Conditional survival of patients with stage I–III squamous cell carcinoma of the penis: temporal changes in cancer-specific mortality: World Journal of Urology

F.A. Mistretta, C. Palumbo, S. Knipper, E. Mazzone, A. Pecoraro, Z. Tian, G. Musi, P. Perrotte, E. Montanari, S.F. Shariat, F. Saad, A. Briganti, O. de Cobelli, P.I. Karakiewicz

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To test the conditional survival that examined the effect of event-free survival on cancer-specific mortality after primary tumour excision (PTE) in patients with squamous cell carcinoma of the penis (SCCP). Materials and methods: Within the SEER database (1998–2015), 2282 stage I–III SCCP patients were identified. Conditional survival estimates were used to calculate cancer-specific mortality (CSM) after event-free survival intervals of 1, 2, 3, and 5 years. Multivariable Cox regression models predicted CSM according to event-free survival. Results: After PTE, 5-year CSM-free rate was 78.0% and increased to 84.6%, 88.1%, 92.0%, and 94.2% in patients who survived ≥ 1, ≥ 2, ≥ 3, and ≥ 5 years. After stratification according to tumour characteristics, 5-year CSM-free rates increased from 85.9 to 95.4%, 79.0 to 97.1%, 78.9 to 90.0%, and from 54.5 to 86.0% in those survived ≥ 5 years, respectively, in T1N0, T2N0, T3N0, and N1-2 patients. In multivariable analyses, T2N0 [hazard ratio (HR) 1.68; p value < 0.001], T3N0 (HR 1.94; p value 0.001), and N1-2 (HR 6.61; p value < 0.001) were independent predictors of higher CSM rate at baseline, relative to T1N0. A decrease in all HRs was assessed over time in patients who survived. Attrition due to CSM was highest in N1-2 cohort and lowest in T1N0. Conclusions: Conditional survival models showed a direct relationship between event-free survival duration and subsequent CSM in SCCP patients. Even patients with non-organ-confined disease may achieve survival probabilities similar to those with organ-confined disease after at least 5 years of event-free survival since PTE. © 2019, Springer-Verlag GmbH Germany, part of Springer Nature.
Original languageEnglish
Pages (from-to)725-732
Number of pages8
JournalWorld J. Urol.
Volume38
Issue number3
DOIs
Publication statusPublished - 2020

Keywords

  • Mortality
  • Penile neoplasms
  • SEER program
  • Squamous cell carcinoma
  • aged
  • cancer registry
  • cancer staging
  • cause of death
  • human
  • lymph node
  • lymph node dissection
  • male
  • male genital system surgery
  • middle aged
  • mortality
  • multivariate analysis
  • pathology
  • penis tumor
  • proportional hazards model
  • squamous cell carcinoma
  • time factor
  • Aged
  • Carcinoma, Squamous Cell
  • Cause of Death
  • Humans
  • Lymph Node Excision
  • Lymph Nodes
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Neoplasm Staging
  • Penile Neoplasms
  • Progression-Free Survival
  • Proportional Hazards Models
  • SEER Program
  • Time Factors
  • Urologic Surgical Procedures, Male

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