Evidence map›Paper›PMID 26906039›Full record

ArticleBMC cancer2016

Impact on clinical practice of the implementation of guidelines for the toxicity management of targeted therapies in kidney cancer. The protect-2 study.

Nuria Lainez, Jesús García-Donas, Emilio Esteban, Javier Puente, M Isabel Sáez, Enrique Gallardo, Álvaro Pinto-Marín, Sergio Vázquez-Estévez, Luis León, Icíar García-Carbonero and 28 more

Abstract read
In one paragraph

Article in BMC cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Overexpression of cannabinoid receptor 1 promotes renal cell carcinoma progression.Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine · 2016
    Article
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

38 authors.

Nuria LainezDepartment of oncology, Complejo Hospitalario de Navarra, Servicio Oncología Médica. Pabellón B 2ª planta. Hospital de día, C/ Irunlarrea, 3, 31008, Pamplona, Navarra, Spain. nuria.lainez.milagro@cfnavarra.es.
Jesús García-DonasDepartment of oncology, Hospital Sanchinarro, C/ Oña, 10, 28050, Madrid, Spain. jgarciadonas@gmail.com.
Emilio EstebanDepartment of oncology, Hospital Universitario Central de Asturias, Julián Clavería s/n, 33006, Oviedo, Spain. eestebang@seom.org.
Javier PuenteDepartment of oncology, Hospital Clínico de Madrid, C/ Doctor Martín Lagos s/n, 28040, Madrid, Spain. jpuente.hcsc@salud.madrid.org.
M Isabel SáezDepartment of oncology, Hospital Universitario Clínico Virgen de la Victoria, Campus Universitario de Teatinos, s/n, 29010, Málaga, Spain. msaez.med@gmail.com.
Enrique GallardoDepartment of oncology, Parc Taulí Sabadell Hospital Universitari, Parc Taulí 1, 08208, Sabadell, Spain. egallardo@tauli.cat.
Álvaro Pinto-MarínDepartment of oncology, Hospital Universitario La Paz, P de la Castellana 261, 28046, Madrid, Spain. alvaropintomarin@gmail.com.
Sergio Vázquez-EstévezDepartment of oncology, Hospital Universitario Lucus Augusti, Lugar San Cibrao, S/N, 27003, Lugo, Spain. Sergio.Vazquez.Estevez@sergas.es.
Luis LeónDepartment of oncology, Hospital Santiago de Compostela, Travesía da Choupana, s/n, 15706, Santiago de Compostela, Spain. Luis.Leon.Mateos@sergas.es.
Icíar García-CarboneroDepartment of oncology, Hospital Virgen de la Salud, Adva. De Barber, 30, 45004, Toledo, Spain. igcarbonero@yahoo.es.
Cristina Suárez-RodríguezDepartment of oncology, Hospital Vall d'Hebron, Ps Vall d'Hebron, 119-129, 8035, Barcelona, Spain. crisuarez08@gmail.com.
Carmen MolinsDepartment of oncology, Hospital Universitario Dr. Peset, Avda. Gaspar Aguilar 90, 46017, Valencia, Spain. molins_car@gva.es.
Miguel A Climent-DuranDepartment of oncology, Instituto Valenciano de Oncología, Gregorio Gea, 31-1° Planta, 46009, Valencia, Spain. macliment@fivo.org.
Martín Lázaro-QuintelaDepartment of oncology, Complexo Hospitalario Universitario de Vigo, Pizarro 22, 36204, Vigo, Spain. martin.lazaro.quintela@sergas.es.
Aranzazu González Del AlbaDepartment of oncology, Hospital Universitario Son Espases, Ctra Valldemossa, 79, 07010, Palma de Mallorca, Spain. aranzazu.gonzalezdelalba@ssib.es.
María José Méndez-VidalDepartment of oncology, Hospital Universitario Reina Sofía, Avda. Menéndez Pidal, s/n, 14004, Córdoba, Spain. mjosemv@yahoo.es.
Isabel ChirivellaDepartment of oncology, Hospital Clínico de Valencia, Avda Blasco Ibáñez, 17, 46010, Valencia, Spain. chirivella_isa@gva.es.
Francisco J AfonsoDepartment of oncology, Complejo Hospitalario Arquitecto Marcide, Rúa da residencia s/n. San pedro de Leixa, 15405, Ferrol, Spain. Francisco.Javier.Afonso.Afonso@sergas.es.
Marta López-BreaDepartment of oncology, Hospital Marqués de Valdecilla, Avda. Valdecila s/n, 39008, Santander, Spain. marta.lopezbrea@gmail.com.
Nuria Sala-GonzálezDepartment of oncology, ICO de Girona, Francia s/n, 17007, Gerona, Spain. nsgonzalez@iconcologia.net.
Montserrat DomenechDepartment of oncology, Hospital de Althaia Xarxa Asistencial Manresa, Dr. Joan Soler, 1-3, 08243, Barcelona, Spain. mdomenech@althaia.cat.
Laura BasterretxeaDepartment of oncology, Hospital de Donostia, P° Dr. Beguiristain 109, 20014, San Sebastian, Spain. laura.basterrechea@osakidetza.net.
Carmen Santander-LoberaDepartment of oncology, Hospital Miguel Servet, Avda Gómez Laguna 25, 50009, Zaragoza, Spain. csantlob@yahoo.es.
Irene Gil-ArnáizDepartment of oncology, Hospital Reina Sofía, Carretera Tarazona, KM 3, 31500, Tudela, Spain. irenega6@hotmail.com.
Ovidio FernándezDepartment of oncology, Complejo Hospitalario Ourense. Hospital Santa María Nai, Ramón Puga, 52-54, 32005, Orense, Spain. ovidiofernandezcalvo@yahoo.es.
Cristina Caballero-DíazDepartment of oncology, Hospital General Universitario de Valencia, Avda Tres Cruces, s/n, 46014, Valencia, Spain. caballero_cri@gva.es.
Begoña MelladoDepartment of oncology, IDIBAPS, Hospital Clinic i Provincial de Barcelona, Villarroel, 170, 08036, Barcelona, Spain. BMELLADO@clinic.ub.es.
David MarrupeDepartment of oncology, Hospital Universitario de Móstoles, Río Júcar s/n, 28935, Móstoles, Madrid, Spain. david.marrupe@gmail.com.
José García-SánchezDepartment of oncology, Hospital Arnau de Vilanova, C/ San Clemente n 12, 46015, Valencia, Spain. joseche812@hotmail.com.
Ricardo Sánchez-EscribanoDepartment of oncology, Hospital Universitario de Burgos, Avenida Cid Campeador, 96, 09005, Burgos, Spain. rsescribano@seom.org.
Eva Fernández ParraDepartment of oncology, H.U. Hospital de Valme, Ctra. de Cádiz Km. 548.9, 41014, Sevilla, Spain. evamfparra@yahoo.es.
José C Villa GuzmánDepartment of oncology, Hospital de Ciudad Real, Obispo Rafael Torija, 13005, Ciudad Real, Spain. jvillaguzman1@yahoo.es.
Esther Martínez-OrtegaDepartment of oncology, Hospital Ciudad de Jaén, Avenida Ejercito Español 10, 23007, Jaén, Spain. esthermartinezz@yahoo.es.
María Belén GonzálezDepartment of oncology, Hospital Son Llatzer, Ctra. Manacor, km.4, Sont Frriol, 07198, Palma de Mallorca, Spain. mbgonzal@hsll.es.
Marina MoránPfizer Madrid, Avda. de Europa, 20B, 28108, Alcobendas, Madrid, Spain. marina.moran@pfizer.com.
Beatriz Suarez-PaniaguaTrial Form Support, Avda. de Europa, 20B, 28108, Alcobendas, Madrid, Spain. Beatriz.suarez@tfscro.com.
María J LecumberriDepartment of oncology, Complejo Hospitalario de Navarra, Servicio Oncología Médica. Pabellón B 2ª planta. Hospital de día, C/ Irunlarrea, 3, 31008, Pamplona, Navarra, Spain. mj.lecumberri.biurrun@navarra.es.
Daniel CastellanoDepartment of oncology, Hospital 12 de Octubre, Av. de Córdoba s/n, 28041, Madrid, Spain. cdanicas@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe impact of such recommendations after their implementation of guidelines has not usually been evaluated. Herein, we assessed the impact and compliance with the Spanish Oncology Genitourinary Group (SOGUG) Guidelines for toxicity management of targeted therapies in metastatic renal cell carcinoma (mRCC) in daily clinical practice.

