Evidence map›Paper›PMID 27468238›Full record

ArticleOncoTargets and therapy2016

Observational cohort study focused on treatment continuity of patients administered XELOX plus bevacizumab for previously untreated metastatic colorectal cancer.

Masahito Kotaka, Fusao Ikeda, Masaki Tsujie, Shinichi Yoshioka, Yoshihiko Nakamoto, Takaaki Ishii, Takahisa Kyogoku, Takeshi Kato, Akihito Tsuji, Michiya Kobayashi

Abstract read
In one paragraph

Article in OncoTargets and therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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. Using Bayesian Evidence Synthesis Methods to Incorporate Real-World Evidence in Surrogate Endpoint Evaluation.Medical decision making : an international journal of the Society for Medical Decision Making · 2023
    Article
  2. Article
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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

10 authors.

Masahito KotakaGastrointestinal Cancer Center, Sano Hospital, Kobe, Hyogo.
Fusao IkedaDepartment of Surgery, Kohka Public Hospital, Koka, Shiga.
Masaki TsujieDepartment of Colorectal Surgery, Sakai City Medical Center, Sakai, Osaka.
Shinichi YoshiokaDepartment of Surgery, Hyogo Prefectural Nishinomiya Hospital, Nishinomiya, Hyogo.
Yoshihiko NakamotoDepartment of Surgery, Seikei-kai Chiba Medical Center, Chiba, Chiba.
Takaaki IshiiDepartment of Surgery, Kobe-Ekisaikai Hospital, Kobe, Hyogo.
Takahisa KyogokuDepartment of Surgery, Nishikobe Medical Center, Kobe, Hyogo.
Takeshi KatoDepartment of Colorectal Surgery, Kansai Rosai Hospital, Amagasaki, Hyogo.
Akihito TsujiKagawa University Hospital Cancer Center, Kita-gun, Kagawa.
Michiya KobayashiDepartment of Human Health and Medical Sciences, Kochi Medical School, Kochi University, Nangoku, Kochi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere has been remarkable progress in systemic chemotherapy for metastatic colorectal cancer due to the widespread use of irinotecan, oxaliplatin, anti-vascular endothelial growth factor antibody, and anti-epidermal growth factor receptor antibody. It is important to continue treatment with the optimal combination of these drugs and prolong progression-free survival (PFS) to improve overall survival (OS). We conducted a prospective observational cohort study of 40 patients treated with XELOX plus bevacizumab for previously untreated metastatic colorectal cancer to investigate treatment continuity. PATIENTS AND

methodsEligibility criteria were as follows: 1) histologically confirmed metastatic colorectal cancer; 2) lesions evaluable by imaging; 3) previously untreated; 4) suitable condition to receive XELOX plus bevacizumab; and 5) written informed consent. Outcomes were treatment continuity, overall response rate, resection rate, liver resection rate, time to treatment failure, PFS, and OS. Forty patients were enrolled and followed up for 2 years.

resultsBetween July 2010 and June 2012, 40 patients were enrolled. The median number of treatment cycles was 7.5, and the reasons for discontinuation of treatment were as follows: complete response (five patients), resection (ten patients), progression (15 patients), adverse events (seven patients), and patient refusal (three patients). The overall response rate was 57.5%, resection rate was 25%, and liver resection rate was 15%. After a median follow-up of 31.4 months, the median time to treatment failure, PFS, and OS were 5.3, 13.3, and 38.9 months, respectively.

conclusionAlthough the median time to treatment failure was 5.3 months, the median PFS and OS were prolonged to 13.3 and 38.9 months, respectively. This may have resulted from the chemotherapy-free interval due to complete response in five patients and resection in ten patients.

Indexed as

metastatic colorectal cancerobservational cohort studytreatment continuityXELOX plus bevacizumab

Identifiers

PMID27468238
PMCPMC4944910

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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.