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NCT00499616 · OUTCOME

Correlation Between Extent of Surgical Resection With the Maintenance of Local Control, Surgical Complication Rate

Combination Chemotherapy and Surgery With or Without Isotretinoin in Treating Young Patients With Neuroblastoma · Source last updated 2021-07-06

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
NUMBER
Unit
Proportion with surgical complications
Interval / dispersion
95% Confidence Interval
Time frame
Up to 10 years

What was measured

To test for the association of the extent of surgical resection (CR vs \<CR) with surgical complications rate (complications of any kind vs no complications at all), a chi-square test will be performed.

Analysis population: Eligible and evaluable intermediate risk patients with reported surgery

Groups in this outcome

Group 2 (Chemotherapy, Surgery)

2 courses of initial chemotherapy (6 wks) - carboplatin, cyclophosphamide, doxorubicin hydrochloride, etoposide, filgrastim. Partial response (PR) to chemo go to observation. No PR: 2-6 additional courses of chemo (beginning course 3 - cyclophosphamide, etoposide, filgrastim, carboplatin, doxorubicin hydrochloride). No PR after additional chemotherapy proceed to retrieval chemo: cyclophosphamide and topotecan hydrochloride on days 1-5. Treatment with retrieval chemotherapy repeats every 21 days for up to 6 courses. Some patients may also undergo surgery.

Group 3 (Chemotherapy, Surgery)

4 courses of initial chemo - carboplatin, cyclophosphamide, doxorubicin hydrochloride, filgrastim. Patients with a PR after chemo proceed to observation. No PR receive 2-4 additional courses of chemotherapy (beginning with course 5) - carboplatin, cyclophosphamide, doxorubicin hydrochloride, etoposide, filgrastim. No PR after additional chemo proceed to retrieval chemo - cyclophosphamide and topotecan hydrochloride. Some patients may also undergo surgery.

Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)

8 courses of initial chemo - carboplatin, cyclophosphamide, doxorubicin hydrochloride, etoposide, filgrastim. Patients \< 12 months of age with stg 3, 4, or 4S (not including liver metastases) disease who achieve a very good PR (VGPR) to chemo proceed to observation. Patients 12-18 months of age with stg 3 or 4 who achieve VGPR proceed to isotretinoin therapy. No VGPR proceed to retrieval chemo - cyclophosphamide and topotecan hydrochloride. Some patients may also undergo surgery.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Group 2 (Chemotherapy, Surgery)174
Group 3 (Chemotherapy, Surgery)137
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)81

Reported measurements

CR with complications

Analysis denominator · Participants

GroupSource count
Group 2 (Chemotherapy, Surgery)65
Group 3 (Chemotherapy, Surgery)43
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)28
Values in Proportion with surgical complications · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Group 2 (Chemotherapy, Surgery).32Not reported.22.44Not reported
Group 3 (Chemotherapy, Surgery).19Not reported.10.33Not reported
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy).18Not reported.08.36Not reported
CR with no complications

Analysis denominator · Participants

GroupSource count
Group 2 (Chemotherapy, Surgery)109
Group 3 (Chemotherapy, Surgery)94
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)53
Values in Proportion with surgical complications · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Group 2 (Chemotherapy, Surgery).14Not reported.09.21Not reported
Group 3 (Chemotherapy, Surgery).13Not reported.07.21Not reported
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy).09Not reported.04.20Not reported

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    group Description
    The association between extent of surgical resection with occurrence of complications was determined using the chi-square test.
    group Ids
    1. OG000
    2. OG001
    3. OG002
    non Inferiority Type
    OTHER
    p Value
    .0016
    param Type
    Chi-Square Test Statistic
    param Value
    9.9111
    statistical Method
    Chi-squared
Complete source fields
analyses
  1. ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    group Description
    The association between extent of surgical resection with occurrence of complications was determined using the chi-square test.
    group Ids
    1. OG000
    2. OG001
    3. OG002
    non Inferiority Type
    OTHER
    p Value
    .0016
    param Type
    Chi-Square Test Statistic
    param Value
    9.9111
    statistical Method
    Chi-squared
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        .22
        upper Limit
        .44
        value
        .32
      2. group Id
        OG001
        lower Limit
        .10
        upper Limit
        .33
        value
        .19
      3. group Id
        OG002
        lower Limit
        .08
        upper Limit
        .36
        value
        .18
    denoms
    1. counts
      1. group Id
        OG000
        value
        65
      2. group Id
        OG001
        value
        43
      3. group Id
        OG002
        value
        28
      units
      Participants
    title
    CR with complications
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        .09
        upper Limit
        .21
        value
        .14
      2. group Id
        OG001
        lower Limit
        .07
        upper Limit
        .21
        value
        .13
      3. group Id
        OG002
        lower Limit
        .04
        upper Limit
        .20
        value
        .09
    denoms
    1. counts
      1. group Id
        OG000
        value
        109
      2. group Id
        OG001
        value
        94
      3. group Id
        OG002
        value
        53
      units
      Participants
    title
    CR with no complications
denoms
  1. counts
    1. group Id
      OG000
      value
      174
    2. group Id
      OG001
      value
      137
    3. group Id
      OG002
      value
      81
    units
    Participants
description
To test for the association of the extent of surgical resection (CR vs \<CR) with surgical complications rate (complications of any kind vs no complications at all), a chi-square test will be performed.
dispersion Type
95% Confidence Interval
groups
  1. description
    2 courses of initial chemotherapy (6 wks) - carboplatin, cyclophosphamide, doxorubicin hydrochloride, etoposide, filgrastim. Partial response (PR) to chemo go to observation. No PR: 2-6 additional courses of chemo (beginning course 3 - cyclophosphamide, etoposide, filgrastim, carboplatin, doxorubicin hydrochloride). No PR after additional chemotherapy proceed to retrieval chemo: cyclophosphamide and topotecan hydrochloride on days 1-5. Treatment with retrieval chemotherapy repeats every 21 days for up to 6 courses. Some patients may also undergo surgery.
    id
    OG000
    title
    Group 2 (Chemotherapy, Surgery)
  2. description
    4 courses of initial chemo - carboplatin, cyclophosphamide, doxorubicin hydrochloride, filgrastim. Patients with a PR after chemo proceed to observation. No PR receive 2-4 additional courses of chemotherapy (beginning with course 5) - carboplatin, cyclophosphamide, doxorubicin hydrochloride, etoposide, filgrastim. No PR after additional chemo proceed to retrieval chemo - cyclophosphamide and topotecan hydrochloride. Some patients may also undergo surgery.
    id
    OG001
    title
    Group 3 (Chemotherapy, Surgery)
  3. description
    8 courses of initial chemo - carboplatin, cyclophosphamide, doxorubicin hydrochloride, etoposide, filgrastim. Patients \< 12 months of age with stg 3, 4, or 4S (not including liver metastases) disease who achieve a very good PR (VGPR) to chemo proceed to observation. Patients 12-18 months of age with stg 3 or 4 who achieve VGPR proceed to isotretinoin therapy. No VGPR proceed to retrieval chemo - cyclophosphamide and topotecan hydrochloride. Some patients may also undergo surgery.
    id
    OG002
    title
    Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)
param Type
NUMBER
population Description
Eligible and evaluable intermediate risk patients with reported surgery
reporting Status
POSTED
time Frame
Up to 10 years
title
Correlation Between Extent of Surgical Resection With the Maintenance of Local Control, Surgical Complication Rate
type
PRIMARY
unit Of Measure
Proportion with surgical complications

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