Evidence map›Paper›PMID 31011072›Full record

ArticleGeriatrics (Basel, Switzerland)2018

Optimising Clinical Trial Design in Older Cancer Patients.

Shóna Whelehan, Orlaith Lynch, Niall Treacy, Ciara Gleeson, Andrea Oates, Anita O'Donovan

Abstract read
In one paragraph

Article in Geriatrics (Basel, Switzerland), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

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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

6 authors.

Shóna WhelehanDiscipline of Radiation Therapy, School of Medicine, Trinity College Dublin, Dublin, Ireland. whelehs@tcd.ie.
Orlaith LynchDiscipline of Radiation Therapy, School of Medicine, Trinity College Dublin, Dublin, Ireland. orlynch@tcd.ie.
Niall TreacyDiscipline of Radiation Therapy, School of Medicine, Trinity College Dublin, Dublin, Ireland. treacyni@tcd.ie.
Ciara GleesonDiscipline of Radiation Therapy, School of Medicine, Trinity College Dublin, Dublin, Ireland. gleesoc3@tcd.ie.
Andrea OatesDiscipline of Radiation Therapy, School of Medicine, Trinity College Dublin, Dublin, Ireland. oatesan@tcd.ie.
Anita O'DonovanDiscipline of Radiation Therapy, School of Medicine, Trinity College Dublin, Dublin, Ireland. anita.odonovan@tcd.ie.ORCID 0000-0002-1924-6989

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer is predominantly a disease of older patients, with over half of those aged over 65 years of age being diagnosed with cancer at some stage. Despite comprising a significant proportion of the patients that we see in clinical practice, there is a lack of representation of older patients in cancer clinical trials. This is mainly due to restrictive trial inclusion criteria that prevent older patients from participating. Also, trial endpoints, such as overall survival, may not represent the most important and most meaningful endpoints for older patients. The latter may place more significance on quality of life and other outcomes such as functional independence. Baseline assessment using Comprehensive Geriatric Assessment, may provide a better framework for quantifying patient outcomes for varying degrees of fitness or frailty. This short communication makes the case for more age appropriate endpoints, such as quality of life, toxicity and functional independence, and that novel trial designs are necessary to inform evidence-based care of older cancer patients.

Indexed as

clinical trialsdesignendpointsgeriatric oncologyoncologyquality of life

Identifiers

PMID31011072
PMCPMC6319227

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.