Evidence map›Paper›PMID 25422491›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2015

Cisplatin and etoposide versus carboplatin and paclitaxel with concurrent radiotherapy for stage III non-small-cell lung cancer: an analysis of Veterans Health Administration data.

Rafael Santana-Davila, Kiran Devisetty, Aniko Szabo, Rodney Sparapani, Carlos Arce-Lara, Elizabeth M Gore, Amy Moran, Christina D Williams, Michael J Kelley, Jeffrey Whittle

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
10.1field-weighted citation impact, top 1% 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

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 127 citations in OpenAlex.

  1. Pooled it
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  18. Saponins in Cancer Treatment: Current Progress and Future Prospects.Pathophysiology : the official journal of the International Society for Pathophysiology · 2021
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Rafael Santana-DavilaRafael Santana-Davila, University of Washington, Seattle, WA; Kiran Devisetty, Michigan State University, Flint, MI; Aniko Szabo and Rodney Sparapani, Medical College of Wisconsin; Rafael Santana-Davila, Carlos Arce-Lara, Elizabeth M. Gore, Amy Moran, and Jeffrey Whittle, Clement J. Zablocki Veterans Affairs (VA) Medical Center, Milwaukee, WI; and Christina D. Williams and Michael J. Kelley, Durham VA Medical Center, Durham, NC. rafaelsd@u.washington.edu.
Kiran DevisettyRafael Santana-Davila, University of Washington, Seattle, WA; Kiran Devisetty, Michigan State University, Flint, MI; Aniko Szabo and Rodney Sparapani, Medical College of Wisconsin; Rafael Santana-Davila, Carlos Arce-Lara, Elizabeth M. Gore, Amy Moran, and Jeffrey Whittle, Clement J. Zablocki Veterans Affairs (VA) Medical Center, Milwaukee, WI; and Christina D. Williams and Michael J. Kelley, Durham VA Medical Center, Durham, NC.
Aniko SzaboRafael Santana-Davila, University of Washington, Seattle, WA; Kiran Devisetty, Michigan State University, Flint, MI; Aniko Szabo and Rodney Sparapani, Medical College of Wisconsin; Rafael Santana-Davila, Carlos Arce-Lara, Elizabeth M. Gore, Amy Moran, and Jeffrey Whittle, Clement J. Zablocki Veterans Affairs (VA) Medical Center, Milwaukee, WI; and Christina D. Williams and Michael J. Kelley, Durham VA Medical Center, Durham, NC.
Rodney SparapaniRafael Santana-Davila, University of Washington, Seattle, WA; Kiran Devisetty, Michigan State University, Flint, MI; Aniko Szabo and Rodney Sparapani, Medical College of Wisconsin; Rafael Santana-Davila, Carlos Arce-Lara, Elizabeth M. Gore, Amy Moran, and Jeffrey Whittle, Clement J. Zablocki Veterans Affairs (VA) Medical Center, Milwaukee, WI; and Christina D. Williams and Michael J. Kelley, Durham VA Medical Center, Durham, NC.
Carlos Arce-LaraRafael Santana-Davila, University of Washington, Seattle, WA; Kiran Devisetty, Michigan State University, Flint, MI; Aniko Szabo and Rodney Sparapani, Medical College of Wisconsin; Rafael Santana-Davila, Carlos Arce-Lara, Elizabeth M. Gore, Amy Moran, and Jeffrey Whittle, Clement J. Zablocki Veterans Affairs (VA) Medical Center, Milwaukee, WI; and Christina D. Williams and Michael J. Kelley, Durham VA Medical Center, Durham, NC.
Elizabeth M GoreRafael Santana-Davila, University of Washington, Seattle, WA; Kiran Devisetty, Michigan State University, Flint, MI; Aniko Szabo and Rodney Sparapani, Medical College of Wisconsin; Rafael Santana-Davila, Carlos Arce-Lara, Elizabeth M. Gore, Amy Moran, and Jeffrey Whittle, Clement J. Zablocki Veterans Affairs (VA) Medical Center, Milwaukee, WI; and Christina D. Williams and Michael J. Kelley, Durham VA Medical Center, Durham, NC.
Amy MoranRafael Santana-Davila, University of Washington, Seattle, WA; Kiran Devisetty, Michigan State University, Flint, MI; Aniko Szabo and Rodney Sparapani, Medical College of Wisconsin; Rafael Santana-Davila, Carlos Arce-Lara, Elizabeth M. Gore, Amy Moran, and Jeffrey Whittle, Clement J. Zablocki Veterans Affairs (VA) Medical Center, Milwaukee, WI; and Christina D. Williams and Michael J. Kelley, Durham VA Medical Center, Durham, NC.
Christina D WilliamsRafael Santana-Davila, University of Washington, Seattle, WA; Kiran Devisetty, Michigan State University, Flint, MI; Aniko Szabo and Rodney Sparapani, Medical College of Wisconsin; Rafael Santana-Davila, Carlos Arce-Lara, Elizabeth M. Gore, Amy Moran, and Jeffrey Whittle, Clement J. Zablocki Veterans Affairs (VA) Medical Center, Milwaukee, WI; and Christina D. Williams and Michael J. Kelley, Durham VA Medical Center, Durham, NC.
Michael J KelleyRafael Santana-Davila, University of Washington, Seattle, WA; Kiran Devisetty, Michigan State University, Flint, MI; Aniko Szabo and Rodney Sparapani, Medical College of Wisconsin; Rafael Santana-Davila, Carlos Arce-Lara, Elizabeth M. Gore, Amy Moran, and Jeffrey Whittle, Clement J. Zablocki Veterans Affairs (VA) Medical Center, Milwaukee, WI; and Christina D. Williams and Michael J. Kelley, Durham VA Medical Center, Durham, NC.
Jeffrey WhittleRafael Santana-Davila, University of Washington, Seattle, WA; Kiran Devisetty, Michigan State University, Flint, MI; Aniko Szabo and Rodney Sparapani, Medical College of Wisconsin; Rafael Santana-Davila, Carlos Arce-Lara, Elizabeth M. Gore, Amy Moran, and Jeffrey Whittle, Clement J. Zablocki Veterans Affairs (VA) Medical Center, Milwaukee, WI; and Christina D. Williams and Michael J. Kelley, Durham VA Medical Center, Durham, NC.
Milwaukee VA Medical Center · US

