Evidence map›Paper›PMID 30533997›Full record

ArticleSarcoma2018

Adult Primary Bone Sarcoma and Time to Treatment Initiation: An Analysis of the National Cancer Database.

Joshua M Lawrenz, Gannon L Curtis, Joseph F Styron, Jaiben George, Peter M Anderson, Stacey Zahler, Dale R Shepard, Brian P Rubin, Lukas M Nystrom, Nathan W Mesko

Abstract read
In one paragraph

Article in Sarcoma, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Assessing Sarcoma Awareness Among the General Population in Minnesota: A Cross-Sectional Survey Study from the Minnesota State Fair in 2015 and 2022.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
    Article
  5. Article
  6. Regional anesthesia is associated with improved metastasis free survival after surgical resection of bone sarcomas.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2023
    Article
  7. Article
  8. Characteristics, Management, and Outcomes of Patients With Osteosarcoma: An Analysis of Outcomes From the National Cancer Database.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022
    Article
  9. Review
  10. 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.

Joshua M LawrenzOrthopaedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, OH 44195, USA.ORCID 0000-0003-4069-7044
Gannon L CurtisOrthopaedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Joseph F StyronOrthopaedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Jaiben GeorgeOrthopaedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Peter M AndersonTaussig Cancer Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Stacey ZahlerTaussig Cancer Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Dale R ShepardTaussig Cancer Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Brian P RubinRobert J. Tomsich Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Lukas M NystromOrthopaedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, OH 44195, USA.ORCID 0000-0001-8120-2680
Nathan W MeskoOrthopaedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, OH 44195, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe time to treatment interval (TTI), defined as the period from diagnosis to first definitive treatment, has very limited descriptions toward understanding delays in primary bone sarcoma (PBS) care. Our primary goal was to determine the national standard for time to treatment initiation (TTI) in PBS in adults and to identify characteristics associated with TTI variability.

methodsAn analysis of the National Cancer Database identified 15,083 adult patients with PBS diagnosed from 2004 to 2013. Kruskal-Wallis analysis identified differences between covariates regarding TTI and regression modeling identified covariates that independently influenced TTI.

resultsThe median TTI was 22 days. Approximately 60% of patients were definitively treated in the same center where the index diagnosis was made. Increased TTI was correlated with a transition in care institution (incidence rate ratio (IRR) = 1.89;

conclusionsTTI is associated with tumor, treatment, and socioeconomic and healthcare system characteristics. Transitions in care between institutions are responsible for the greatest increase in TTI. As TTI is more commonly used as a quality metric, physicians need to be aware of the causes for prolonged TTI, as we work to improve national delays in diagnosis and treatment initiation.

Identifiers

PMID30533997
PMCPMC6252187

What OpenQuestion holds

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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.