Volume 31, Issue 10 pp. 1137-1143
Original Article

Survival of stage III non-seminoma testis cancer patients versus simulated controls, according to race/ethnicity

Simone Morra

Corresponding Author

Simone Morra

Division of Urology, Cancer Prognostics and Health Outcomes Unit, University of Montréal Health Center, Montréal, Québec, Canada

Department of Neurosciences, Science of Reproduction and Odontostomatology, University of Naples Federico II, Naples, Italy

Correspondence

Simone Morra M.D., Cancer Prognostics and Health Outcomes Unit, Division of Urology, University of Montréal Health Centre, Montréal, Québec, Canada and Department of Neurosciences, Science of Reproduction and Odontostomatology, University of Naples Federico II, 80131 Naples, Italy.

Email: [email protected]

Contribution: Methodology, Conceptualization, Formal analysis, ​Investigation, Writing - original draft, Data curation, Writing - review & editing

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Cristina Cano Garcia

Cristina Cano Garcia

Division of Urology, Cancer Prognostics and Health Outcomes Unit, University of Montréal Health Center, Montréal, Québec, Canada

Department of Urology, University Hospital Frankfurt, Goethe University Frankfurt am Main, Frankfurt am Main, Germany

Contribution: Conceptualization, Methodology, Writing - original draft

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Mattia Luca Piccinelli

Mattia Luca Piccinelli

Division of Urology, Cancer Prognostics and Health Outcomes Unit, University of Montréal Health Center, Montréal, Québec, Canada

Department of Urology, IEO European Institute of Oncology, IRCCS, Milan, Italy

Università degli Studi di Milano, Milan, Italy

Contribution: Data curation

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Stefano Tappero

Stefano Tappero

Division of Urology, Cancer Prognostics and Health Outcomes Unit, University of Montréal Health Center, Montréal, Québec, Canada

Department of Urology, IRCCS Policlinico San Martino, Genoa, Italy

Department of Surgical and Diagnostic Integrated Sciences (DISC), University of Genova, Genoa, Italy

Contribution: Data curation, ​Investigation

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Francesco Barletta

Francesco Barletta

Division of Urology, Cancer Prognostics and Health Outcomes Unit, University of Montréal Health Center, Montréal, Québec, Canada

Division of Experimental Oncology/Unit of Urology, URI, Urological Research Institute, IRCCS San Raffaele Scientific Institute, Milan, Italy

Contribution: ​Investigation, Data curation

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Reha-Baris Incesu

Reha-Baris Incesu

Division of Urology, Cancer Prognostics and Health Outcomes Unit, University of Montréal Health Center, Montréal, Québec, Canada

Martini-Klinik Prostate Cancer Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany

Contribution: Writing - original draft

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Lukas Scheipner

Lukas Scheipner

Division of Urology, Cancer Prognostics and Health Outcomes Unit, University of Montréal Health Center, Montréal, Québec, Canada

Department of Urology, Medical University of Graz, Graz, Austria

Contribution: Writing - original draft

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Andrea Baudo

Andrea Baudo

Division of Urology, Cancer Prognostics and Health Outcomes Unit, University of Montréal Health Center, Montréal, Québec, Canada

Department of Urology, IRCCS Policlinico San Donato, Milan, Italy

Contribution: Data curation

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Zhe Tian

Zhe Tian

Division of Urology, Cancer Prognostics and Health Outcomes Unit, University of Montréal Health Center, Montréal, Québec, Canada

Contribution: Formal analysis, Software, Validation

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Mario de Angelis

Mario de Angelis

Division of Urology, Cancer Prognostics and Health Outcomes Unit, University of Montréal Health Center, Montréal, Québec, Canada

Division of Experimental Oncology/Unit of Urology, URI, Urological Research Institute, IRCCS San Raffaele Scientific Institute, Milan, Italy

Contribution: Data curation, ​Investigation

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Vincenzo Mirone

Vincenzo Mirone

Department of Neurosciences, Science of Reproduction and Odontostomatology, University of Naples Federico II, Naples, Italy

Contribution: Visualization

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Gianluigi Califano

Gianluigi Califano

Department of Neurosciences, Science of Reproduction and Odontostomatology, University of Naples Federico II, Naples, Italy

Contribution: Visualization

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Giuseppe Celentano

Giuseppe Celentano

Department of Neurosciences, Science of Reproduction and Odontostomatology, University of Naples Federico II, Naples, Italy

Contribution: Visualization

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Fred Saad

Fred Saad

Division of Urology, Cancer Prognostics and Health Outcomes Unit, University of Montréal Health Center, Montréal, Québec, Canada

Contribution: Visualization

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Shahrokh F. Shariat

Shahrokh F. Shariat

Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria

Department of Urology, Weill Cornell Medical College, New York, New York, USA

Department of Urology, University of Texas Southwestern Medical Center, Dallas, Texas, USA

Hourani Center of Applied Scientific Research, Al-Ahliyya Amman University, Amman, Jordan

Contribution: Visualization

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Felix K. H. Chun

Felix K. H. Chun

Department of Urology, University Hospital Frankfurt, Goethe University Frankfurt am Main, Frankfurt am Main, Germany

