You have accessJournal of UrologySexual Function/Dysfunction: Penis/Testis/Urethra: Benign Disease & Malignant Disease I1 Apr 2017PD49-09 SURVIVAL ANALYSIS OF PATIENTS WITH T2 PENILE CANCER WHO RECEIVED INGUINAL LYMPH NODE DISSECTION: RESULTS FROM THE NATIONAL CANCER DATABASE Andres Correa, Elizabeth Handorf, Benjamin Ristau, Haifler Haifler, Shreyas Joshi, Robert Uzzo, Rosalia Viterbo, Richard Greenberg, David Chen, Alexander Kutikov, Daniel Geynisman, and Marc Smaldone Andres CorreaAndres Correa More articles by this author , Elizabeth HandorfElizabeth Handorf More articles by this author , Benjamin RistauBenjamin Ristau More articles by this author , Haifler HaiflerHaifler Haifler More articles by this author , Shreyas JoshiShreyas Joshi More articles by this author , Robert UzzoRobert Uzzo More articles by this author , Rosalia ViterboRosalia Viterbo More articles by this author , Richard GreenbergRichard Greenberg More articles by this author , David ChenDavid Chen More articles by this author , Alexander KutikovAlexander Kutikov More articles by this author , Daniel GeynismanDaniel Geynisman More articles by this author , and Marc SmaldoneMarc Smaldone More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.2233AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Penile cancer (PC) is an uncommon disease with little level I evidence to guide therapy. The NCCN guidelines advocate for inguinal lymph node dissection (LND) for all patients with pT2 disease. Using a large national cancer registry, we assessed temporal trends in LND performance for patients with T2 disease, and evaluated survival outcomes between those who underwent LND and those who did not. METHODS The National Cancer Database (NCDB) was queried for all non-metastatic PC patients with T2 squamous cell carcinoma of the penis from 2004-2014. Temporal trends for receipt of LND were assessed using Cochran-Armitage tests. , We used multivariable logistic regression models to examine the association between demographic and clinicopathologic characteristics and receipt of LND. Kaplan Meier analyses with log-rank tests and multivariable Cox regressions with time-varying covariates were used to assess overall survival (OS). RESULTS A total of 1699 patients met inclusion criteria, of which 617 (36.3%) underwent LND. LND rates increased significantly from 2004 to 2014 (27 versus 46%, p<0.001). Significant differences in rates of LND were observed with regards to receipt of radiation (59% in treated vs 34% in not treated, p<0.001) chemotherapy (69% in treated vs 33% in not treated, p< 0.001), age (53% for =50 yrs vs 22% for >70 yrs, p<0.001), and facility type (21% at community hospitals vs 48% at academic centers, p < 0.001). Following adjustment, the likelihood of receiving of LND decreased with increasing age (71 + year OR 0.30 [CI 0.23-0.64]), and increased with year of diagnosis (OR 2.30 for 2014 vs 2004[CI 1.19-4.43]) and treatment in an academic/research facility (OR 2.92 [CI 1.84-4.62] ). In survival analyses, patients receiving LND had a significantly longer median overall survival (113.9 months vs. 46.2 months, p<0.001). The survival benefit of LND was stronger 2+ years from surgery (HR 0.62 [CI 0.44-0.89]) compared 0-2 years (HR 0.85 [CI 0.68-1.06]) (see figure 1). CONCLUSIONS In hospitals reporting to NCDB, the rate of LND for patients with T2 penile cancer was only 36.3%. The observed survival benefit indicates that LND utilization is an important quality metric in patients with invasive penile cancer. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e977 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Andres Correa More articles by this author Elizabeth Handorf More articles by this author Benjamin Ristau More articles by this author Haifler Haifler More articles by this author Shreyas Joshi More articles by this author Robert Uzzo More articles by this author Rosalia Viterbo More articles by this author Richard Greenberg More articles by this author David Chen More articles by this author Alexander Kutikov More articles by this author Daniel Geynisman More articles by this author Marc Smaldone More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...