Lung Cancer in Non-smokers in Czech Republic: Data from LUCAS Lung Cancer Clinical Registry
Language English Country Greece Media print
Document type Comparative Study, Journal Article, Multicenter Study
PubMed
34732425
DOI
10.21873/anticanres.15368
PII: 41/11/5549
Knihovny.cz E-resources
- Keywords
- Lung cancer, NSCLC, clinical registry, driving mutations, non-smokers, survival,
- MeSH
- Ex-Smokers MeSH
- Time Factors MeSH
- Adult MeSH
- Smokers MeSH
- Middle Aged MeSH
- Humans MeSH
- Small Cell Lung Carcinoma diagnosis epidemiology mortality therapy MeSH
- Young Adult MeSH
- Mutation MeSH
- Biomarkers, Tumor genetics MeSH
- Lung Neoplasms diagnosis epidemiology mortality surgery MeSH
- Non-Smokers * MeSH
- Carcinoma, Non-Small-Cell Lung diagnosis epidemiology mortality surgery MeSH
- Pneumonectomy MeSH
- Prospective Studies MeSH
- Registries MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Neoplasm Staging MeSH
- Treatment Outcome MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Young Adult MeSH
- Male MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Multicenter Study MeSH
- Comparative Study MeSH
- Geographicals
- Czech Republic epidemiology MeSH
- Names of Substances
- Biomarkers, Tumor MeSH
BACKGROUND/AIM: LUCAS is a clinical lung cancer registry (ClinicalTrials.gov identifier is NCT04228237), prospectively collecting data from newly diagnosed lung cancer patients in seven pneumooncology centers in the Czech Republic, since June 1, 2018. The aim of the study was to assess the stage of the disease at the time of diagnosis, percentage of morphological types, survival, percentage of driving mutations, eligibility for radical surgery, and percentage of patients who undergo radical surgery, in the non-smoking population in comparison with smokers and former smokers. PATIENTS AND METHODS: The total number of patients in the registry at the time of the analysis was 2,743. Only 2,439 patients with complete records (smoking status, stage, and type of tumor) were included in this study. RESULTS: The analysis indicated that non-smokers are diagnosed at a later stage of the disease but they have a better survival rate than smokers. Fewer smokers with stage III disease who are eligible for radical surgery will undergo surgery compared to non-smokers with the same clinical stage. Driving mutations are more common in non-smokers, even after adjustment for the more frequent occurrence of adenocarcinoma in the group of non-smokers. CONCLUSION: The data from LUCAS registry are consistent with already known facts, suggesting that the LUCAS registry is a useful clinical tool.
Charles University Faculty of Medicine Hradec Kralove Czech Republic
Department of Pneumology Bulovka University Hospital Prague Czech Republic
Department of Pneumology University Hospital Pilsen Pilsen Czech Republic
Department of Pulmonology University Hospital Motol Prague Czech Republic
Department of Respiratory Diseases University Hospital Brno Brno Czech Republic
Department of Respiratory Diseases University Hospital Brno Brno Czech Republic;
Department of Respiratory Medicine Thomayer Hospital Prague Czech Republic
Department of Respiratory Medicine University Hospital Olomouc Olomouc Czech Republic
Faculty of Medicine and Dentistry Palacky University Olomouc Czech Republic
Faculty of Medicine Charles University Prague Czech Republic
Faculty of Medicine Masaryk University Brno Czech Republic
Faculty of Μedicine in Pilsen Charles University Pilsen Czech Republic
Institute of Biostatistics and Analyses Ltd Brno Czech Republic
International Clinical Research Center St Anne's University Hospital Brno Czech Republic
OAKS Consulting Prague Czech Republic
Pulmonary Department University Hospital Hradec Kralove Hradec Kralove Czech Republic
References provided by Crossref.org
ClinicalTrials.gov
NCT04228237