Evidence map›Paper›PMID 26142140›Full record

ArticleBMC research notes2015

Adherence to oral anticancer chemotherapy: What influences patients' over or non-adherence? Analysis of the OCTO study through quantitative-qualitative methods.

Aurélie Bourmaud, Emilie Henin, Fabien Tinquaut, Véronique Regnier, Chloé Hamant, Olivier Colomban, Benoit You, Florence Ranchon, Jérôme Guitton, Pascal Girard and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMC research notes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 13% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 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

15 authors at 2 institutions in 2 countries.

Aurélie BourmaudEMR3738, Therapeutic Targeting in Oncology, Claude Bernard University, Lyon, France. aurelie.bourmaud@icloire.fr.
Emilie HeninEMR3738, Therapeutic Targeting in Oncology, Claude Bernard University, Lyon, France. emilie.henin@univ-lyon1.fr.
Fabien TinquautPublic Health Department, Hygée Centre, Lucien Neuwirth Cancer Institut, Inserm, CIC1408, 108 bis avenue A. Raimond, 42 270, Saint Priest en Jarez, France. Fabien.tinquaut@icloire.fr.
Véronique RegnierPublic Health Department, Hygée Centre, Lucien Neuwirth Cancer Institut, Inserm, CIC1408, 108 bis avenue A. Raimond, 42 270, Saint Priest en Jarez, France. Veronique.regnier@icloire.fr.
Chloé HamantPublic Health Department, Hygée Centre, Lucien Neuwirth Cancer Institut, Inserm, CIC1408, 108 bis avenue A. Raimond, 42 270, Saint Priest en Jarez, France. chloe.hamant@free.fr.
Olivier ColombanEMR3738, Therapeutic Targeting in Oncology, Claude Bernard University, Lyon, France. olivier.colomban@univ-lyon1.fr.
Benoit YouEMR3738, Therapeutic Targeting in Oncology, Claude Bernard University, Lyon, France. benoit.you@chu-lyon.fr.
Florence RanchonEMR3738, Therapeutic Targeting in Oncology, Claude Bernard University, Lyon, France. florence.ranchon@chu-lyon.fr.
Jérôme GuittonEMR3738, Therapeutic Targeting in Oncology, Claude Bernard University, Lyon, France. jerome.guitton@chu-lyon.fr.
Pascal GirardEMR3738, Therapeutic Targeting in Oncology, Claude Bernard University, Lyon, France. pascal.girard@merckgroup.com.
Gilles FreyerEMR3738, Therapeutic Targeting in Oncology, Claude Bernard University, Lyon, France. gilles.freyer@chu-lyon.fr.
Michel TodEMR3738, Therapeutic Targeting in Oncology, Claude Bernard University, Lyon, France. Michel.tod@chu-lyon.fr.
Catherine RioufolEMR3738, Therapeutic Targeting in Oncology, Claude Bernard University, Lyon, France. catherine.rioufol@chu-lyon.fr.
Véronique Trillet-LenoirEMR3738, Therapeutic Targeting in Oncology, Claude Bernard University, Lyon, France. veronique.trillet-lenoir@chu-lyon.fr.
Franck ChauvinEMR3738, Therapeutic Targeting in Oncology, Claude Bernard University, Lyon, France. Franck.chauvin@icloire.fr.
Université Claude Bernard Lyon 1 · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNumerous oral anticancer chemotherapies are available. Non-adherence or over-adherence to these chemotherapies can lead to lowered efficacy and increased risk of adverse events. The objective of this study was to identify patients' adherence profiles using a qualitative-quantitative method.

methodsA capecitabine treatment was initiated for 38 patients with advanced breast or colorectal cancer. At inclusion, information on patients' beliefs was reported using a questionnaire. Later, Information on patients' relation to treatment was obtained from a sub-group during an interview with a sociologist. Questionnaires were analyzed using Multiple Classification Analysis to cluster patients. Treatment adherence was evaluated by an electronic medication event monitoring systems (MEMS caps) and then correlated with patient clusters. Interviews were analyzed to complete and explain results.

results38 patients were enrolled between 2008 and 2011 and completed the questionnaire. Twenty had adherence measured with MEMS caps all along treatment. Between 4 and 6 months after inclusion, 16 patients were interviewed. Patient profile B (retired, with a regular life, surrounded by a relative's attention to drug adherence, with a low educational level) was statistically associated with adequate adherence (p = 0.049). A tendency for lower adherence was observed among more highly educated patients with an irregular, active life (NS). All patients taking capecitabine demonstrated a risk of over-adherence, potentiating side effects.

conclusionsThese encouraging primary results suggest that further studies should be undertaken and that educational programs tailored to patient profiles should be evaluated to enhance adherence for those who need it and to empower all patients to manage treatment side effects.

Indexed as

AgedAntimetabolites, AntineoplasticBreast NeoplasmsCapecitabineColorectal NeoplasmsFemaleFollow-Up StudiesHumansMaleMedication AdherenceMiddle AgedQualitative ResearchAntimetabolites, AntineoplasticCapecitabine

Identifiers

PMID26142140
PMCPMC4490730
OpenAlexW1514856392

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.