Evidence map›Paper›PMID 26872791›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2016

Trends in anemia treatment among patients with five non-myeloid malignancies treated with chemotherapy in a large integrated health care delivery system in California, 2000-2013.

Lanfang Xu, Hairong Xu, Kimberly Cannavale, Olivia Sattayapiwat, Roberto Rodriguez, John H Page, Chun Chao

Abstract readHistorical ArticleMulticenter Study
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Transfusion practice patterns in patients with anemia receiving myelosuppressive chemotherapy for nonmyeloid cancer: results from a prospective observational study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Observational
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

7 authors at 2 institutions in 1 country.

Lanfang XuDepartment of Research and Evaluation, Kaiser Permanente Southern California, 100 S. Los Robles Ave, 2nd floor, Pasadena, CA, 91101, USA.
Hairong XuCenter for Observational Research, Amgen Inc., Thousand Oaks, CA, USA.
Kimberly CannavaleDepartment of Research and Evaluation, Kaiser Permanente Southern California, 100 S. Los Robles Ave, 2nd floor, Pasadena, CA, 91101, USA.
Olivia SattayapiwatDepartment of Research and Evaluation, Kaiser Permanente Southern California, 100 S. Los Robles Ave, 2nd floor, Pasadena, CA, 91101, USA.
Roberto RodriguezDepartment of Hematology Oncology, Kaiser Permanente Southern California, Los Angeles Medical Center, Los Angeles, CA, USA.
John H PageCenter for Observational Research, Amgen Inc., Thousand Oaks, CA, USA.
Chun ChaoDepartment of Research and Evaluation, Kaiser Permanente Southern California, 100 S. Los Robles Ave, 2nd floor, Pasadena, CA, 91101, USA. chun.r.chao@kp.org.ORCID 0000-0002-6072-4954
Kaiser Permanente · USAmgen (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study is to examine treatment patterns for chemotherapy-induced anemia (CIA) between calendar periods when the changes in the US prescribing information, for erythropoiesis-stimulating agents (ESAs) took place.

methodsPatients diagnosed with breast, lung, colorectal, ovarian, or gastric cancer (2000-2012) who developed grade 2+ CIA (hemoglobin (Hb) <10 g/dl) were identified from Kaiser Permanente Southern California Health Plan. We estimated the proportions of CIA episodes with ESA use, red blood cell (RBC) transfusion, or prescription nutritional supplements in three calendar periods: January 1, 2000-December 31, 2006 (P1), January 1, 2007-March 24, 2010 (P2), and March 25, 2010-June 30, 2013 (P3). Multivariable regressions were used to test the differences of CIA treatment approaches and Hb concentration prior to CIA treatment across these calendar periods.

resultsThe proportions of CIA episodes with ESA use were 28 % in P1, 21 % in P2, and 3 % in P3. For RBC transfusion, they were 8 % in P1, 14 % in P2 and 16 % in P3. The trend of decreasing ESA use and increasing transfusion use were statistically significant. Relative to P1, the odds ratio (OR) was 0.69 (95% CI: 0.55, 0.86) for P2 and 0.08 (0.30, 0.88) for P3 for ESA use. For RBC transfusion, OR was 2.00 (1.56, 2.56) for P2 and 2.37 (1.88, 3.00) for P3. Use of prescription nutritional supplement was rare across calendar periods. There was a decreasing trend of Hb concentration prior to ESA use (p value <0.01), but no difference in Hb concentrations prior to transfusion.

conclusionIn the management of CIA, use of ESA has decreased over time, while use of RBC transfusion has increased.

Indexed as

AdultAnemiaAntineoplastic AgentsCaliforniaErythrocyte TransfusionFemaleHematinicsHistory, 21st CenturyHumansMaleMiddle AgedNeoplasmsAntineoplastic AgentsHematinicsChemotherapy-induced anemia (CIA)Erythropoiesis-stimulating agents (ESA)Supportive careTransfusion

Identifiers

PMID26872791
OpenAlexW2254499433

What OpenQuestion holds

Textmetadata
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.