4.7 Article

Adherence to treatment guidelines for primary sarcomas affects patient survival: a side study of the European CORnective TIssue CAncer NETwork (CONTICANET)

Journal

ANNALS OF ONCOLOGY
Volume 24, Issue 6, Pages 1685-1691

Publisher

OXFORD UNIV PRESS
DOI: 10.1093/annonc/mdt031

Keywords

clinical practice guidelines; prognosis; sarcomas

Categories

Funding

  1. Commission of the European Communities-Research Directorate General [LSHC-CT-2005-018806]
  2. Veneto Region [FP6-018806]

Ask authors/readers for more resources

Background: The impact of adherence to clinical practice guidelines (CPGs) for loco-regional treatment (i.e. surgery and radiotherapy) and chemotherapy on local disease control and survival in sarcoma patients was investigated in a European study conducted in an Italian region (Veneto). Patients and methods: The completeness of the adherence to the Italian CPGs for sarcomas treatment was assessed by comparing the patient's charts and the CPGs. Propensity score-adjusted multivariate survival analysis was used to assess the impact of CPGs adherence on patient clinical outcomes. Results: A total of 151 patients were included. Adherence to CPGs for loco-regional therapy and chemotherapy was observed in 106 out of 147 (70.2%) and 129 out of 139 (85.4%) patients, respectively. Non-adherence to CPGs for loco-regional treatment was independently associated with AJCC stage III disease [odds ratio (OR) 1.77, P = 0.0111 and tumor-positive excision margin (OR 3.55, P = 0.003). Patients not treated according to the CPGs were at a higher risk of local recurrence [hazard ratio (HR) 5.4, P <0.001] and had a shorter sarcoma-specific survival (HR 4.05, P< 0.001), independently of tumor stage. Conclusions: Incomplete adherence to CPGs for loco-regional treatment of sarcomas was associated with worse prognosis in patients with non-metastatic tumors.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.7
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Oncology

Neoadjuvant chemotherapy in high-risk soft tissue sarcomas: A Sarculator-based risk stratification analysis of the ISG-STS 1001 randomized trial

Sandro Pasquali, Emanuela Palmerini, Vittorio Quagliuolo, Javier Martin-Broto, Antonio Lopez-Pousa, Giovanni Grignani, Antonella Brunello, Jean-Yves Blay, Oscar Tendero, Robert Diaz-Beveridge, Virginia Ferraresi, Iwona Lugowska, Gabriele Infante, Luca Braglia, Domenico Franco Merlo, Valeria Fontana, Emanuela Marchesi, Davide Maria Donati, Elena Palassini, Giuseppe Bianchi, Andrea Marrari, Carlo Morosi, Silvia Stacchiotti, Silvia Bague, Jean Michel Coindre, Angelo Paolo Dei Tos, Piero Picci, Paolo Bruzzi, Rosalba Miceli, Paolo Giovanni Casali, Alessandro Gronchi

Summary: The study investigated the benefit of neoadjuvant chemotherapy in soft tissue sarcoma patients based on prognostic stratification using the Sarculator nomogram. It found that high-risk patients treated with AI performed better than predicted, supporting the efficacy of neoadjuvant AI in STS.

CANCER (2022)

Article Immunology

Immunotherapy and Sonpavde score validation in advanced upper tract urothelial carcinoma: a retrospective study by the Italian Network for Research in Urologic-Oncology

Melissa Bersanelli, Giulia Mazzaschi, Patrizia Giannatempo, Daniele Raggi, Elena Fare, Marco Maruzzo, Umberto Basso, Ugo De Giorgi, Francesca Vignani, Giuseppe Luigi Banna, Marco Stellato, Rosa Tambaro, Emanuele Naglieri, Tania Losanno, Giuseppe Procopio, Sandro Pignata, Andrea Necchi, Sebastiano Buti

Summary: The study found that the prognosis of unselected UTUC patients is still unsatisfactory, but the Sonpavde score can be used as a useful tool in treatment decision-making process.

