Evidence map›Paper›PMID 31390276›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2019

Prediction of Progression-Free Survival in Patients With Advanced, Well-Differentiated, Neuroendocrine Tumors Being Treated With a Somatostatin Analog: The GETNE-TRASGU Study.

Alberto Carmona-Bayonas, Paula Jiménez-Fonseca, Ángela Lamarca, Jorge Barriuso, Ángel Castaño, Marta Benavent, Vicente Alonso, María Del Carmen Riesco-Martínez, Teresa Alonso-Gordoa, Ana Custodio and 19 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
6.9field-weighted citation impact, top 2% 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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.

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  6. [Research progress on liver transplantation therapy for hepatic metastases in gastroenteropancreatic neuroendocrine tumors].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
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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

29 authors at 20 institutions in 2 countries.

Alberto Carmona-BayonasHospital Universitario Morales Meseguer, Universidad de Murcia, Instituto Murciano de Investigación Biosanitaria, Murcia, Spain.
Paula Jiménez-FonsecaHospital Universitario Central de Asturias, Oviedo, Spain.
Ángela LamarcaThe Christie NHS Foundation Trust, Manchester, United Kingdom.
Jorge BarriusoThe Christie NHS Foundation Trust, Manchester, United Kingdom.
Ángel CastañoHospital Universitario de Fuenlabrada, Madrid, Spain.
Marta BenaventHospital Universitario Virgen del Rocío, Instituto de Biomedicina de Sevilla, Sevilla, Spain.
Vicente AlonsoHospital Universitario Miguel Servet, Zaragoza, Spain.
María Del Carmen Riesco-MartínezHospital Universitario Doce de Octubre, Madrid, Spain.
Teresa Alonso-GordoaHospital Universitario Ramón y Cajal, Madrid, Spain.
Ana CustodioHospital Universitario La Paz, Centro de Investigación Biomédica en Red Cáncer, CB16/12/00398, Madrid, Spain.
Manuel Sánchez CánovasHospital Universitario Morales Meseguer, Universidad de Murcia, Instituto Murciano de Investigación Biosanitaria, Murcia, Spain.
Jorge Hernando CuberoHospital Universitario Vall d'Hebron, Vall Hebron Institute of Oncology, Autonomous University of Barcelona, Barcelona, Spain.
Carlos LópezHospital Universitario Marqués de Valdecilla, Santander, Spain.
Adelaida LacastaHospital Universitario Donostia, San Sebastián, Spain.
Ana Fernández MontesComplexo Hospitalario Universitario de Ourense, Orense, Spain.
Mónica MarazuelaHospital Universitario de la Princesa, Madrid, Spain.
Guillermo CrespoComplejo Asistencial Universitario de Burgos, Burgos, Spain.
Pilar EscuderoHospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.
José Ángel DiazHospital Universitario Clínico San Carlos, Madrid, Spain.
Eduardo FeliciangeliHospital Universitario Santa Lucia, Cartagena, Spain.
Javier GallegoHospital General Universitario de Elche, Elche, Spain.
Marta LlanosHospital Universitario de Canarias, Universidad de La Laguna, Tenerife, Spain.
Ángel SeguraHospital Universitario La Fe, Valencia, Spain.
Felip VilardellHospital Universitari Arnau de Vilanova, Lleida, Spain.
Juan Carlos PercovichHospital Universitario Gregorio Marañón, Madrid, Spain.
Enrique GrandeMD Anderson Cancer Center Madrid, Madrid, Spain.
Jaume CapdevilaHospital Universitario Vall d'Hebron, Vall Hebron Institute of Oncology, Autonomous University of Barcelona, Barcelona, Spain.
Juan W ValleThe Christie NHS Foundation Trust, Manchester, United Kingdom.
Rocío García-CarboneroHospital Universitario Doce de Octubre, Universidad Complutense de Madrid, Centro Nacional de Investigaciones Oncológicas, Centro de Investigación Biomédica en Red Cáncer, Madrid, Spain.
The Christie NHS Foundation Trust · GBBiogipuzkoa Health Research Institute · ESComplejo Hospitalario de Ourense · ESHospital Clínico San Carlos · ESHospital Clínico Universitario Lozano Blesa · ESHospital General Universitario de Elche · ESHospital General Universitario Gregorio Marañón · ESHospital Universitari Arnau de Vilanova · ESHospital Universitari i Politècnic La Fe · ESHospital Universitario 12 De Octubre · ESHospital Universitario Central de Asturias · ESHospital Universitario de Burgos · ESHospital Universitario de Fuenlabrada · ESHospital Universitario de La Princesa · ESHospital Universitario La Paz · ESHospital Universitario Miguel Servet · ESHospital Universitario Ramón y Cajal · ESHospital Universitario Virgen del Rocío · ESInstituto Murciano de Investigación Biosanitaria · ESMarqués de Valdecilla University Hospital · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSomatostatin analogs (SSAs) are recommended for the first-line treatment of most patients with well-differentiated, gastroenteropancreatic (GEP) neuroendocrine tumors; however, benefit from treatment is heterogeneous. The aim of the current study was to develop and validate a progression-free survival (PFS) prediction model in SSA-treated patients. PATIENTS AND

methodsWe extracted data from the Spanish Group of Neuroendocrine and Endocrine Tumors Registry (R-GETNE). Patient eligibility criteria included GEP primary, Ki-67 of 20% or less, and first-line SSA monotherapy for advanced disease. An accelerated failure time model was developed to predict PFS, which was represented as a nomogram and an online calculator. The nomogram was externally validated in an independent series of consecutive eligible patients (The Christie NHS Foundation Trust, Manchester, United Kingdom).

resultsWe recruited 535 patients (R-GETNE, n = 438; Manchester, n = 97). Median PFS and overall survival in the derivation cohort were 28.7 (95% CI, 23.8 to 31.1) and 85.9 months (95% CI, 71.5 to 96.7 months), respectively. Nine covariates significantly associated with PFS were primary tumor location, Ki-67 percentage, neutrophil-to-lymphocyte ratio, alkaline phosphatase, extent of liver involvement, presence of bone and peritoneal metastases, documented progression status, and the presence of symptoms when initiating SSA. The GETNE-TRASGU (Treated With Analog of Somatostatin in Gastroenteropancreatic and Unknown Primary NETs) model demonstrated suitable calibration, as well as fair discrimination ability with a C-index value of 0.714 (95% CI, 0.680 to 0.747) and 0.732 (95% CI, 0.658 to 0.806) in the derivation and validation series, respectively.

conclusionThe GETNE-TRASGU evidence-based prognostic tool stratifies patients with GEP neuroendocrine tumors receiving SSA treatment according to their estimated PFS. This nomogram may be useful when stratifying patients with neuroendocrine tumors in future trials. Furthermore, it could be a valuable tool for making treatment decisions in daily clinical practice.

Indexed as

AdolescentAdultCohort StudiesFemaleHormonesHumansMaleNeuroendocrine TumorsProgression-Free SurvivalRetrospective StudiesSomatostatinSurvival AnalysisYoung AdultHormonesSomatostatin

Identifiers

PMID31390276
PMCPMC6768612
OpenAlexW2966355652

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.