Evidence map›Paper›PMID 29743951›Full record

ArticleEcancermedicalscience2018

Palliative chemotherapy outcomes in patients with ECOG-PS higher than 1.

Rafael Caires-Lima, Karolina Cayres, Bruno Protásio, Inacelli Caires, Júlia Andrade, Lucila Rocha, Tiago Kenji Takahashi, Paulo M Hoff, Gilberto de Castro, Milena Perez Mak

Open access · goldAbstract read
In one paragraph

Article in Ecancermedicalscience, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
7.8field-weighted citation impact, top 2% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Patient performance status and cancer immunotherapy efficacy: a meta-analysis.Medical oncology (Northwood, London, England) · 2018
    Pooled it
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  14. Factors associated with the initiation of chemotherapy within 90 days of death in metastatic colorectal cancer patients: a population-based study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
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  17. Defining Undertreatment and Overtreatment in Older Adults With Cancer: A Scoping Literature Review.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020
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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 at 1 institution in 1 country.

Rafael Caires-LimaMedical Oncology, Instituto do Cancer do Estado de Sao Paulo, Sao Paulo 01246-000, Brazil.
Karolina CayresMedical Oncology, Instituto do Cancer do Estado de Sao Paulo, Sao Paulo 01246-000, Brazil.
Bruno ProtásioMedical Oncology, Instituto do Cancer do Estado de Sao Paulo, Sao Paulo 01246-000, Brazil.
Inacelli CairesMedical Oncology, Instituto do Cancer do Estado de Sao Paulo, Sao Paulo 01246-000, Brazil.
Júlia AndradeMedical Oncology, Instituto do Cancer do Estado de Sao Paulo, Sao Paulo 01246-000, Brazil.
Lucila RochaMedical Oncology, Instituto do Cancer do Estado de Sao Paulo, Sao Paulo 01246-000, Brazil.
Tiago Kenji TakahashiMedical Oncology, Instituto do Cancer do Estado de Sao Paulo, Sao Paulo 01246-000, Brazil.
Paulo M HoffMedical Oncology, Instituto do Cancer do Estado de Sao Paulo, Sao Paulo 01246-000, Brazil.
Gilberto de CastroMedical Oncology, Instituto do Cancer do Estado de Sao Paulo, Sao Paulo 01246-000, Brazil.
Milena Perez MakMedical Oncology, Instituto do Cancer do Estado de Sao Paulo, Sao Paulo 01246-000, Brazil.
Instituto do Câncer do Estado de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAlthough patients with incurable disease and Eastern Cooperative Oncology Group performance status (ECOG-PS ≥ 2) are underrepresented in clinical trials, they are frequently offered palliative chemotherapy (pCT) in daily clinical practice in order to improve symptoms and quality of life. In this case-control retrospective analysis, our goal was to identify factors associated with poorer survival and lack of benefit of pCT in this population. PATIENTS AND

methodsWe evaluated 2,514 patients who died between August 2011 and July 2012 in an academic cancer care institution and its hospice. A total of 301 patients with solid tumours and ECOG-PS ≥ 2 at prescription of pCT were selected for this case-control retrospective analysis. Cases were defined as patients who survived less than 90 days after the first cycle of first line pCT, and controls were those who had a longer survival.

results142 cases and 159 controls were included. Cases were more likely to experience grade ≥ 3 toxicity (43% versus 28%;

conclusionsThe independent predictors of short survival (less than 3 months) after initiation of pCT in this population were ECOG-PS > 2 and elevated sCr. Therefore, patient selection is crucial, as pCT may be deleterious in ECOG-PS ≥ 2 pts.

Indexed as

end-of-life carepalliative chemotherapypoor performance statusprognosissupportive care

Identifiers

PMID29743951
PMCPMC5931814
OpenAlexW2802092322

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.