IMMUNOTHERAPY (2022)

Article Biochemistry & Molecular Biology

Macrophage-Mediated Melanoma Reduction after HP-NAP Treatment in a Zebrafish Xenograft Model

Gaia Codolo, Nicola Facchinello, Nicole Papa, Ambra Bertocco, Sara Coletta, Clara Benna, Luigi Dall'Olmo, Simone Mocellin, Natascia Tiso, Marina de Bernard

Summary: The Helicobacter pylori Neutrophil Activating Protein (HP-NAP) possesses immunomodulatory properties and can activate cytotoxic Th1 responses, inhibiting tumor growth and impacting the activity of macrophages. Using a zebrafish model, it was found that HP-NAP efficiently inhibits melanoma growth and metastasis by recruiting macrophages with a pro-inflammatory profile, highlighting the crucial role of activated macrophages in countering tumor growth.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2022)

Article Oncology

Simultaneous Care in Oncology: A 7-Year Experience at ESMO Designated Centre at Veneto Institute of Oncology, Italy

Antonella Brunello, Antonella Galiano, Stefania Schiavon, Mariateresa Nardi, Alessandra Feltrin, Ardi Pambuku, Chiara De Toni, Alice Dal Col, Evelina Lamberti, Chiara Pittarello, Francesca Bergamo, Umberto Basso, Marco Maruzzo, Silvia Finotto, Maital Bolshinsky, Silvia Stragliotto, Letizia Procaccio, Mario Domenico Rizzato, Fabio Formaglio, Giuseppe Lombardi, Sara Lonardi, Vittorina Zagonel

Summary: This study describes the activity and performance of a simultaneous-care outpatient clinic (SCOC) at the Veneto Institute of Oncology-IRCCS. The results emphasize the importance of close collaboration between oncologists and palliative care teams in meeting the needs of cancer patients. Furthermore, the introduction of performance indicators allows for accurate assessment of the team's work.

CANCERS (2022)

Article Dermatology

Malignant Melanoma: Direct Costs by Clinical and Pathological Profile

Alessandra Buja, Massimo Rugge, Giuseppe De Luca, Manuel Zorzi, Chiara De Toni, Claudia Cozzolino, Antonella Vecchiato, Paolo Del Fiore, Saveria Tropea, Romina Spina, Vincenzo Baldo, Carlo Riccardo Rossi, Simone Mocellin

Summary: This study investigated the association between direct costs for melanoma and the patients' clinical and histological characteristics. The results showed that factors such as mitoses, vertical growth, and absence of tumor-infiltrating lymphocytes were associated with higher direct costs.

DERMATOLOGY AND THERAPY (2022)

Article Oncology

Preoperative Neutrophil-to-Lymphocyte Ratio and a New Inflammatory Biomarkers Prognostic Index for Primary Retroperitoneal Sarcomas: Retrospective Monocentric Study

Marco Fiore, Silva Ljevar, Sandro Pasquali, Daniele Morelli, Dario Callegaro, Roberta Sanfilippo, Marta Barisella, Claudia Sangalli, Rosalba Miceli, Alessandro Gronchi

Summary: Inflammatory biomarkers and neutrophil-to-lymphocyte ratio (NLR) are associated with prognosis in several tumors. Data on sarcomas are limited, and this study aimed to investigate the relationship between prognostic biomarkers and NLR in retroperitoneal sarcoma (RPS). The results showed that NLR was an independent predictor for overall survival in RPS.

CLINICAL CANCER RESEARCH (2023)

Article Oncology

Contemporary role of amputation for patients with extremity soft tissue sarcoma

Lorenzo Conti, Fahmina Buriro, Marco Baia, Sandro Pasquali, Rosalba Miceli, Laura De Rosa, Alessandro Gronchi, Marco Fiore

Summary: Limb-sparing surgery is the preferred treatment for primary extremity soft tissue sarcoma, but amputation is still necessary for selected patients, especially elderly or those with advanced disease.
Article Oncology

Concomitant Drugs Prognostic Score in Patients With Metastatic Renal Cell Carcinoma Receiving Ipilimumab and Nivolumab in the Compassionate Use Program in Italy: Brief Communication