methodsData on 407 mRCC patients who initiated first-line targeted therapy during the year before and the year after publication and implementation of the SOGUG guideline program were available from 34 Spanish Hospitals. Adherence to SOGUG Guidelines was assessed in every cycle.

resultsAdverse event (AE) management was consistent with the Guidelines as a whole for 28.7% out of 966 post-implementation cycles compared with 23.1% out of 892 pre-implementation cycles (p = 0.006). Analysis of adherence by AE in non-compliant cycles showed significant changes in appropriate management of hypertension (33% pre-implementation vs. 44.5% post-implementation cycles; p < 0.0001), diarrhea (74.0% vs. 80.5%; p = 0.011) and dyslipemia (25.0% vs. 44.6%; p < 0.001).

conclusionsSlight but significant improvements in AE management were detected following the implementation of SOGUG recommendations. However, room for improvement in the management of AEs due to targeted agents still remains and could be the focus for further programs in this direction.

Indexed as

AgedAntineoplastic AgentsCarcinoma, Renal CellFemaleGuideline AdherenceHumansKidney NeoplasmsMaleMiddle AgedMolecular Targeted TherapyNeoplasm MetastasisPractice Guidelines as TopicSpainAntineoplastic Agents

Identifiers

PMID26906039
PMCPMC4763443

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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.