Evidence map›Paper›PMID 29970078›Full record

ArticleBMC health services research2018

Physicians' preferences for bone metastases treatments in France, Germany and the United Kingdom.

Yi Qian, Jorge Arellano, Francesca Gatta, Guy Hechmati, A Brett Hauber, Ateesha F Mohamed, Amit Bahl, Roger von Moos, Jean-Jacques Body

Abstract readMulticenter Study
In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. 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.

Yi QianHealth Economics, Amgen Inc, Thousand Oaks, CA, 91320, USA. yiq@amgen.com.
Jorge ArellanoHealth Economics, Amgen Inc, Thousand Oaks, CA, 91320, USA.
Francesca GattaHealth Economics, Amgen (Europe) GmbH, Zug, Switzerland.
Guy HechmatiHealth Economics, Amgen (Europe) GmbH, Zug, Switzerland.
A Brett HauberRTI Health Solutions, Research Triangle Park, NC, USA.
Ateesha F MohamedRTI Health Solutions, Research Triangle Park, NC, USA.
Amit BahlBristol Haematology and Oncology Centre, University Hospitals Bristol, Bristol Royal Infirmary, Avon, Bristol, UK.
Roger von MoosDepartment of Oncology/Hematology, Kantonsspital Graubünden, Chur, Switzerland.
Jean-Jacques BodyDepartment of Medicine, CHU Brugmann, ULB, Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral bone-targeted agents (BTAs) are available for preventing skeletal-related events (SREs), but they vary in terms of efficacy, safety and mode of administration. This study assessed data on European physicians' treatment preferences for preventing SREs in patients with bone metastases from solid tumours.

methodsPhysicians completed a web-based discrete-choice experiment survey of 10 choices between pairs of profiles of hypothetical BTAs for a putative patient. Each profile included five attributes within a pre-defined range (primarily based on existing BTAs' prescribing information): time (months) until the first SRE; time (months) until worsening of pain; annual risk of osteonecrosis of the jaw (ONJ); annual risk of renal impairment; and mode of administration. Choice questions were developed using an experimental design with known statistical properties. A separate main-effects random parameters logit model was estimated for each country and provided the relative preference for the treatment attributes in the study.

resultsA total of 191 physicians in France, 192 physicians in Germany, and 197 physicians in the United Kingdom completed the survey. In France and the United Kingdom, time until the first SRE and risk of renal impairment were the most important attributes; in Germany, time until the first SRE and delay in worsening of pain were the most important. In all countries, a 120-min infusion every 4 weeks was the least preferred mode of administration (p < 0.05) and the annual risk of ONJ was judged to be the least important attribute.

conclusionsWhen making treatment decisions regarding the choice of BTA, delaying the onset of SREs/worsening of pain and reducing the risk of renal impairment are the primary objectives for physicians.

Indexed as

Practice Patterns, Physicians'AdolescentAdultAgedAntineoplastic AgentsBone and BonesBone NeoplasmsChoice BehaviorClinical Decision-MakingFranceGermanyHumansLogistic ModelsMiddle AgedPainSurveys and QuestionnairesAntineoplastic AgentsBone metastasesBone painBone-targeted agentsDiscrete-choice experimentPreferenceSkeletal-related event

Identifiers

PMID29970078
PMCPMC6030781

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Registered trials

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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.