Evidence map›Paper›PMID 30734241›Full record

ArticleDrugs & aging2019

Age-Associated Hematological Toxicity in Patients with Metastatic Castration-Resistant Prostate Cancer Treated with Docetaxel in Clinical Practice.

Marie-Rose B S Crombag, Aurelia H M de Vries Schultink, Jacobine G C van Doremalen, Hans-Martin Otten, Andries M Bergman, Jan H M Schellens, Jos H Beijnen, Alwin D R Huitema

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Drugs & aging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

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

8 authors at 3 institutions in 1 country.

Marie-Rose B S CrombagDepartment of Pharmacy and Pharmacology, Antoni van Leeuwenhoek, The Netherlands Cancer Institute and MC Slotervaart, Plesmanlaan 121, 1066 CX, Amsterdam, The Netherlands. m.crombag@nki.nl.ORCID http://orcid.org/0000-0002-2241-252X
Aurelia H M de Vries SchultinkDepartment of Pharmacy and Pharmacology, Antoni van Leeuwenhoek, The Netherlands Cancer Institute and MC Slotervaart, Plesmanlaan 121, 1066 CX, Amsterdam, The Netherlands.
Jacobine G C van DoremalenDepartment of Pharmacy and Pharmacology, Antoni van Leeuwenhoek, The Netherlands Cancer Institute and MC Slotervaart, Plesmanlaan 121, 1066 CX, Amsterdam, The Netherlands.
Hans-Martin OttenDivision of Medical Oncology, MC Slotervaart, Amsterdam, The Netherlands.
Andries M BergmanDivision of Medical Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Jan H M SchellensDivision of Pharmacology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Jos H BeijnenDepartment of Pharmacy and Pharmacology, Antoni van Leeuwenhoek, The Netherlands Cancer Institute and MC Slotervaart, Plesmanlaan 121, 1066 CX, Amsterdam, The Netherlands.
Alwin D R HuitemaDepartment of Pharmacy and Pharmacology, Antoni van Leeuwenhoek, The Netherlands Cancer Institute and MC Slotervaart, Plesmanlaan 121, 1066 CX, Amsterdam, The Netherlands.
Utrecht University · NLSlotervaartziekenhuis · NLThe Netherlands Cancer Institute · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlder patients with metastatic castration-resistant prostate cancer (mCRPC) may be more prone to chemotherapy-induced hematological toxicity, but tailored docetaxel dosing guidelines in older patients are lacking because of conflicting data.

objectiveThis study aims to evaluate the impact of older age on the incidence of hematological toxicity in patients with mCRPC treated with docetaxel in daily clinical practice.

methodsThis study included patients with mCRPC treated with docetaxel between January 2006 and January 2016 at the Netherlands Cancer Institute and Medical Center Slotervaart for whom dosing and hematological toxicity data were available from electronic patient records. We evaluated the impact of age on the incidence of grade 3 and 4 hematological toxicity.

resultsIn total, 175 patients treated with docetaxel were included in the analysis, with a median age of 67 years (range 47-86). Baseline hematological laboratory values were not age related. After the first treatment cycle, hematological toxicity occurred significantly more frequently in the oldest age quartile (25%, p = 0.02) than in the younger age quartiles (9%, 11%, and 7%, respectively, for age quartiles 1, 2, and 3).

conclusionThe risk of hematological toxicity was significantly higher in the oldest age quartile than in younger patients with mCRPC treated with docetaxel in daily clinical practice.

Indexed as

AgedAged, 80 and overAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsDocetaxelHumansMaleMiddle AgedNeoplasm MetastasisNetherlandsProstatic Neoplasms, Castration-ResistantRetrospective StudiesAntineoplastic AgentsDocetaxel

Identifiers

PMID30734241
OpenAlexW2912021769

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.