A novel prognostic score (HAMP) for head and neck cancer patients with single and multiple SBRT-treated lung metastases derived from retrospective analyses of survival outcome.

IF 2.3 3区医学 Q1 OTORHINOLARYNGOLOGY

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2024-08-08 DOI:10.1002/hed.27913

Samuel M Vorbach, Thomas Seppi, Manuel P Sarcletti, Siegfried Kollotzek, Julian Mangesius, Jens Lehmann, David Riedl, Martin J Pointner, Matthias Santer, Daniel Dejaco, Meinhard Nevinny-Stickel, Ute Ganswindt

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引用次数: 0

Abstract

Background: We report on the characterization and introduction of a novel prognostic score for patients undergoing stereotactic body radiotherapy (SBRT) for the treatment of single and multiple pulmonary metastases (PMs) derived from head and neck cancer (HNC).

Methods: In this retrospective study, we examined selected factors associated with progression-free survival (PFS) and overall survival (OS) among 59 patients with HNC treated with SBRT for a total of 118 PMs, between 2009 and 2023. Factors related to survival were included in the prognostic scoring system.

Results: Prognostic factors including histology, age, number of metastases, and performance status at first SBRT were weighted differently depending on the strength of correlation to PFS and OS. Total prognostic scores (HAMP) ranged from 13 to 24 points, with a cut-off total score of ≤18 scoring points for patients in a high-risk (HR) subcohort, and of ≥19 scoring points for patients in a low-risk group (LR). Median PFS (23.8 vs. 5.5 months, p < 0.001) and OS (61.3 vs. 16.4 months, p < 0.001) were significantly longer in the low-risk group compared to the high-risk group.

Conclusion: The HAMP score might be a convenient tool to facilitate individualized treatment decisions and appropriate follow-up. The accuracy and reliability of the score requires further evaluation in prospective studies.

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通过对生存结果的回顾性分析，为接受过单次和多次 SBRT 治疗的头颈癌肺部转移患者制定了新的预后评分 (HAMP)。

背景：我们报告了对接受立体定向体放射治疗（SBRT）治疗头颈部癌症（HNC）单发和多发肺转移瘤（PMs）患者的特征描述和新型预后评分的引入：在这项回顾性研究中，我们对2009年至2023年期间接受SBRT治疗的59例HNC患者的无进展生存期（PFS）和总生存期（OS）进行了研究。与生存相关的因素被纳入预后评分系统：预后因素包括组织学、年龄、转移灶数量和首次SBRT时的表现状态，根据与PFS和OS的相关性，这些因素的权重有所不同。预后总分（HAMP）从13分到24分不等，高风险（HR）亚群患者的临界总分≤18分，低风险组（LR）患者的临界总分≥19分。中位生存期（23.8 个月 vs. 5.5 个月），PHAMP 评分可能是促进个体化治疗决策和适当随访的便捷工具。该评分的准确性和可靠性需要在前瞻性研究中进一步评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.