Evidence map›Paper›PMID 26187773›Full record

GuidelineDrugs2015

Expert Consensus on the Management of Adverse Events from EGFR Tyrosine Kinase Inhibitors in the UK.

R Califano, N Tariq, S Compton, D A Fitzgerald, C A Harwood, R Lal, J Lester, J McPhelim, C Mulatero, S Subramanian and 3 more

Open access · hybridAbstract readConsensus StatementPractice GuidelineReview
In one paragraph

Guideline in Drugs, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 4 pooled it
8.4field-weighted citation impact, top 2% 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

67 citing papers in PubMed, 4 syntheses or guidelines pooled it, 147 citations in OpenAlex.

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  9. Incidence and management of diarrhea in patients with HER2-positive breast cancer treated with pertuzumab.Annals of oncology : official journal of the European Society for Medical Oncology · 2017
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7 more citing papers are in PubMed but not listed here.

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

13 authors at 10 institutions in 1 country.

R CalifanoCancer Research UK Department of Medical Oncology, The Christie NHS Foundation Trust, Wilmslow Road, Manchester, M20 4BX, UK, raffaele.califano@christie.nhs.uk.
N Tariq
S Compton
D A Fitzgerald
C A Harwood
R Lal
J Lester
J McPhelim
C Mulatero
S Subramanian
A Thomas
N Thatcher
M Nicolson
The Christie NHS Foundation Trust · GBSt Thomas' Hospital · GBAberdeen Royal Infirmary · GBHairmyres Hospital · GBQueen Mary University of London · GBRoyal Liverpool University Hospital · GBRussells Hall Hospital · GBSalford Royal NHS Foundation Trust · GBSt James's University Hospital · GBVelindre Cancer Centre · GB

Funding

Cancer Research UK 13044
6 · The paper itself

Abstract

Epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) such as gefitinib, erlotinib, and afatinib are standard-of-care for first-line treatment of EGFR-mutant advanced non-small cell lung cancer (NSCLC). These drugs have a proven benefit in terms of higher response rate, delaying progression and improvement of quality of life over palliative platinum-based chemotherapy. The most common adverse events (AEs) are gastrointestinal (GI) (diarrhoea and stomatitis/mucositis) and cutaneous (rash, dry skin and paronychia). These are usually mild, but if they become moderate or severe, they can have a negative impact on the patient's quality of life (QOL) and lead to dose modifications or drug discontinuation. Appropriate management of AEs, including prophylactic measures, supportive medications, treatment delays and dose reductions, is essential. A consensus meeting of a UK-based multidisciplinary panel composed of medical and clinical oncologists with a special interest in lung cancer, dermatologists, gastroenterologists, lung cancer nurse specialists and oncology pharmacists was held to develop guidelines on prevention and management of cutaneous (rash, dry skin and paronychia) and GI (diarrhoea, stomatitis and mucositis) AEs associated with the administration of EGFR-TKIs. These guidelines detail supportive measures, treatment delays and dose reductions for EGFR-TKIs. Although the focus of the guidelines is to support healthcare professionals in UK clinical practice, it is anticipated that the management strategies proposed will also be applicable in non-UK settings.

Indexed as

Antineoplastic AgentsCarcinoma, Non-Small-Cell LungConsensusDose-Response Relationship, DrugErbB ReceptorsGastrointestinal DiseasesHumansLung NeoplasmsMolecular Targeted TherapyMutationProtein Kinase InhibitorsQuality of LifeRisk FactorsSignal TransductionSkin DiseasesTreatment OutcomeAntineoplastic AgentsEGFR protein, humanErbB ReceptorsProtein Kinase Inhibitors

Identifiers

PMID26187773
PMCPMC4532717
OpenAlexW1896254854

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.