Evidence map›Paper›PMID 31311605›Full record

SynthesisSystematic reviews2019

Pragmatic methods for reviewing exceptionally large bodies of evidence: systematic mapping review and overview of systematic reviews using lung cancer survival as an exemplar.

Ruth Lewis, Maggie Hendry, Nafees Din, Marian A Stanciu, Sadia Nafees, Annie Hendry, Zhi Hao Teoh, Thomas Lloyd, Rachel Parsonage, Richard D Neal and 2 more

Abstract readSystematic Review
In one paragraph

Synthesis in Systematic reviews, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Care transitions and social needs: A Geriatric Emergency care Applied Research (GEAR) Network scoping review and consensus statement.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2021
    Article
  6. Article
  7. Observational
  8. Article
  9. 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

12 authors.

Ruth LewisNorth Wales Centre for Primary Care Research, School of Health Sciences, Bangor University, Cambrian 2, Wrexham Technology Park, Wrexham, LL13 7YP, UK. r.lewis@bangor.ac.uk.ORCID 0000-0003-0745-995X
Maggie HendryNorth Wales Centre for Primary Care Research, School of Health Sciences, Bangor University, Cambrian 2, Wrexham Technology Park, Wrexham, LL13 7YP, UK.
Nafees DinNorth Wales Centre for Primary Care Research, School of Health Sciences, Bangor University, Cambrian 2, Wrexham Technology Park, Wrexham, LL13 7YP, UK.
Marian A StanciuNorth Wales Centre for Primary Care Research, School of Health Sciences, Bangor University, Cambrian 2, Wrexham Technology Park, Wrexham, LL13 7YP, UK.
Sadia NafeesCentre for Mental Health and Society, School of Health Sciences, Bangor University, Academic Unit, Wrexham Technology Park, Wrexham, LL13 7YP, UK.
Annie HendryNorth Wales Centre for Primary Care Research, School of Health Sciences, Bangor University, Cambrian 2, Wrexham Technology Park, Wrexham, LL13 7YP, UK.
Zhi Hao TeohNorth Wales Centre for Primary Care Research, School of Health Sciences, Bangor University, Cambrian 2, Wrexham Technology Park, Wrexham, LL13 7YP, UK.
Thomas LloydNorth Wales Centre for Primary Care Research, School of Health Sciences, Bangor University, Cambrian 2, Wrexham Technology Park, Wrexham, LL13 7YP, UK.
Rachel ParsonageNorth Wales Centre for Primary Care Research, School of Health Sciences, Bangor University, Cambrian 2, Wrexham Technology Park, Wrexham, LL13 7YP, UK.
Richard D NealAcademic Unit of Primary Care, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.
Gareth CollierHywel Dda University Health Board, Carmarthen, Wales, UK.
Dyfed W HuwsWelsh Cancer Intelligence and Surveillance Unit (WCISU), Health Intelligence Division, Public Health Wales, Cardiff, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLung cancer (LC) is the most common cause of cancer death in the world and associated with significant economic burden. We conducted a review of published literature to identify prognostic factors associated with LC survival and determine which may be modifiable and could be targeted to improve outcomes.

methodsThe exceptionally large volume of LC prognostic research required a new staged approach to reviewing the literature. This comprised an initial mapping review of existing reviews or meta-analyses, based on titles and abstracts, followed by an overview of systematic reviews evaluating factors that independently contribute to lung cancer survival. The overview of reviews was based on full text papers and incorporated a more in-depth assessment of reviews evaluating modifiable factors.

resultsA large volume of published systematic reviews and meta-analyses were identified, but very few focused on modifiable factors for LC survival. Several modifiable factors were identified, which are potential candidates for targeted interventions aiming to improve cancer outcomes. The mapping review included 398 reviews, of which 207 investigated the independent effect of prognostic factors on lung cancer survival. The most frequently evaluated factors were novel biomarkers (86 biomarkers in 138 reviews). Only 15 modifiable factors were investigated in 20 reviews. Those associated with significant survival improvement included normal BMI/less weight loss, good performance status, not smoking/quitting after diagnosis, good pre-treatment quality of life, small gross volume tumour, early-stage tumour, lung resection undertaken by a thoracic/cardiothoracic surgeon, care being discussed by a multidisciplinary team, and timeliness of care.

conclusionsThe study utilised a novel approach for reviewing an extensive and complicated body of research evidence. It enabled us to address a broad research question and focus on a specific area of priority. The staged approach ensured the review remained relevant to the stakeholders throughout, whilst maintaining the use of objective and transparent methods. It also provided important information on the needs of future research. However, it required extensive planning, management, and ongoing reviewer training.

Indexed as

Cancer SurvivorsLung NeoplasmsOutcome Assessment, Health CareQuality of LifeGlobal HealthHumansSurvival RateSystematic Reviews as TopicLung cancerOverview of reviewsPrognostic factorsPrognostic researchSystematic review

Identifiers

PMID31311605
PMCPMC6631880

What OpenQuestion holds

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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.