Funding

Clincal and Translational Science AwardUL1TR000055 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI SHAKER, REZA NONE · 2012 to 2015
$11.3M
NCATS NIH HHS UL1 TR000055
6 · The paper itself

Abstract

purposeThe optimal chemotherapy regimen to use with radiotherapy in stage III non-small-cell lung cancer is unknown. Here, we compare the outcome of patents treated within the Veterans Health Administration with either etoposide-cisplatin (EP) or carboplatin-paclitaxel (CP).

methodsWe identified patients treated with EP and CP with concurrent radiotherapy from 2001 to 2010. Survival rates were compared using Cox proportional hazards regression models with adjustments for confounding provided by propensity score methods and an instrumental variables analysis. Comorbidities and treatment complications were identified through administrative data.

resultsA total of 1,842 patients were included; EP was used in 27% (n = 499). Treatment with EP was not associated with a survival advantage in a Cox proportional hazards model (hazard ratio [HR], 0.97; 95% CI, 0.85 to 1.10), a propensity score matched cohort (HR, 1.07; 95% CI, 0.91 to 1.24), or a propensity score adjusted model (HR, 0.97; 95% CI, 0.85 to 1.10). In an instrumental variables analysis, there was no survival advantage for patients treated in centers where EP was used more than 50% of the time as compared with centers where EP was used in less than 10% of the patients (HR, 1.07; 95% CI, 0.90 to 1.26). Patients treated with EP, compared with patients treated with CP, had more hospitalizations (2.4 v 1.7 hospitalizations, respectively; P < .001), outpatient visits (17.6 v 12.6 visits, respectively; P < .001), infectious complications (47.3% v 39.4%, respectively; P = .0022), acute kidney disease/dehydration (30.5% v 21.2%, respectively; P < .001), and mucositis/esophagitis (18.6% v 14.4%, respectively; P = .0246).

conclusionAfter accounting for prognostic variables, patients treated with EP versus CP had similar overall survival, but EP was associated with increased morbidity.

Indexed as

AgedCarboplatinCarcinoma, Non-Small-Cell LungChemoradiotherapyCisplatinCohort StudiesEtoposideFemaleHumansLung NeoplasmsMaleMiddle AgedNeoplasm StagingPaclitaxelRandomized Controlled Trials as TopicSurvival RateCarboplatinCisplatinEtoposidePaclitaxel

Identifiers

PMID25422491
PMCPMC4322259
OpenAlexW2102361674

What OpenQuestion holds

Textmetadata
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.