Evidence map›Paper›PMID 26204885›Full record

Observational studyBMC cancer2015

Association of sarcopenia and observed physical performance with attainment of multidisciplinary team planned treatment in non-small cell lung cancer: an observational study protocol.

Jemima T Collins, Simon Noble, John Chester, Helen E Davies, William D Evans, Jason Lester, Diane Parry, Rebecca J Pettit, Anthony Byrne

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

2 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Review
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 4 institutions in 1 country.

Jemima T CollinsDepartment of Palliative Medicine, University Hospital Llandough, Penarth, UK. jemimacollins@doctors.net.uk.
Simon NobleCardiff University, Cardiff, UK. simon.noble@wales.nhs.uk.
John ChesterVelindre Cancer Centre, Cardiff, UK. chesterjd@cardiff.ac.uk.
Helen E DaviesDepartment of Respiratory Medicine, University Hospital Llandough, Penarth, UK. helen.davies30@wales.nhs.uk.
William D EvansDepartment of Medical Physics and Clinical Engineering, University Hospital of Wales, Cardiff, UK. wil.evans@wales.nhs.uk.
Jason LesterVelindre Cancer Centre, Cardiff, UK. jason.lester2@wales.nhs.uk.
Diane ParryDepartment of Respiratory Medicine, University Hospital Llandough, Penarth, UK. diane.parry3@wales.nhs.uk.
Rebecca J PettitDepartment of Medical Physics and Clinical Engineering, University Hospital of Wales, Cardiff, UK. rebecca.pettit@wales.nhs.uk.
Anthony ByrneDepartment of Palliative Medicine, University Hospital Llandough, Penarth, UK. anthony.byrne2@wales.nhs.uk.
University Hospital Llandough · GBUniversity Hospital of Wales · GBVelindre Cancer Centre · GBCardiff University · GB

Funding

Marie Curie MCCC-FCO-11-C
6 · The paper itself

Abstract

backgroundNon-small cell lung cancer (NSCLC) frequently presents in advanced stages. A significant proportion of those with reportedly good ECOG performance status (PS) fail to receive planned multidisciplinary team (MDT) treatment, often for functional reasons, but an objective decline in physical performance is not well described. Sarcopenia, or loss of muscle mass, is an integral part of cancer cachexia. However, changes in both muscle mass and physical performance may predate clinically overt cachexia, and may be present even with normal body mass index. Physical fitness for treatment is currently subjectively assessed by means of the PS score, which may be inadequate in predicting tolerance to treatment. This study aims to evaluate whether measuring physical performance and muscle mass at baseline in NSCLC patients, in addition to PS score, is able to predict commencement and successful completion of MDT-planned treatment. METHODS/

designThis is a prospective, single-centre exploratory study of NSCLC patients attending a Rapid Access Lung Cancer clinic. Baseline data collected are (methods in brackets): physical performance (Short Physical Performance Battery), muscle mass (bioelectrical impedance ± dual energy x-ray absorptiometry), patient and physician-assessed PS (ECOG and Karnofsky), nutritional status and presence of cachexia. Longitudinal data consists of receipt and completion of MDT treatment plan. The primary outcome measure is commencement of MDT-planned treatment, and important secondary outcomes include successful completion of treatment, length of stay in surgical patients, and risk of chemotherapy- and radiotherapy-related side effects. DISCUSSION: A more comprehensive assessment of phenotype, particularly with regards to physical performance and muscle mass, will provide additional discriminatory information of patients' fitness for treatment. If positive, this study has the potential to identify targets for early intervention in those who are at risk of deterioration. This will subsequently enable optimisation of performance of patients with NSCLC, in anticipation of systemic treatment.

Indexed as

CachexiaCarcinoma, Non-Small-Cell LungHumansInterdisciplinary CommunicationLung NeoplasmsPatient Care PlanningProspective StudiesQuality of LifeSarcopenia

Identifiers

PMID26204885
PMCPMC4513758
OpenAlexW2098207544

What OpenQuestion holds

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LicenceCC BY
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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.