Sebastiano Buti, Umberto Basso, Diana Giannarelli, Ugo De Giorgi, Marco Maruzzo, Roberto Iacovelli, Luca Galli, Camillo Porta, Francesco Carrozza, Giuseppe Procopio, Giuseppe Fonarini, Giovanni Lo Re, Matteo Santoni, Roberto Sabbatini, Antonio Cusmai, Paolo Andrea Zucali, Carlo Aschele, Editta Baldini, Elena Zafarana, Adolfo Favaretto, Silvana Leo, Alketa Hamzaj, Rosanna Mirabelli, Franco Nole', Silvia Zai, Claudio Chini, Cristina Masini, Sonia Fatigoni, Andrea Rocchi, Emiliano Tamburini, Alessio Cortellini, Melissa Bersanelli

Summary: We developed a drug-based score to predict prognosis and treatment response in advanced cancer patients receiving immune checkpoint inhibitors (ICIs), and validated its value in a population of metastatic renal cell carcinoma patients treated with ipilimumab plus nivolumab. The model considers the use of certain drugs before immunotherapy initiation and demonstrated significant and clinically meaningful predictions for overall survival and progression-free survival. Further development will involve analyzing the gut microbiome and its link to drug exposure and immune sensitivity.

JOURNAL OF IMMUNOTHERAPY (2023)

Article Cell Biology

Effectiveness of irinotecan plus trabectedin on a desmoplastic small round cell tumor patient-derived xenograft

Valentina Zuco, Sandro Pasquali, Monica Tortoreto, Stefano Percio, Valentina Doldi, Marta Barisella, Paola Collini, Gian Paolo Dagrada, Silvia Brich, Patrizia Gasparini, Marco Fiore, Michela Casanova, Anna Maria Frezza, Alessandro Gronchi, Silvia Stacchiotti, Andrea Ferrari, Nadia Zaffaroni

Summary: This study used a patient-derived xenograft (PDX) model to evaluate the effectiveness of different drugs against desmoplastic small round cell tumor (DSRCT). It was found that doxorubicin, pazopanib, and larotrectenib had moderate antitumor effects, while trabectedin had higher activity. Vinorelbine, irinotecan, and eribulin achieved nearly complete tumor growth inhibition. The combination of irinotecan with either eribulin or trabectedin resulted in complete responses. This study highlights the importance of patient-derived preclinical models in exploring new treatments for DSRCT.

DISEASE MODELS & MECHANISMS (2023)

Article Oncology

Characterization of Tumor and Immune Tumor Microenvironment of Primary Tumors and Metastatic Sites in Advanced Renal Cell Carcinoma Patients Based on Response to Nivolumab Immunotherapy: Preliminary Results from the Meet-URO 18 Study

Sara Elena Rebuzzi, Matteo Brunelli, Francesca Galuppini, Valerio Gaetano Vellone, Alessio Signori, Fabio Catalano, Alessandra Damassi, Gabriele Gaggero, Pasquale Rescigno, Marco Maruzzo, Sara Merler, Francesca Vignani, Alessia Cavo, Umberto Basso, Michele Milella, Olimpia Panepinto, Manlio Mencoboni, Marta Sbaraglia, Angelo Paolo Dei Tos, Veronica Murianni, Malvina Cremante, Miguel Angel Llaja Obispo, Michele Maffezzoli, Giuseppe Luigi Banna, Sebastiano Buti, Giuseppe Fornarini

Summary: This study identified differential immunohistochemical patterns in the tumors of patients who responded and did not respond to nivolumab, an immunotherapy. Tumors in responders showed poor presence of CD4+ immune cells, high expression of CD56 on tumor cells, and high expression of phosphorylated mTOR protein. Further investigation with genomic analysis is planned to examine the prognostic role of the tumor microenvironment.

CANCERS (2023)

Article Medicine, Research & Experimental

Prognostic role of systemic inflammation indexes in metastatic urothelial carcinoma treated with immunotherapy

Michele Dionese, Umberto Basso, Francesco Pierantoni, Eleonora Lai, Nicolo Cavasin, Elisa Erbetta, Salim Jubran, Giorgio Bonomi, Davide Bimbatti, Marco Maruzzo

Summary: Inflammation indexes at baseline are prognostic for patients with metastatic urothelial carcinoma treated with immune checkpoint inhibitors. A lower neutrophil-to-lymphocyte ratio (NLR) and monocyte-to-lymphocyte ratio (MLR) are associated with longer progression-free survival (PFS) and overall survival (OS), as well as higher overall response rate (ORR) and disease control rate (DCR). Patients who experience immune-related adverse events (irAEs) also have longer PFS and OS.