Contribution: Visualization

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Ottavio de Cobelli

Ottavio de Cobelli

Department of Urology, IEO European Institute of Oncology, IRCCS, Milan, Italy

Department of Oncology and Haemato-Oncology, Università degli Studi di Milano, Milan, Italy

Contribution: Visualization

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Gennaro Musi

Gennaro Musi

Department of Urology, IEO European Institute of Oncology, IRCCS, Milan, Italy

Department of Oncology and Haemato-Oncology, Università degli Studi di Milano, Milan, Italy

Contribution: Visualization

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Carlo Terrone

Carlo Terrone

Department of Urology, IRCCS Policlinico San Martino, Genoa, Italy

Department of Surgical and Diagnostic Integrated Sciences (DISC), University of Genova, Genoa, Italy

Contribution: Visualization

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Alberto Briganti

Alberto Briganti

Division of Experimental Oncology/Unit of Urology, URI, Urological Research Institute, IRCCS San Raffaele Scientific Institute, Milan, Italy

Contribution: Visualization

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Derya Tilki

Derya Tilki

Martini-Klinik Prostate Cancer Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany

Department of Urology, University Hospital Hamburg-Eppendorf, Hamburg, Germany

Department of Urology, Koc University Hospital, Istanbul, Turkey

Contribution: Visualization

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Sascha Ahyai

Sascha Ahyai

Department of Urology, Medical University of Graz, Graz, Austria

Contribution: Visualization

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Luca Carmignani

Luca Carmignani

Department of Urology, IRCCS Policlinico San Donato, Milan, Italy

Department of Urology, IRCCS Ospedale Galeazzi—Sant'Ambrogio, Milan, Italy

Contribution: Visualization

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Nicola Longo

Nicola Longo

Department of Neurosciences, Science of Reproduction and Odontostomatology, University of Naples Federico II, Naples, Italy

Contribution: Supervision

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Pierre I. Karakiewicz

Pierre I. Karakiewicz

Division of Urology, Cancer Prognostics and Health Outcomes Unit, University of Montréal Health Center, Montréal, Québec, Canada

Contribution: Supervision, Project administration

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First published: 05 July 2024
Citations: 2

Abstract

Background

It is unknown whether 5-year overall survival (OS) differs and to what extent between the American Joint Committee on Cancer stage III non-seminoma testicular germ cell tumor (NS-TGCT) patients and simulated age-matched male population-based controls, according to race/ethnicity groups.

Methods

We identified newly diagnosed (2004–2014) stage III NS-TGCT patients within the Surveillance Epidemiology and End Results database 2004–2019. For each case, we simulated an age-matched male control (Monte Carlo simulation), relying on Social Security Administration (SSA) Life Tables with 5 years of follow-up. We compared OS rates between stage III NS-TGCT patients and simulated age-matched male population-based controls, according to race/ethnicity groups (Caucasian, Hispanic, Asian/Pacific Islander and African American). Both, cancer-specific mortality (CSM) and other-cause mortality (OCM) were computed.

Results

Of 2054 stage III NS-TGCT patients, 60% were Caucasians versus 33% Hispanics versus 4% Asians/Pacific Islanders versus 3% African Americans. The 5-year OS difference between stage III NS-TGCT patients versus simulated age-matched male population-based controls was highest in Asians/Pacific Islanders (64 vs. 99%, Δ = 35%), followed by African Americans (66 vs. 97%, Δ = 31%), Hispanics (72 vs. 99%, Δ = 27%), and Caucasians (76 vs. 98%, Δ = 22%). The 5-year CSM rate was highest in Asians/Pacific Islanders (32%), followed by African Americans (26%), Hispanics (25%), and Caucasians (20%). The 5-year OCM rate was highest in African Americans (8%), followed by Caucasians (4%), Asians/Pacific Islanders (4%), and Hispanics (2%).

Conclusion

Relative to SSA Life Tables, the highest 5-year OS disadvantage applied to stage III NS-TGCT Asian/Pacific Islander race/ethnicity group, followed by African American, Hispanic and Caucasian, in that order.

CONFLICT OF INTEREST STATEMENT

Shahrokh F. Shariat: Horonraria: Astellas, Astra Zeneca, Bayer, BMS, Cepheid, Ferring, lpsen, Janssen, Lilly, MSD, Olympus, Pfizer, Pierre Fabre, Richard Wolf, Roche, Sanochemia, Sanofi, Takeda, Urogen. Consulting or Advisory Role: Astellas, Astra Zeneca, Bayer, BMS, Cepheid, Ferring, lpsen, Janssen, Lilly, MSD, Olympus, Pfizer, Pierre Fabre, Richard Wolf, Roche, Sanochemia, Sanofi, Takeda, Urogen. Speakers' Bureau: Astellas, Astra Zeneca, Bayer, BMS, Cepheid, Ferring, lpsen, Janssen, Lilly, MSD, Olympus, Pfizer, Pierre Fabre, Richard Wolf, Roche, Sanochemia, Sanofi, Takeda, Urogen, Movember Foundation. Patents: Method to determine prognosis after therapy for prostate cancer—granted 2002-09-06, Methods to determine prognosis after therapy for bladder cancer—granted 2003-06-19, Prognostic methods for patients with prostatic disease—granted 2004-08-05; Soluble Fas urinary marker for the detection of bladder transitional cell carcinoma—granted 2010-07-20.

Our research was conducted without any other potential conflicts of interest.

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