Evidence map›Paper›PMID 28969629›Full record

SynthesisBMC medical informatics and decision making2017

Decision support systems for incurable non-small cell lung cancer: a systematic review.

D Révész, E G Engelhardt, J J Tamminga, F M N H Schramel, B D Onwuteaka-Philipsen, E M W van de Garde, E W Steyerberg, E P Jansma, H C W De Vet, V M H Coupé

Abstract readSystematic Review
In one paragraph

Synthesis in BMC medical informatics and decision making, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Clinician perspectives on clinical decision support systems in lung cancer: Implications for shared decision-making.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  5. Article
  6. Article
  7. Review
  8. miR-5582-5p inhibits cell proliferation of non-small cell lung cancer through targeting FGF-10.International journal of clinical and experimental pathology · 2019
    Article
  9. 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

10 authors.

D RévészDepartment of Epidemiology and Biostatistics, VU University Medical Center, PO Box 7057, 1007, MB, Amsterdam, The Netherlands. d.revesz@vumc.nl.ORCID http://orcid.org/0000-0003-0435-6808
E G EngelhardtDepartment of Epidemiology and Biostatistics, VU University Medical Center, PO Box 7057, 1007, MB, Amsterdam, The Netherlands.
J J TammingaDepartment of Public and Occupational Health, and Palliative Care Expertise Centre, The EMGO Institute for Health and Care Research (EMGO+), VU University Medical Centre, De Boelelaan 1089a, 1081, HV, Amsterdam, The Netherlands.
F M N H SchramelDepartment of Pulmonology, St Antonius Hospital, Nieuwegein, The Netherlands.
B D Onwuteaka-PhilipsenDepartment of Epidemiology and Biostatistics, VU University Medical Center, EMGO Institute for Health and Care Research, De Boelelaan 1089a, 1081, HV, Amsterdam, The Netherlands.
E M W van de GardeDepartment of Clinical Pharmacy, St. Antonius Hospital, Koekoekslaan 1, 3435, CM, Nieuwegein, The Netherlands.
E W SteyerbergDepartment of Public Health, Centre for Medical Decision Making, Erasmus MC, Rotterdam, The Netherlands.
E P JansmaMedical Library, Vrije Universiteit, Amsterdam, The Netherlands.
H C W De VetDepartment of Epidemiology and Biostatistics, VU University Medical Center, EMGO Institute for Health and Care Research, De Boelelaan 1089a, 1081, HV, Amsterdam, The Netherlands.
V M H CoupéDepartment of Epidemiology and Biostatistics, VU University Medical Center, EMGO Institute for Health and Care Research, De Boelelaan 1089a, 1081, HV, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividually tailored cancer treatment is essential to ensure optimal treatment and resource use. Treatments for incurable metastatic non-small cell lung cancer (NSCLC) are evolving rapidly, and decision support systems (DSS) for this patient population have been developed to balance benefits and harms for decision-making. The aim of this systematic review was to inventory DSS for stage IIIB/IV NSCLC patients.

methodsA systematic literature search was performed in Pubmed, Embase and the Cochrane Library. DSS were described extensively, including their predictors, model performances (i.e., discriminative ability and calibration), levels of validation and user friendliness.

resultsThe systematic search yielded 3531 articles. In total, 67 articles were included after additional reference tracking. The 39 identified DSS aim to predict overall survival and/or progression-free survival, but give no information about toxicity or cost-effectiveness. Various predictors were incorporated, such as performance status, serum and inflammatory markers, and patient and tumor characteristics. Some DSS were developed for the entire incurable NSCLC population, whereas others were specifically for patients with brain or spinal metastases. Few DSS had been validated externally using recent clinical data, and the discrimination and calibration were often poor.

conclusionsMany DSS have been developed for incurable NSCLC patients, but DSS are still lacking that are up-to-date with a good model performance, while covering the entire treatment spectrum. Future DSS should incorporate genetic and biological markers based on state-of-the-art evidence, and compare multiple treatment options to estimate survival, toxicity and cost-effectiveness.

Indexed as

Decision Support Systems, ClinicalCarcinoma, Non-Small-Cell LungDecision Support TechniquesHumansLung NeoplasmsPalliative CarePrognosisDecision support systemsNon-small-cell lung cancerPrognosisSurvival

Identifiers

PMID28969629
PMCPMC5625762

What OpenQuestion holds

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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.