Evidence map›Paper›PMID 26893581›Full record

ArticleCancer management and research2016

EGFR testing and clinical management of advanced NSCLC: a Galician Lung Cancer Group study (GGCP 048-10).

Sergio Vázquez, Joaquín Casal, Francisco Javier Afonso Afonso, José Luis Fírvida, Lucía Santomé, Francisco Barón, Martín Lázaro, Carolina Pena, Margarita Amenedo, Ihab Abdulkader and 3 more

Open access · goldAbstract read
In one paragraph

Article in Cancer management and research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 19% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
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  6. Radiation oncology (London, England) · 2020
    Article
  7. Biomedical reports · 2020
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  8. Review
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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

13 authors at 1 institution in 1 country.

Sergio VázquezMedical Oncology Department, Lucus Augusti University Hospital, Lugo, Spain.
Joaquín CasalMedical Oncology Department, University Hospital Complex of Vigo, Pontevedra, Spain.
Francisco Javier Afonso AfonsoMedical Oncology Department, University Hospital Complex of Ferrol, Ferrol, Spain.
José Luis FírvidaMedical Oncology Department, University Hospital Complex of Ourense, Ourense, Spain.
Lucía SantoméMedical Oncology Department Povisa Hospital, Vigo, Spain.
Francisco BarónMedical Oncology Department, University Hospital Complex of Santiago de Compostela, Santiago de Compostela, Spain.
Martín LázaroMedical Oncology Department, Hospital Complex of Pontevedra, Pontevedra, Spain.
Carolina PenaMedical Oncology Department, Hospital Complex of Pontevedra, Pontevedra, Spain.
Margarita AmenedoMedical Oncology Department, Oncology Center of Galicia, A Coruña, Spain.
Ihab AbdulkaderAnatomical Pathology Department, University Hospital Complex of Santiago de Compostela, Santiago de Compostela, Spain.
Carmen González-ArenasAstraZeneca, Madrid, Santiago de Compostela, Spain.
Laura FachalGalician Public Foundation of Genomic Medicine-SERGAS, Santiago de Compostela Clinic Hospital, Santiago de Compostela, Spain.
Ana VegaGalician Public Foundation of Genomic Medicine-SERGAS, Santiago de Compostela Clinic Hospital, Santiago de Compostela, Spain.
Spanish Ovarian Cancer Research Group · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to assess the incidence of mutations in the epidermal growth factor receptor (EGFR) gene in non-small-cell lung cancer (NSCLC) patients in the Galician region of Spain and the clinical management and outcome of patients carrying EGFR mutations. PATIENTS AND

methodsAll newly diagnosed advanced or metastatic NSCLC patients were screened for EGFR mutations in matched tumor samples (tissue or cytology specimens) and serum samples.

resultsOf 198 patients screened for EGFR mutations in tumor samples, 184 had evaluable data and, of these, 25 (13.6%) had EGFR mutations (84% sensitizing mutations). EGFR mutation was found in serum in 14 (8.1%) patients (of 174 evaluable). Compared to matched tumor tissue, serum EGFR mutation testing specificity and sensitivity were 99% and 52%, respectively. All but two patients received gefitinib. Median progression-free survival and overall survival were 10 (95% confidence interval: 4.8-15.3) months and 17.8 (95% confidence interval: 13.9-21.6) months, respectively, in patients carrying sensitizing mutations.

conclusionThe incidence of EGFR mutations in Galicia is consistent with previous data in Spain. Our results also support the feasibility of EGFR testing to guide treatment decision making using tumor tissue or cytology samples, or serum samples if tumor specimens are unavailable. These findings also confirm that first-line gefitinib is an active treatment option in Caucasians with EGFR mutation-positive NSCLC.

Indexed as

EGFR gene mutationEGFR mutation testingEGFR tyrosine inhibitorsepidermal growth factor receptornon-small-cell lung cancerTKIs

Identifiers

PMID26893581
PMCPMC4745839
OpenAlexW2330975470

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.