Table 4 Patients on a pathway of non-curative intent.
Pre-COVID n = 389 | COVID n = 424 | p-value | ||
---|---|---|---|---|
Whole cohort n = 813 | Recommended Palliative Therapy | 223 (57.3%) | 201 (47.4%) | 0.004 |
Received palliative therapy | 103 (26.5%) | 87 (20.5%) | 0.045 | |
Recommended best supportive care | 166 (42.7%) | 223 (52.6%) | ||
Received best supportive care | 286 (73.5%) | 337 (79.5%) | ||
Received palliative chemotherapy | 96 (24.7%) | 80 (18.9%) | 0.044 | |
Received palliative radiotherapy | 13 (3.3%) | 15 (3.5%) | 0.878 | |
Palliative surgery | 4 (1.7%) | 1 (0.4%) | 0.217 | |
Reason for non-curative pathway selection | Metastatic disease | 254 (65.2%) | 251 (59.1%) | 0.363 |
Locally advanced disease | 76 (19.5%) | 88 (20.7%) | ||
Potentially resectable but not offered surgery due to: | ||||
-Performance status | 39 (10.0%) | 55 (12.9%) | ||
-Patient choice | 8 (2.0%) | 14 (3.3%) | ||
-Unknown | 12 (3.0%) | 16 (3.7%) | ||
Cohort that received palliative chemotherapy only n = 176 | n = 96 | n = 80 | ||
FOLFIRINOX | 29 (30.2%) | 38 (47.5%) | 0.088 | |
Gem/Cap | 15 (15.6%) | 13 (16.3%) | ||
Gem/Abraxane | 21 (21.9%) | 10 (12.5%) | ||
Gemcitabine or capecitabine | 27 (28.1%) | 14 (17.5%) | ||
Other | 4 (4.2%) | 5 (6.3%) | ||
Completed full allocation of cycles | 37 (38.5%) | 33 (41.3%) | 0.625 | |
Median time to chemotherapy days (IQR) | 52 (42.3–73.3) | 49 (41.3–75.5) | 0.699 | |
2nd line palliative chemotherapy received | 12 (12.5%) | 10 (12.5%) | 0.954 | |
Cohort that received no palliative therapy, after recommendation. n = 623 | n = 286 | n = 337 | ||
Frailty | 130 (45.4%) | 164 (48.6%) | 0.277 | |
Patient choice | 58 (20.2%) | 63 (18.6%) | ||
Recurrence/progression | 83 (29%) | 89 (26.4%) | ||
COVID | 0 (0%) | 8 (2.3%) | ||
Unknown | 15 (5.2%) | 13 (3.8%) |