Research Article

Prognosis of Small Cell Lung Cancer with Idiopathic Pulmonary Fibrosis: Assessment according to GAP Stage

Table 1

Baseline characteristics, according to GAP stage.

Total (n=59)GAP stage I (n=42)GAP stage II/III (n=17)p value

Age, median (IQR)71.0 (66.0, 76.0)70.0 (64.8, 75.3)71.0 (66.5, 76.0)0.150
Male, No. (%)58 (98.3)41 (97.6)17 (100)0.521
BMI, median (IQR), kg/m223.2 (21.8, 25.6)23.2(21.7, 25.6)23.3(21.3, 25.9)0.426
Smoking exposure, No. (%)
 Never4 (6.8)2 (4.8)2 (11.8)0.084
 Former34 (57.6)28 (66.7)6 (35.3)
 Current21 (35.6)12 (28.6)9 (52.9)
Pack-years, median (IQR)40.0 (25.0, 50.0)40.0 (25.0, 50.0)41.0 (30.0, 50.0)0.542
Emphysema, No. (%)11 (18.6)7 (16.7)4 (23.5)0.540
ECOG score, No. (%)0.003
 0, 138 (64.4)32 (76.2)6 (35.3)
 2, 321 (35.6)10 (23.8)11 (64.7)
FVC % pred, median (IQR)83.0 (68.0, 93.0)86.0 (80.0, 95.3)66.0 (61.5, 79.0)<0.001
% pred, median (IQR)75.5 (65.0, 85.0)80.5 (68.5, 85.0)66.0 (54.3, 75.0)0.039
Location, No. (%)0.856
 Right upper lobe5 (8.5)3 (7.1)2 (11.8)
 Right middle lobe11 (18.6)7 (16.7)4 (23.5)
 Right lower lobe12 (20.3)8 (19.0)4 (23.5)
 Left upper lobe17 (28.8)13 (31.0)4 (23.5)
 Left lower lobe14 (23.7)11 (26.2)3 (17.6)
Abutting to fibrotic lesion, No. (%)43 (72.9)32 (76.2)11 (64.7)0.369
Peripheral, No. (%)45 (76.3)33 (78.6)12 (70.6)0.514
Stage, No. (%)0.254
 Limited stage32 (54.2)25 (59.5)7 (41.2)
 Extensive stage27 (45.8)17 (40.5)10 (58.8)
Primary treatment, No. (%)0.269
 Conservative care6 (10.2)3 (7.1)3 (17.6)
 Surgery6 (10.2)6 (14.3)0 (0.0)
 Chemotherapy28 (47.5)19 (45.2)9 (52.9)
 Concurrent chemoradiotherapy19 (32.2)14 (13.3)5 (29.4)
Median OS, median (IQR), months9.9 (5.3-21.5)16.1 (10.8-21.4)7.1 (3.2-11.1)0.002
Median PFS, median (IQR), months7.1 (3.6-18.6)8.4 (5.3-11.4)5.3 (3.4-7.1)0.036

Abbreviations: BMI, body mass index; , carbon monoxide diffusing capacity; ECOG, Eastern Cooperative Oncology Group; FVC, forced vital capacity; GAP, gender, age, and physiology; IQR, interquartile range; OS, overall survival; PFS, progression-free survival.