Evidence map›Paper›PMID 27637408›Full record

ArticleClinical lung cancer2017

Effect of Angiotensin System Inhibitors on Survival in Patients Receiving Chemotherapy for Advanced Non-Small-Cell Lung Cancer.

Alex R Menter, Nikki M Carroll, Lori C Sakoda, Thomas Delate, Mark C Hornbrook, Rakesh K Jain, Lawrence H Kushi, Virginia P Quinn, Debra P Ritzwoller

Open access · greenAbstract read
In one paragraph

Article in Clinical lung cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
3.8field-weighted citation impact, top 6% 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

26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Review
  6. Article
  7. Current Status of Research on Losartan in Tumour Therapy.Journal of cellular and molecular medicine · 2026
    Review
  8. Article
  9. Review
  10. Angiotensin-converting enzyme inhibitors for ovarian cancer? - a new adjuvant option or a silent trap.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2023
    Review
  11. Article
  12. Article
  13. The Role of the Renin-Angiotensin System in the Cancer Stem Cell Niche.The journal of histochemistry and cytochemistry : official journal of the Histochemistry Society · 2021
    Review
  14. Review
  15. Risk of lung cancer and renin-angiotensin blockade: a concise review.Journal of cancer research and clinical oncology · 2021
    Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

9 authors at 5 institutions in 1 country.

Alex R MenterOncology Department, Kaiser Permanente Colorado, Lone Tree, CO. Electronic address: alex.menter@kp.org.
Nikki M CarrollInstitute for Health Research, Kaiser Permanente Colorado, Denver, CO.
Lori C SakodaDivision of Research, Kaiser Permanente Northern California, Oakland, CA.
Thomas DelatePharmacy Department, Kaiser Permanente Colorado, Aurora, CO.
Mark C HornbrookThe Center for Health Research, Kaiser Permanente Northwest, Portland, OR.
Rakesh K JainEdwin L. Steele Laboratory, Department of Radiation Oncology, Massachusetts General Hospital and Harvard Medical School, Boston, MA.
Lawrence H KushiDivision of Research, Kaiser Permanente Northern California, Oakland, CA; Division of Hematology and Oncology, Department of Internal Medicine, University of California Davis School of Medicine, Sacramento, CA.
Virginia P QuinnDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA.
Debra P RitzwollerInstitute for Health Research, Kaiser Permanente Colorado, Denver, CO.
Kaiser Permanente · USHarvard University · USKaiser Permanente Center for Health Research · USKaiser Permanente Lone Tree Medical Offices · USUniversity of California, Davis · US

Funding

Vascular Normalization: Rolse of Perivascular CellsP01CA080124 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI SEED, BRIAN · 2000 to 2016
$35.0M
CRN4: Cancer Research Resources & Collaboration in Integrated Health Care SystemsU24CA171524 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI KUSHI, LAWRENCE H · 2012 to 2016
$16.0M
Evaluating a Risk Prediction Model for Lung CancerK07CA188142 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI SAKODA, LORI · 2015 to 2019
$920k
NCI NIH HHS K07 CA188142NCI NIH HHS P01 CA080124NCI NIH HHS U24 CA171524
6 · The paper itself

Abstract

introductionPreclinical studies suggest that angiotensin system inhibitors (ASI) and bevacizumab improve tumor perfusion and chemotherapy efficacy. We performed a retrospective study to examine whether concomitant ASI use during carboplatin and paclitaxel (CP) without or with bevacizumab (CPB) was associated with improved overall survival (OS) in patients with advanced nonsquamous, non-small-cell lung cancer (NS-NSCLC). PATIENTS AND

methodsIn a retrospective cohort study, adult patients diagnosed with stage IIIB or IV NS-NSCLC between 2005 and 2011 were identified from tumor registries at 1 of 4 Kaiser Permanente regions. Survival differences between those who did and did not receive ASIs concomitant with chemotherapy (CP or CPB) were assessed using propensity score-matched proportional hazard models. OS was measured from the initiation of chemotherapy until death, disenrollment, or December 31, 2012.

resultsOf the 1465 CP and 348 CPB patients included, 273 (19%) and 78 (22%), respectively, received concomitant ASI. For CP patients with and without concomitant ASI exposure, median OS was 12.0 and 8.4 months, respectively (crude hazard ratio [HR], 0.72; 95% confidence interval [CI], 0.63-0.84). For CPB patients, the comparable median OS was 14.9 and 11.9 months, respectively (crude HR, 0.77; 95% CI, 0.57-1.02). Using propensity score-matched cohorts, the HR for concomitant ASI use was 0.73 (95% CI, 0.61-0.88) for CP patients and 0.79 (95% CI, 0.51-1.21) for CPB patients.

conclusionConcomitant ASI receipt during CP or CPB therapy for NS-NSCLC was associated with improved survival, although the association was only statistically significant in the CP group.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCarboplatinCarcinoma, Non-Small-Cell LungFemaleFollow-Up StudiesHumansLung NeoplasmsMaleMiddle AgedNeoplasm GradingPaclitaxelPrognosisRenin-Angiotensin SystemBevacizumabCarboplatinPaclitaxelAngiotensinBevacizumabChemotherapyMicroenvironmentNon–small-cell lung cancer

Identifiers

PMID27637408
PMCPMC5424707
OpenAlexW2509882972

What OpenQuestion holds

Textmetadata
LicenceTDM
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.