Teesside | Varese | |||||
---|---|---|---|---|---|---|
2000 Cohort | 2010 Cohort | p Value | 2000 Cohort | 2010 Cohort | p Value | |
Total lung cancer cases, n | 261* | 324 | 243 | 260 | ||
Treatment | ||||||
No active cancer treatment | 130 (50%) | 110 (34%) | <0.001 | 60 (25%) | 64 (25%) | 1 |
Radical radiotherapy (≥50 Gy) | 1 (0.4%) | 24 (7%) | <0.001 | 2 (1%) | 1 (0.5%) | 0.523 |
Palliative radiotherapy | 66 (25%) | 48 (15%) | 0.001 | 54 (22%) | 27 (10%) | <0.001 |
Chemotherapy | 35 (13%) | 51 (16%) | 0.429 | 45 (19%) | 81 (31%) | 0.001 |
Radiotherapy+chemotherapy | 12 (5%) | 54 (17%) | <0.001 | 23 (9%) | 23 (9%) | 0.810 |
Other active treatment | 0 (0%) | 1 (0%) | 0.369 | 0 (0%) | 1 (0.5%) | 0.333 |
Surgical resection† | ||||||
In all lung cancers | 17/261 (7%) | 36/324 (11%)‡ | 0.054 | 59/243 (24%) | 63/260 (24%)‡ | 1 |
Lobectomy | 8/17 (47%) | 27/36 (75%) | 42/59 (71%) | 49/63 (78%) | ||
Pneumonectomy | 7/17 (41%) | 6/36 (17%) | 9/59 (15%) | 8/63 (13%) | ||
Wedge resection | 2/17 (12%) | 3/36 (8%) | 8/59 (14%) | 6/63 (9%) | ||
In NSCLC | 17/147 (12%) | 36§/199 (18%)¶ | 0.096 | 59/169 (35%) | 63**/189 (33%)¶ | 0.753 |
In stage I–II NSCLC | 17/37 (46%) | 27/40 (67%)†† | 0.056 | 44/53 (83%) | 43/49 (88%)†† | 0.500 |
In stage IIIA NSCLC | 0/22 (0%) | 5/47 (11%)‡‡ | 0.276§§ | 8/20 (40%) | 13/39 (33%)‡‡ | 0.613 |
In symptomatic lung cancers | 13/253 (5%) | 29/300 (10%)¶¶ | 0.045 | 31/176 (18%) | 27/196 (14%)¶¶ | 0.308 |
Data are presented as number of patients with percentage of total valid cases.
*Treatment data not available in seven untraceable patients.
†All surgeries performed with curative intent, including cases undergoing induction chemotherapy or adjuvant chemo/radiotherapy.
‡Resection rate in all lung cancers in Varese versus Teesside: p<0.001.
§Including 27 NSCLC stage I–II; 5 NSCLC stage IIIA; 2 NSCLC stage IIIB; 2 NSCLC stage IV.
¶Resection rate in all NSCLC cases in Varese versus Teesside: p<0.001.
**Including 43 NSCLC stage I–II; 13 NSCLC stage IIIA; 4 NSCLC stage IIIB; 1 NSCLC stage IV. Stage not available for two patients.
††Resection rate in NSCLC stage I–II in Varese versus Teesside: p=0.020.
‡‡Resection rate in NSCLC stage IIIA in Teesside versus Varese: p=0.010.
§§Yates’ p value.
¶¶Resection rate in symptomatic lung cancers in Teesside versus Varese: p=0.205.
NSCLC, non-small cell lung cancer.