Evidence map›Paper›PMID 30846513›Full record

Observational studyThe oncologist2019

From Diagnostic-Therapeutic Pathways to Real-World Data: A Multicenter Prospective Study on Upfront Treatment for

Giulia Pasello, Giovanni Vicario, Fable Zustovich, Francesco Oniga, Stefania Gori, Francesco Rosetti, Andrea Bonetti, Adolfo Favaretto, Silvia Toso, Roberta Redelotti and 17 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in The oncologist, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Observational
  3. 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

27 authors.

Giulia PaselloMedical Oncology 2, Istituto Oncologico Veneto (IOV) Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Padova, Italy giulia.pasello@iov.veneto.it.
Giovanni VicarioMedical Oncology, Azienda Unità Locale Socio Sanitaria (AULSS) 2 Marca Trevigiana, San Giacomo Hospital, Castelfranco Veneto, Italy.
Fable ZustovichClinical Oncology Department, AULSS 1 Dolomiti, San Martino Hospital, Belluno, Italy.
Francesco OnigaMedical Oncology, AULSS 3 Serenissima, Angelo Hospital, Venezia-Mestre, Italy.
Stefania GoriMedical Oncology, Sacro Cuore-Don Calabria Hospital, Cancer Care Center, Negrar, Italy.
Francesco RosettiOncology and Oncological Hematology, AULSS 3 Serenissima, Mirano-Dolo Hospital, Venezia, Italy.
Andrea BonettiDepartment of Oncology, AULSS 9 Scaligera, Mater Salutis Hospital, Legnago, Italy.
Adolfo FavarettoDepartment of Medical Oncology, AULSS 2 Marca Trevigiana, Ca'Foncello Hospital, Treviso, Italy.
Silvia TosoMedical Oncology, AULSS 5 Polesana, Adria Hospital, Adria, Italy.
Roberta RedelottiMedical Oncology, AULSS 6 Euganea, South Padova Hospital, Padova, Italy.
Antonio SantoMedical Oncology, University of Verona, Azienda Ospedaliera Universitaria Integra (AOUI) Verona, Verona, Italy.
Daniele BernardiMedical Oncology, AULSS 4, San Donà Hospital, San Donà di Piave, Italy.
Petros GiovanisMedical Oncology, AULSS 1 Dolomiti, Santa Maria del Prato Hospital, Feltre, Italy.
Cristina OlianiOncology Unit, AULSS 8, Montecchio Maggiore Hospital, Monteccio Maggiore, Italy.
Lorenzo CalvettiDepartment of Oncology, San Bortolo General Hospital, AULSS 8 Berica, Vicenza, Italy.
Carlo GattiMedical Oncology, AULSS 3 Serenissima, Chioggia Hospital, Chioggia, Italy.
Giovanni PalazzoloMedical Oncology, AULSS 6 Euganea, Cittadella Camposampiero Hospital, Camposampiero, Italy.
Zora BarettaOncology Unit, AULSS 8, Montecchio Maggiore Hospital, Monteccio Maggiore, Italy.
Alberto BortolamiMedical Oncology 2, Istituto Oncologico Veneto (IOV) Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Padova, Italy.
Laura BonannoMedical Oncology 2, Istituto Oncologico Veneto (IOV) Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Padova, Italy.
Marco BassoMedical Oncology, Azienda Unità Locale Socio Sanitaria (AULSS) 2 Marca Trevigiana, San Giacomo Hospital, Castelfranco Veneto, Italy.
Jessica MenisMedical Oncology 2, Istituto Oncologico Veneto (IOV) Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Padova, Italy.
Donatella Da CorteClinical Oncology Department, AULSS 1 Dolomiti, San Martino Hospital, Belluno, Italy.
Stefano FregaMedical Oncology 2, Istituto Oncologico Veneto (IOV) Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Padova, Italy.
Valentina GuarneriMedical Oncology 2, Istituto Oncologico Veneto (IOV) Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Padova, Italy.
PierFranco ConteMedical Oncology 2, Istituto Oncologico Veneto (IOV) Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Padova, Italy.
Veneto Oncology Network

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGefitinib, erlotinib, and afatinib represent the approved first-line options for epidermal growth factor receptor (

methodsMOST is a multicenter observational study promoted by the Veneto Oncology Network, aiming at monitoring the diagnostic-therapeutic pathway of patients with nonsquamous

resultsAn

conclusionGood regional adherence and compliance to the diagnostic-therapeutic pathway defined for patients with nonsquamous NSCLC was shown. mTTF did not significantly differ among the three targeted TKIs. Our budget impact analysis suggests the potential application of real-world data in the process of drug price negotiation. IMPLICATIONS FOR PRACTICE: The MOST study is a real-world data collection reporting a multicenter adherence and compliance to diagnostic-therapeutic pathways defined for patients with epidermal growth factor receptor-mutant non-small cell lung cancer. This represents an essential element of evidence-based medicine, providing information on patients and situations that may be challenging to assess using only data from randomized controlled trials, e.g., turn-around time of diagnostic tests, treatment compliance and persistence, guideline adherence, challenging-to-treat populations, drug safety, comparative effectiveness, and cost effectiveness. This study may be of interest to various stakeholders (patients, clinicians, and payers), providing a meaningful picture of the value of a given therapy in routine clinical practice.

Indexed as

AdultAfatinibAgedAged, 80 and overCarcinoma, Non-Small-Cell LungCost-Benefit AnalysisCritical PathwaysDisease-Free SurvivalDisease ProgressionDNA Mutational AnalysisDrug MonitoringErbB ReceptorsErlotinib HydrochlorideFemaleFollow-Up StudiesGefitinibAfatinibEGFR protein, humanErbB ReceptorsErlotinib HydrochlorideGefitinibProtein Kinase InhibitorsEpidermal growth factor receptorNon‐small cell lung cancerReal worldTyrosine kinase inhibitor

Identifiers

PMID30846513
PMCPMC6656504

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.