FUTURE SCIENCE OA (2023)

Article Oncology

Regorafenib in advanced solitary fibrous tumour: Results from an exploratory phase II clinical study

Silvia Stacchiotti, Giacomo Giulio Baldi, Anna Maria Frezza, Carlo Morosi, Francesca Gabriella Greco, Paola Collini, Marta Barisella, Gian Paolo Dagrada, Nadia Zaffaroni, Sandro Pasquali, Alessandro Gronchi, Paul Huang, Matilde Ingrosso, Gabriele Tine, Rosalba Miceli, Paolo Giovanni Casali

Summary: This study investigated the activity of regorafenib in advanced solitary fibrous tumour (SFT). The results showed that regorafenib demonstrated activity in SFT, with 30% of patients being progression-free at one year. However, the overall response rate (ORR) and median progression-free survival (mPFS) were lower compared to other antiangiogenic agents.

EUROPEAN JOURNAL OF CANCER (2023)

Article Oncology

The Geriatric G8 Score Is Associated with Survival Outcomes in Older Patients with Advanced Prostate Cancer in the ADHERE Prospective Study of the Meet-URO Network

Giuseppe Luigi Banna, Umberto Basso, Emilio Francesco Giunta, Lucia Fratino, Sara Elena Rebuzzi, Sebastiano Buti, Marco Maruzzo, Ugo De Giorgi, Veronica Murianni, Marika Cinausero, Helga Lipari, Teresa Gamba, Orazio Caffo, Davide Bimbatti, Arianna Dri, Alessandra Mosca, Paola Ermacora, Francesca Vignani, Aichi Msaki, Barbara Bonifacio, Valentina Lombardo, Vincenza Conteduca, Giuseppe Fornarini, Pasquale Rescigno

Summary: This study investigated prognostic factors for older patients with metastatic castrate-resistant prostate cancer (mCRPC) receiving androgen receptor pathway inhibitors (ARPIs) treatment. It found that G8 assessment score <= 14 and PSA decline >= 50% were independent factors associated with worse radiographic progression-free survival and overall survival.

CURRENT ONCOLOGY (2022)

Article Oncology

Cutaneous Melanoma in Alpine Population: Incidence Trends and Clinicopathological Profile

Alessandra Buja, Massimo Rugge, Giuseppe De Luca, Emanuela Bovo, Manuel Zorzi, Chiara De Toni, Claudia Cozzolino, Antonella Vecchiato, Paolo Del Fiore, Romina Spina, Sandro Cinquetti, Vincenzo Baldo, Carlo Riccardo Rossi, Simone Mocellin

Summary: This study focuses on the changing incidence of cutaneous malignant melanoma (CMM) in Veneto region and its Alpine area in Northeast Italy, finding a significant increase in CMM incidence over the past 30 years, particularly among Alpine residents, especially younger females. Clinicopathological profile of CMM is associated with the place of residence. These findings have important implications for CMM prevention strategies.

CURRENT ONCOLOGY (2022)

Article Oncology

Application of the Meet-URO score to metastatic renal cell carcinoma patients treated with second- and third-line cabozantinib

Sara Elena Rebuzzi, Luigi Cerbone, Alessio Signori, Matteo Santoni, Veronica Murianni, Ugo De Giorgi, Giuseppe Procopio, Camillo Porta, Michele Milella, Umberto Basso, Francesco Massari, Marco Maruzzo, Roberto Iacovelli, Nicola Battelli, Luca Carmisciano, Giuseppe Luigi Banna, Sebastiano Buti, Giuseppe Fornarini

Summary: This study validated the predictive and prognostic role of the Meet-URO score in patients receiving cabozantinib for metastatic renal cell carcinoma. The Meet-URO score was found to provide more accurate prognostic stratification than the IMDC score and is an easy-to-use tool with no additional costs.

THERAPEUTIC ADVANCES IN MEDICAL ONCOLOGY (2022)

No Data Available