Evidence map›Paper›PMID 24633407›Full record

ArticleJournal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer2014

Comparative effectiveness of adjunctive bevacizumab for advanced lung cancer: the cancer research network experience.

Debra P Ritzwoller, Nikki M Carroll, Thomas Delate, Mark C Hornbrook, Lawrence Kushi, Erin J Aiello Bowles, Elizabeth T Loggers, Alex Menter

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Debra P Ritzwoller*The Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado; †The Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon; ‡Division of Research, Kaiser Permanente Northern California, Oakland, California; §The Group Health Research Institute, Seattle, Washington; ‖Fred Hutchinson Cancer Research Center, Seattle, Washington; and ¶Department of Oncology, Kaiser Permanente Colorado, Denver, Colorado.
Nikki M Carroll
Thomas Delate
Mark C Hornbrook
Lawrence Kushi
Erin J Aiello Bowles
Elizabeth T Loggers
Alex Menter
Kaiser Permanente · USFred Hutch Cancer Center · USKaiser Permanente Center for Health Research · USKaiser Permanente Washington Health Research Institute · US

Funding

The HMO Cancer Research Network (CRN)U19CA079689 · NCI · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI WAGNER, EDWARD H · 1999 to 2011
$62.6M
Medical Care Burden of Cancer: System and Data IssuesR01CA114204 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI HORNBROOK, MARK CHRISTOPHER · 2007 to 2010
$2.7M
Building CER Capacity: Aligning CRN, CMS, and State Resources to Map Cancer CareUC2CA148185 · NCI · DANA-FARBER CANCER INST · PI RITZWOLLER, DEBRA P, WEEKS, JANE C. · 2010 to 2010
$2.0M
Building CER Capacity: Aligning CRN, CMS, and State Resources to Map Cancer CareRC2CA148185 · NCI · DANA-FARBER CANCER INST · PI RITZWOLLER, DEBRA P, WEEKS, JANE C. · 2009 to 2009
$2.0M
NCI NIH HHS R01 CA114204NCI NIH HHS RC2 CA148185NCI NIH HHS U19 CA079689NCI NIH HHS U19 CA79689NCI NIH HHS UC2 CA148185
6 · The paper itself

Abstract

introductionBevacizumab plus carboplatin-paclitaxel (BCP) chemotherapy has Food and Drug Administration approval for advanced nonsquamous, non-small-cell lung cancer based upon improved survival in a clinical trial. However, subgroup analyses of this and other studies have suggested variable results by age and gender.

methodsUsing data from four health maintenance organizations (HMOs) belonging to the Cancer Research Network, 1605 HMO nonsquamous, non-small-cell lung cancer patients aged younger than 21 years, diagnosed 2002-2010, who received carboplatin-paclitaxel (CP), with and without bevacizumab for first-line treatment of stage IIIB/IV disease were identified. Patients were categorized into three groups based on year of diagnosis and regimen during 120 days postdiagnosis: (1) diagnosed 2005-2010 and received BCP; (2) 2005-2010, CP (CP2005), and (3) 2002-2004, CP (CP2002). Survival differences between groups were estimated using Cox proportional hazard models with several propensity score adjustments for demographic, comorbidity, and tumor characteristics. Multivariable subanalyses were also estimated.

resultsMedian survival was 12.3 months (interquartile range [IQR], 6.0-29.1) for BCP patients versus 8.8 months (IQR, 3.7-21.3) for CP2005 patients and 7.5 months (IQR, 3.8-15.6) for CP2002 patients. In the propensity score-adjusted models, BCP demonstrated a significant survival benefit with a hazard ratio of BCP relative to CP2005 and CP2002 patients of 0.79 (95% confidence interval [CI], 0.66-0.94) and 0.63 (95% CI, 0.52-0.75), respectively. In the multivariable-adjusted subanalyses, relative to the CP2005 cohort, the BCP hazard ratios for patients age less than 65 years, age 65 years old or older, and females were 0.78 (95% CI, 0.62-1.00), 0.74 (95% CI, 0.54-1.00), and 0.77 (95% CI, 0.58-1.00).

conclusionsIn this community-based, comparative effectiveness analysis, we found an overall survival benefit for adults receiving BCP compared with CP.

Indexed as

AgedAge FactorsAngiogenesis InhibitorsAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCarboplatinCarcinoma, Non-Small-Cell LungChemotherapy, AdjuvantFemaleHumansLung NeoplasmsMaleMiddle AgedPaclitaxelRegistriesAngiogenesis InhibitorsAntibodies, Monoclonal, HumanizedBevacizumabCarboplatinPaclitaxel

Identifiers

PMID24633407
PMCPMC5083067
OpenAlexW1995580600

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.