Evidence map›Paper›PMID 30271215›Full record

ArticleCancer management and research2018

Gemcitabine and docetaxel as second-line chemotherapy in elderly patients with metastatic urothelial carcinoma: a retrospective analysis.

Taku Naiki, Keitaro Iida, Toshiki Etani, Takashi Nagai, Yutaro Tanaka, Yosuke Sugiyama, Ryosuke Ando, Shuzo Hamamoto, Rika Banno, Daisuke Nagata and 2 more

Abstract read
In one paragraph

Article in Cancer management and research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

12 authors.

Taku NaikiDepartment of Nephro-Urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan, naiki@med.nagoya-cu.ac.jp.
Keitaro IidaDepartment of Nephro-Urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan, naiki@med.nagoya-cu.ac.jp.
Toshiki EtaniDepartment of Nephro-Urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan, naiki@med.nagoya-cu.ac.jp.
Takashi NagaiDepartment of Urology, Anjo Kosei Hospital, Anjo, Japan.
Yutaro TanakaDepartment of Nephro-Urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan, naiki@med.nagoya-cu.ac.jp.
Yosuke SugiyamaDepartment of Pharmacy, Nagoya City University Hospital, Nagoya, Japan.
Ryosuke AndoDepartment of Nephro-Urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan, naiki@med.nagoya-cu.ac.jp.
Shuzo HamamotoDepartment of Nephro-Urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan, naiki@med.nagoya-cu.ac.jp.
Rika BannoDepartment of Urology, Konan Kosei Hospital, Konan, Japan.
Daisuke NagataDepartment of Urology, Konan Kosei Hospital, Konan, Japan.
Noriyasu KawaiDepartment of Nephro-Urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan, naiki@med.nagoya-cu.ac.jp.
Takahiro YasuiDepartment of Nephro-Urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan, naiki@med.nagoya-cu.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this study was to evaluate the efficacy of a combination of gemcitabine and docetaxel (GD) as a second-line treatment for elderly patients with metastatic urothelial carcinoma (mUC). PATIENTS AND

methodsA total of 122 patients with mUC who were previously treated with platinum-based chemotherapy received second-line GD therapy from July 2010 to June 2016. This consisted of 800 mg/m

resultsThe median follow-up period was 8.2 months (range: 2.1-100). The median number of treatment cycles was three (range: 1-16) in Group A, three (1-15) in Group B, and two (1-11) in Group C. The objective response rate was not significantly different between the three groups. In addition, PFS and OS from the start of second-line GD therapy were also not significantly different. According to univariate and multivariate analyses of the second-line GD-treated cohort, a good performance status was the only prognostic factor for PFS and OS. In Group C, myelosuppression including predominant neutropenia and anemia, fatigue, and nausea were the main common adverse events. However, the incidence of neutropenia and a reduction in platelets were not significantly different between the three groups. Treatment-related deaths did not occur in this study.

conclusionIn this study, GD combination therapy as a second-line treatment for mUC resulted in favorable tumor responses and few treatment-related toxicities, even among elderly patients.

Indexed as

elderly patientsgemcitabine and docetaxelmetastatic urothelial carcinomasecond-line

Identifiers

PMID30271215
PMCPMC6152597

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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.