Cancer Res Treat.  2017 Jul;49(3):578-587. 10.4143/crt.2016.001.

Real-World Treatment Patterns among Patients with Advanced Gastric Cancer in South Korea

• Carter GC
• Kaltenboeck A
• Ivanova J
• Liepa AM
• San Roman
• Koh M
• Rajan N
• Cheng R
• Birnbaum H
• Kim JS
• Bang YJ

• KMID: 2388303
• DOI: http://doi.org/10.4143/crt.2016.001

Abstract

PURPOSE
The purpose of this study was to understand patient treatment patterns, outcomes, and healthcare resource use in cases of metastatic and/or locally recurrent, unresectable gastric cancer (MGC) in South Korea.
MATERIALS AND METHODS
Thirty physicians reviewed charts of eligible patients to collect de-identified data. Patients must have received platinum/fluoropyrimidine first-line therapy followed by second-line therapy or best supportive care, had no other primary cancer, and not participated in a clinical trial following MGC diagnosis. Data were summarized using descriptive statistics. Kaplan-Meier analysis was used to describe survival.
RESULTS
Of 198 patients, 73.7% were male, 78.3% were diagnosed with MGC after age 55 (mean, 61.3 years), and 47.0% were current or former smokers. The majority of tumorswere located in the antrum/pylorus (51.5%). Metastatic sites most often occurred in the peritoneum (53.5%), lymph nodes (47.5%), and liver (38.9%). At diagnosis, the mean Charlson comorbidity indexwas 0.4 (standard deviation, 0.6). The most common comorbidities were chronic gastritis (22.7%) and cardiovascular disease (18.7%). Most patients (80.3%) received second-line treatment. Single-agent fluoropyrimidine was reported for 22.0% of patients, while 19.5% were treated with irinotecan and a fluoropyrimidine or platinum agent. The most common physician-reported symptoms during second-line treatment were nausea/vomiting (44.7%) and pain (11.3%), with antiemetics (44.7%), analgesics (36.5%), and nutritional support (11.3%) most often used as supportive care. Two-thirds of inpatient hospitalizations were for chemotherapy infusion. Outpatient hospitalization (31.6%) and visits to the oncologist (58.8%) were common among second-line patients.
CONCLUSION
Most patients received second-line treatment, although regimens varied. Understanding MGC patient characteristics and treatment patterns in South Korea will help address unmet needs.

Keyword

Treatment patterns; Stomach neoplasms; Republic of Korea; Resource use; Observational study

MeSH Terms

Analgesics
Antiemetics
Cardiovascular Diseases
Comorbidity
Delivery of Health Care
Diagnosis
Drug Therapy
Gastritis
Hospitalization
Humans
Inpatients
Kaplan-Meier Estimate
Korea*
Liver
Lymph Nodes
Male
Nutritional Support
Observational Study
Outpatients
Peritoneum
Platinum
Republic of Korea
Stomach Neoplasms*
Analgesics
Antiemetics
Platinum

Figure

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  Fig. 1. Physician-reported symptoms (% of patients) by line of therapy. a)Other symptoms or complications included bruises, diarrhea, neuralgia, mucositis, weakness, fatigue, hand numbness, hand-foot reaction, dermatitis, varicella, weakness of whole body, and leukopenia.

Reference

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