Hospital, Bodø, Norway;
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ELLINOR CHRISTIN HAUKLAND
1Department of Oncology and Palliative Medicine, Nordland Hospital, Bodø, Norway;
3SHARE – Center for Resilience in Healthcare, Faculty of Health Sciences, Department of Quality and Health Technology, University of Stavanger, Stavanger, Norway
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Abstract

Background/Aim: The aim of this study was to analyze sex differences in a real-world cohort of patients who received palliative thoracic radiotherapy or chemoradiotherapy for non-small cell lung cancer. Patients and Methods: Retrospectively, baseline, treatment, toxicity, and survival data from a single institution were analyzed. The study included 181 patients (82 females, 99 males). Results: Despite borderline significant differences in disease presentation (T and N stage), final assignment to stage II, III or IV was similar. The same was true for target volume size. Neither radiotherapy parameters nor systemic treatment approaches were significantly different. Toxicity profiles and survival were similar too. Less than 1 out of 3 patients experienced high-grade toxicity, largely esophagitis. Median survival was 8.1 (males) versus 7.8 months (females) and the corresponding 2-year survival rates were 16 and 15%, respectively (p=0.78). Conclusion: Relevant sex differences were not observed in this study of common radiotherapy regimes such as 10 fractions of 3 Gy or 15 fractions of 2.8 Gy, the latter often combined with carboplatin/vinorelbine chemotherapy.

Key Words:
  • Non-small cell lung cancer
  • overall survival
  • prognosis
  • radiotherapy
  • side effects
  • sex
  • Received November 23, 2023.
  • Revision received December 5, 2023.
  • Accepted December 6, 2023.
  • Copyright © 2024 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.
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Anticancer Research: 44 (1)
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January 2024
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Sex Differences in Presentation, Treatment, and Survival in Patients Receiving Palliative (Chemo)Radiotherapy for Non-Small Cell Lung Cancer
CARSTEN NIEDER, SIV GYDA AANES, ASTRID DALHAUG, ELLINOR CHRISTIN HAUKLAND
Anticancer Research Jan 2024, 44 (1) 301-305; DOI: 10.21873/anticanres.16812

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Sex Differences in Presentation, Treatment, and Survival in Patients Receiving Palliative (Chemo)Radiotherapy for Non-Small Cell Lung Cancer
CARSTEN NIEDER, SIV GYDA AANES, ASTRID DALHAUG, ELLINOR CHRISTIN HAUKLAND
Anticancer Research Jan 2024, 44 (1) 301-305; DOI: 10.21873/anticanres.16812
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Keywords

  • non-small cell lung cancer
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  • prognosis
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  • sex
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