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Table 4 Overall survival in subgroups of patients treated with first-line sunitinib (Cohort 2008–2010 and Cohort 2011–2013)

From: Variation in use of targeted therapies for metastatic renal cell carcinoma: Results from a Dutch population-based registry

 

2008–2010 Cohort: mRCC at the initial diagnosis

2011–2013 Cohort: mRCC

n

Median OS in months (95 % C.I.)

p-value

n

Median OS in months (95 % C.I.)

p-value

All patients

282

9.1 (7.2–11.1)

109

10.1 (7.2–13.8)

Fulfilling SUTENT trial eligibility criteria

No

110

6.5 (4.9–8.9)

 

38

6.9 (3.4–10.9)

 
 

Yes

172

11.9 (8.8–14.6)

0.0014

71

12.1 (8.9-NR)

0.0074

Brain metastases

No

261

9.3 (7.6–11.9)

 

101

10.9 (7.8–18.0)

 
 

Yes

21

4.3 (2.1–11.5)

0.0820

8

2.5 (0.8–7.5)

0.0125

WHO performance status

0–1

248

10.3 (8.4–13.0)

 

100

11.3 (7.8–18.0)

 
 

2–4

34

3.3 (1.8–6.2)

<0.0001

9

1.4 (0.6–7.5)

<0.0001

Histology

Clear cell

204

10.0 (7.6–13.3)

 

81

10.6 (7.2–20.3)

 
 

Non-clear cell

78

6.9 (5.4–11.0)

0.0809

28

10.0 (3.5–13.8)

0.3325

Age

<65 years

162

8.9 (6.5–10.8)

 

64

11.3 (7.2–20.3)

 
 

> = 65 years

120

10.0 (6.5–13.8)

0.8373

45

10.0 (5.3–16.6)

0.4294

Patients with an intermediate prognosis (or favourable prognosis)a

145

14.6 (11.5–16.0)

65

16.6 (10.1-NR)

Fulfilling SUTENT trial eligibility criteria

No

43

11.9 (6.5–18.3)

 

20

10.9 (2.7-NR)

 
 

Yes

102

14.8 (10.8–16.1)

0.2897

45

18.0 (10.1-NR)

0.1212

Brain metastases

No

136

14.6 (10.7–16.0)

 

61

16.6 (10.9-NR)

 
 

Yes

9

11.9 (4.3–29.3)

0.8072

4

6.9 (2.5-NR)

0.2282

WHO performance status

0–1

143

14.4 (10.8–16.0)

 

64

16.6 (10.1-NR)

 
 

2–4

2

0.2304

1

0.2471

Histology

Clear cell

111

14.8 (11.8–16.2)

 

49

18.0 (10.0-NR)

 
 

Non-clear cell

34

11.5 (6.3–17.7)

0.1954

16

13.8 (2.7-NR)

0.3135

Age

<65 years

87

10.8 (7.2–15.7)

 

36

12.1 (7.2-NR)

 
 

> = 65 years

58

16.1 (12.4–18.8)

0.2606

29

16.6 (8.5-NR)

0.7157

Patients with a poor prognosis

137

6.1 (4.9–7.7)

44

6.5 (3.4–10.0)

Fulfilling SUTENT trial eligibility criteria

No

67

4.7 (3.3–6.9)

 

18

3.5 (1.3–7.8)

 
 

Yes

70

6.8 (5.3–10.7)

0.0145

26

6.6 (3.8-NR)

0.0720

Brain metastases

No

125

6.5 (5.3–8.4)

 

40

6.5 (3.8–10.1)

 
 

Yes

12

2.1 (0.7–4.2)

0.0062

4

1.2 (0.8-NR)

0.0134

WHO performance status

0–1

105

6.9 (5.3–9.8)

 

36

6.6 (3.8–10.1)

 
 

2–4

32

3.1 (1.4–5.5)

<0.0001

8

1.2 (0.6–7.5)

0.0087

Histology

Clear cell

93

6.1 (4.6–7.8)

 

32

6.5 (2.7–10.1)

 
 

Non-clear cell

44

5.7 (3.7–10.3)

0.6585

12

4.1 (2.6-NR)

0.9982

Age

<65 years

75

6.9 (4.9–9.8)

 

28

7.8 (3.8–13.7)

 
 

> = 65 years

62

5.4 (3.8–6.8)

0.4044

16

3.2 (1.1–6.6)

0.0256

  1. Abbreviations: C.I, confidence interval, NR not reached
  2. aSince all patients in the 2008–2010 Cohort presented with metastatic disease, none of the patients had a favourable prognosis (i.e. time from initial RCC diagnosis was less than one year)