Evidence map›Paper›PMID 25908921›Full record

ArticleCurrent oncology (Toronto, Ont.)2015

Use of bevacizumab as a first-line treatment for metastatic breast cancer.

L Manso, F Moreno, R Márquez, B Castelo, A Arcediano, M Arroyo, A I Ballesteros, I Calvo, M J Echarri, S Enrech and 7 more

Abstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

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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

17 authors.

L MansoHospital Universitario 12 de Octubre, Madrid, Spain.
F MorenoHospital Universitario Clínico San Carlos, Madrid, Spain.
R MárquezMD Anderson Cancer Center, Madrid, Spain.
B CasteloHospital Universitario La Paz, Madrid, Spain.
A ArcedianoHospital General Universitario de Guadalajara, Guadalajara, Mexico.
M ArroyoHospital Príncipe de Asturias, Alcalá de Henares, Spain.
A I BallesterosHospital de la Princesa, Madrid, Spain.
I CalvoCentro Integral Oncológico Clara Campal, Madrid, Spain.
M J EcharriHospital Universitario Severo Ochoa, Leganés, Spain.
S EnrechHospital Universitario de Getafe, Getafe, Spain.
A GómezHospital Universitario de Salamanca, Salamanca, Spain.
R González Del ValHospital Gregorio Marañón, Madrid, Spain.
E López-MirandaHospital Ramón y Cajal, Madrid, Spain.
M Martín-AnguloHospital Príncipe de Asturias, Alcalá de Henares, Spain.
N Martínez-JañezHospital Ramón y Cajal, Madrid, Spain.
C OlierHospital Universitario Fundación Alcorcón, Alcorcón, Spain.
P ZamoraHospital Universitario La Paz, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDuring clinical practice, it can be challenging, given the lack of response biomarkers, to identify the patients with metastatic breast cancer (mbca) who would benefit most from the addition of bevacizumab to first-line standard chemotherapy. The aim of the present review was to summarize the relevant scientific evidence and to discuss the experience of a group of experts in using bevacizumab to treat mbca.

methodsA panel of 17 Spanish oncology experts met to discuss the literature and their experience in the use of bevacizumab as first-line treatment for mbca. During the meeting, discussions focused on three main issues: the profile of the patients who could benefit most from bevacizumab, the optimal bevacizumab treatment duration, and the safety profile of bevacizumab.

resultsThe subset of mbca patients who would benefit the most from the addition of bevacizumab to first-line standard chemotherapy are those with clinically defined aggressive disease. Treatment with bevacizumab should be maintained until disease progression or the appearance of unacceptable toxicity. In the mbca setting, the toxicity profile of bevacizumab is well known and can be managed in clinical practice after adequate training.

conclusionsThis expert group recommends administering bevacizumab as first-line treatment in patients with clinically aggressive disease.

Indexed as

Bevacizumabclinical practicemetastatic breast cancer

Identifiers

PMID25908921
PMCPMC4399624

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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.