Source:http://linkedlifedata.com/resource/pubmed/id/20435508
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7
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pubmed:dateCreated |
2010-6-21
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pubmed:abstractText |
This matched pair analysis compared the toxicity of two cisplatin-based radiochemotherapy regimens in patients with locally advanced (stages III or IV) squamous cell carcinoma of the head and neck (SCCHN). Two courses of fractionated cisplatin (20mg/m(2)/d1-5) given concurrently with radiotherapy are better tolerated than other common cisplatin-based regimens. However, in several countries, three courses of unfractionated cisplatin (100mg/m(2)/d1) is standard therapy. Three courses of fractionated cisplatin (20mg/m(2)/d1-5) is another option. In this prospective study, 10 consecutive patients with stage III/IV SCCHN received three courses of fractionated cisplatin (group A). These patients were matched (1:3) to 30 patients who received two courses of fractionated cisplatin (group B). The patients were matched for age, gender, performance status, tumor site, T-category, N-category, tumor stage, and surgery. At least seven factors should match between the matched patients. Because of severe acute toxicity, the planned chemotherapy could not be completed in 90% of group A and 13% of group B patients, respectively (p=0.001). At least one grade >or= 3 toxicity occurred in 90% of group A and 20% of group B patients, respectively (p=0.005). Two courses of fractionated cisplatin appeared much better tolerated than three courses of fractionated cisplatin.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
1368-8375
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
46
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
549-52
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pubmed:meshHeading |
pubmed-meshheading:20435508-Adult,
pubmed-meshheading:20435508-Antineoplastic Agents,
pubmed-meshheading:20435508-Carcinoma, Squamous Cell,
pubmed-meshheading:20435508-Cisplatin,
pubmed-meshheading:20435508-Combined Modality Therapy,
pubmed-meshheading:20435508-Dose Fractionation,
pubmed-meshheading:20435508-Female,
pubmed-meshheading:20435508-Head and Neck Neoplasms,
pubmed-meshheading:20435508-Humans,
pubmed-meshheading:20435508-Male,
pubmed-meshheading:20435508-Matched-Pair Analysis,
pubmed-meshheading:20435508-Middle Aged,
pubmed-meshheading:20435508-Neoplasm Staging,
pubmed-meshheading:20435508-Prospective Studies
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pubmed:year |
2010
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pubmed:articleTitle |
Acute toxicity of three versus two courses of cisplatin for radiochemotherapy of locally advanced squamous cell carcinoma of the head and neck (SCCHN): a matched pair analysis.
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pubmed:affiliation |
Department of Radiation Oncology, University of Lubeck, Germany. Rades.Dirk@gmx.net <Rades.Dirk@gmx.net>
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pubmed:publicationType |
Journal Article
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