Evidence map›Paper›PMID 31015313›Full record

ArticleThe oncologist2019

Patterns of Care Among Real-World Patients with Metastatic Neuroendocrine Tumors.

Andrew J Klink, Bruce Feinberg, Hsing-Ting Yu, David Ray, Sonia Pulgar, Alexandria Phan, Aaron Vinik

Open access · bronzeAbstract read
In one paragraph

Article in The oncologist, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Observational
  2. Long-term experience with octreotide and lanreotide for the treatment of gastroenteropancreatic neuroendocrine tumors.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Article
  3. Article
  4. Treatment Patterns of Long-Acting Somatostatin Analogs for Neuroendocrine Tumors.Journal of health economics and outcomes research · 2023
    Article
  5. Article
  6. Observational
  7. Review
  8. Primary tumor location (rightTherapeutic advances in gastroenterology · 2021
    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

7 authors at 4 institutions in 1 country.

Andrew J KlinkCardinal Health Specialty Solutions, Dublin, Ohio, USA andrew.klink@cardinalhealth.com.
Bruce FeinbergCardinal Health Specialty Solutions, Dublin, Ohio, USA.
Hsing-Ting YuCardinal Health Specialty Solutions, Dublin, Ohio, USA.ORCID 0000-0002-8546-1505
David RayIpsen Biopharmaceuticals, Inc., Basking Ridge, New Jersey, USA.
Sonia PulgarIpsen Biopharmaceuticals, Inc., Basking Ridge, New Jersey, USA.
Alexandria PhanUniversity of Texas Health Science Tyler School of Medicine, Tyler, Texas, USA.
Aaron VinikEastern Virginia Medical School, Norfolk Virginia, USA.
Cardinal Health (United States) · USIpsen (United States) · USEastern Virginia Medical School · USThe University of Texas Health Science Center at Tyler · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough recent pivotal trials (PROMID, CLARINET) have established somatostatin analogs (SSAs) as first-line agents for neuroendocrine tumors (NETs), their use in clinical practice is largely unknown. We aimed to understand real-world management and treatment of gastroenteropancreatic (GEP) NETs. MATERIALS AND

methodsPatients with metastatic GEP-NETs treated with SSAs, lanreotide depot or octreotide long-acting release (LAR), between January 1, 2015, and December 31, 2015, were identified from a U.S. claims database supplemented with chart review for a subset of patients. Descriptive statistics summarized patients' demographics, clinical characteristics, treatment patterns, and healthcare resource use. Univariate and multivariate comparisons were made across SSA groups.

resultsAmong 548 patients treated with an SSA for metastatic GEP-NET (lanreotide = 108; octreotide = 440), demographic and clinical characteristics were similar across groups, except more patients with pancreatic NETs were treated with lanreotide (38.7% vs. 6.3%,

conclusionSSAs were common in first-line systemic intervention, but dose escalations and dosing deviations outside of label were noted. Variances between claims and chart review warrant additional research to compare methodologies. With an increasing focus on value-based care in oncology, it is critical to understand the use of, and outcomes with, these agents in community practices. IMPLICATIONS FOR PRACTICE: The aim of this study was to enhance understanding of real-world management and treatment of metastatic neuroendocrine tumors (NETs), with particular focus on systemic therapy with a somatostatin analog (SSA). As per published guidelines, SSAs are common in first-line systemic intervention, but dose escalations and dosing deviations outside of the label are noted for symptom control. Nevertheless, oncologists must weigh the implications of the use of above-label dosing of SSAs to manage and treat patients with metastatic NET within a value-based care framework.

Indexed as

Cohort StudiesFemaleHumansMaleMiddle AgedNeoplasm MetastasisNeuroendocrine TumorsRetrospective StudiesLanreotide depotNeuroendocrine tumorsOctreotide LARReal‐worldSomatostatin analogs

Identifiers

PMID31015313
PMCPMC6795156
OpenAlexW2941246023

What OpenQuestion holds

Textmetadata
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.