Five year survival of non-small cell lung cancer patients in Brunei Darussalam
- Author:
Chee Fui CHONG
1
;
Muhamad I. ADI
2
;
Muhd Syafiq ABDULLAH
3
;
Pemasari Upali TELISINGHE
4
Author Information
1. Thoracic Unit, Department of Surgery, RIPAS Hospital
2. Pengiran Anak Puteri Rasidah Sa’adatul Bolkiah Institute of Health Sciences, Universiti Brunei Darussalam
3. Division of Respiratory Medicine, Department of Medicine, RIPAS Hospital
4. The Brunei Cancer Centre, and 5 Department of Pathology, RIPAS Hospital, Brunei Darussalam
- Publication Type:Journal Article
- Keywords:
Carcinoma;
non-small-cell lung cancer;
survival analysis;
thoracic surgery;
cancer staging
- From:Brunei International Medical Journal
2013;9(1):12-21
- CountryBrunei Darussalam
- Language:English
-
Abstract:
Introduction: Lung cancer has been the leading cause of cancer deaths in Brunei Darussalam for the
past five years. This study is the first to supply data for the 5-year survival of patients diagnosed with
non-small cell lung cancer (NSCLC) in Brunei Darussalam. Materials and Methods: From 2002 to
2009, 302 patients diagnosed with NSCLC were identified from the National Cancer Registry of Brunei
Darussalam. Demographic and clinical data were retrospectively retrieved from the clinical notes. All
deaths and dates of death were obtained and crosschecked with the National Birth and Death Registry
at the Immigration Department. Data were analysed using SPSS statistical software and 5-year Kaplan
-Meier survival curves were derived and analysed using Log Rank test. Predictors of 5-year survival
were analysed using Cox regression analysis. Results: Mean age of the 302 patients was 64.9 ± 12.8
(27.4–90.6 years) with male to female ratio of 194:108. Racial distribution consisted of 84.4%
(n=255) Malay, 12.5% (n=38) Chinese and 3.1% of other racial origin (indigenous and foreign nation-
als). Histological types of NSCLC consisted of 67.9% (n=205) adenocarcinoma, 16.2% (n=49) squa-
mous cell carcinoma, 6.3% (n=19) large cell carcinoma, 5.3% (n=16) bronchioalveolar carcinoma and
4.3% of other origin. Only 13.9% of patients underwent surgical resection. At completion of follow-up,
only 47 (15.5%) patients were still alive. There were 255 deaths. Overall 5-year survival for the whole
group was 3.6% with a median survival time of 6.5 ± 0.9 months (95% CI: 4.7-8.4 months) but ac-
cording to stage of disease was 60.9% for Stage IA, 29.9% for Stage IB, 10.0% for Stage IIB, 7% for
Stage IIIB and 3% for Stage IV. Significant prognostic factors were younger age at diagnosis, surgical
resection, tumour types and tumour stages. Conclusion: Overall 5-year survival of patients diagnosed
with NSCLC in Brunei Darussalam is still generally poor but comparable to previously reported data.
Significant prognostic factors were younger age at diagnosis, surgical resection, tumour types and tu-
mour stages.
- Full text:202606171723426564820139112.pdf
