Evidence map›Paper›PMID 29170976›Full record

ArticleBreast cancer research and treatment2018

Real-world treatment in patients with HER2+ metastatic breast cancer : Treatment decisions in HER2+ mBC.

R Colomer, P Hall, M Szkultecka-Debek, R C Bondi, A Flinois, S Auziere, J Y Le Cléac'h

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Breast cancer research and treatment, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.1field-weighted citation impact, top 46% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Article
  4. Article
  5. 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

7 authors at 4 institutions in 5 countries.

R ColomerHospital Universitario La Princesa, Diego León 62, 28006, Madrid, Spain.
P HallEdinburgh Cancer Centre, Crewe Rd S, Edinburgh, EH4 2XR, UK.
M Szkultecka-DebekRoche Polska, Domaniewska 39B, Warsaw, Poland.
R C BondiRoche SAS, Grenzacherstrasse 124, 4070, Basel, Switzerland.
A FlinoisKantar Health, 3 Avenue Pierre Masse, 75014, Paris, France. Alain.Flinois@Kantarhealth.com.ORCID http://orcid.org/0000-0001-9842-1046
S AuziereKantar Health, 3 Avenue Pierre Masse, 75014, Paris, France.
J Y Le Cléac'hKantar Health, 3 Avenue Pierre Masse, 75014, Paris, France.
Edinburgh Cancer Research · GBHospital Universitario de La Princesa · ESKantar Health (Brazil) · BRRoche (Switzerland) · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe landscape of HER2+ metastatic breast cancer (mBC) treatment is changing due to the availability of new anti-HER2 drugs. The purpose of this study was to assess the current treatment patterns and sequences used in HER2+ mBC in the real-world setting. Secondary objectives were to describe the factors that influence the decision to prescribe a first and second-line antitumour treatment.

methodsRetrospective chart review of 3068 cases in Spain, Italy, the Netherlands and the UK.

resultsFirst and second-line treatments and regimens are consistent with the clinical guidelines, especially for recently initiated treatments. Age and performance status (PS) of patients impact treatment patterns: younger patients received more innovative treatments than elderly patients. In addition, while most patients received a first antitumor treatment, the rate of patients who continue to subsequent lines of therapy is low (55% transitioning from 1st to 2nd line; 58% from 2nd to 3rd line). Age and PS are key factors in the decision to prescribe further antitumor treatment.

conclusionFewer HER2+ mBC patients than expected receive a second and third line therapy. Guidelines should make specific recommendations for older patients or those with a poor PS.

Indexed as

Patient SelectionAgedAge FactorsAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsClinical Decision-MakingCross-Sectional StudiesDisease-Free SurvivalErb-b2 Receptor Tyrosine KinasesFemaleHumansItalyMiddle AgedNetherlandsPractice Guidelines as TopicPractice Patterns, Physicians'ERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesAntitumour treatmentHER2+ metastatic breast cancerTreatment patternsTreatment rates

Identifiers

PMID29170976
PMCPMC5847072
OpenAlexW2770594843

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.