Beyin Metastazlı İleri Evre KHDAK Hastalarında GPA İndeksinin Prognostik Değeri

Yıl 2023, Cilt: 14 Sayı: 1, 137 - 141, 23.03.2023

Ayse KOTEK SEDEF Emre UYSAL Tanju BERBER Necla GÜRDAL Berna YILDIRIM

https://doi.org/10.18663/tjcl.1240361

Öz

Amaç: Derecelendirilmiş Prognostik Değerlendirme (GPA), beyin metastazı olan hastalar için yeni bir prognostik indekstir. Beyin metastazı, akciğer kanserlerinde sık görülen bir metastaz bölgesidir. Akciğer kanserine özgü GPA skorlama sistemi kullanılmaktadır. Beyin metastazı olan küçük hücreli dışı akciğer kanseri hastalarında Kademeli Prognostik Değerlendirme (GPA) skorunun prognostik ve prediktif önemini değerlendirmeyi amaçladık.
Gereç ve Yöntemler: Bu çalışma, hastane tabanlı retrospektif gözlemsel vaka serisi çalışması olarak tasarlandı. Bu çalışmaya 2015-2021 yılları arasında Türkiye'de iki farklı onkoloji merkezinde izlenen beyin metastatik KHDAK'li toplam 95 hasta dahil edildi. GPA puanlarına göre 3 gruba ayrıldılar.
Bulgular: Hastaların ortanca yaşı 62 (44-89) idi. Hastalar GPA'larına göre 3 gruba ayrıldı. 24 (%25,2) hastanın GPA'sı ''0-1'', 54 (%56,8) hastanın GPA 'sı ''1,5-2'' ve 17 (%18) hastanın GPA skoru ''2,5'-3'' arsasındaydı. Medyan takip süresi 11 aydı ve takipte 89 (%93,7) hasta öldü. Genel sağkalım (OS) 8 aydı. Düşük (0-1) GPA skorlarındaki hastalar, daha yüksek GPA skorlarına sahip olanlara göre en kötü genel sağ kalıma sahipti (sırasıyla 4.7, 12.6 ve 18.5 ay ve p=0,001).
Sonuç: Bu çalışmada beyin metastazı olan KHDAK hastalarının prognozunu değerlendirmede GPA skorunun yararlı olduğunu gösterdik.

Anahtar Kelimeler

GPA, Lung Cancer, Brain Metastasis

The Prognostic Values of Graded Prognostic Assessment (GPA) Index In Advanced Stage NSCLC Patients With Brain Metastasis

Öz

Purpose: Graded Prognostic Assessment (GPA) is a new prognostic index for patients with brain metastases. Brain metastasis is a common site of metastasis in lung cancers. Lung cancer-specific GPA scoring system is used. We aimed to assess the prognostic and predictive significance of Graded Prognostic Assessment (GPA) score in non small-cell lung cancer patients with brain metastasis.
Materials and Methods: This study was designed as a hospital-based retrospective observational case-series study. A total of 95 patients with brain metastatic NSCLC patients who were followed in two different oncology centers in Turkey between 2015 and 2021 have been included into this study. They were divided into 3 groups according to their GPA scores.
Results: The median age of the patients was 62 (range 44-89) years The patients were divided into 3 groups according to their GPA scores. 24 (25.2 %) patients had ‘’0-1’’ GPA score, 54 (56,8 %) patients had ‘’1,5-2’’ GPA score and 17 (18 %) patients had ‘’2,5-3’’ GPA score. The median follow-up time was 11 months and 89 (93.7%) patients died during follow-up. Overall survival (OS) was 8 months. Patients in the low (0-1) GPA scores had worst overall survival than those with higher GPA scores (4.7, 12.6 and 18.5 months respectively and p=0,001).
Conclusion: In this study, we have shown that GPA score is useful in evaluating the prognosis of NSCLC patients with brain metastasis

Anahtar Kelimeler

GPA, Lung Cancer, Brain Metastasis

Kaynakça

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