Evidence map›Paper›PMID 25834620›Full record

ArticleDrugs in context2015

Glioblastoma treatment patterns, survival, and healthcare resource use in real-world clinical practice in the USA.

Allicia C Girvan, Gebra C Carter, Li Li, Anna Kaltenboeck, Jasmina Ivanova, Maria Koh, Jessi Stevens, Eleanor Hayes-Larson, Michael M Lahn

Open access · goldAbstract read
In one paragraph

Article in Drugs in context, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

7 citing papers in PubMed, 20 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Allicia C GirvanEli Lilly and Company, 893 S. Delaware Street, Indianapolis, Indiana, USA.
Gebra C CarterEli Lilly and Company, 893 S. Delaware Street, Indianapolis, Indiana, USA.
Li LiEli Lilly and Company, 893 S. Delaware Street, Indianapolis, Indiana, USA.
Anna KaltenboeckAnalysis Group, Inc., 10 Rockefeller Plaza, New York, NY, USA.
Jasmina IvanovaAnalysis Group, Inc., 10 Rockefeller Plaza, New York, NY, USA.
Maria KohAnalysis Group, Inc., 10 Rockefeller Plaza, New York, NY, USA.
Jessi StevensAnalysis Group, Inc., 10 Rockefeller Plaza, New York, NY, USA.
Eleanor Hayes-LarsonAnalysis Group, Inc., 10 Rockefeller Plaza, New York, NY, USA.
Michael M LahnEli Lilly and Company, 893 S. Delaware Street, Indianapolis, Indiana, USA.
Analysis Group (United States) · USEli Lilly (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlioblastoma (GB) treatment remains challenging because of recurrence and poorly defined treatment options after first-line therapy. To better understand real-world application of treatment paradigms and their impact on outcomes, we describe patterns of treatment, outcomes, and use of cancer-related healthcare resource for glioblastoma in the USA.

methodsA retrospective, online chart-abstraction study was conducted; each participating oncologist contributed ≤5 charts. Patients were ≥18 years with biopsy-confirmed primary or secondary newly diagnosed GB on or after 1 January 2010, had received first- and second-line therapies, and had information collected for ≥3 months after initiation of second-line therapy or until death. Assessments were descriptive and included Kaplan- Meier analyses from initiation to end of second-line therapy, disease progression, or death.

resultsOne hundred sixty physicians contributed information on 503 patient charts. During first-line therapy, patients most commonly underwent temozolomide monotherapy (76.5%). During second-line therapy, patients most commonly underwent bevacizumab monotherapy (58.1%). Median duration of second-line therapy was 130 days; median time to disease progression was 113 days. Median survival was 153 days. Use of supportive care was observed to be numerically higher in first- compared with second-line therapy except for anti-depressants, growth factors, and stimulants. Frequently used resources included corticosteroids (78.8% of patients in first-line and 62.6% in second-line therapies), anti-epileptics (45.8% and 41.5%) and narcotic opioids (45.3% and 41.4%).

conclusionsMost GB patients received temozolomide during first-line therapy and bevacizumab monotherapy or combination therapy during second-line therapy. Use of supportive care appeared to be higher in first- compared with second-line therapy for some agents.

Indexed as

bevacizumabcancerfirst-line therapyglioblastomaobservationalsecond-line therapytemozolomidetreatment patterns

Identifiers

PMID25834620
PMCPMC4376093
OpenAlexW2018558992

What OpenQuestion holds

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Registered trials

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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.