Evidence map›Paper›PMID 31420240›Full record

ArticleClinical lung cancer2020

Survival Disparities in Black Patients With EGFR-mutated Non-small-cell Lung Cancer.

Haiying Cheng, H Dean Hosgood, Lei Deng, Kenny Ye, Christopher Su, Janaki Sharma, Yuanquan Yang, Balazs Halmos, Roman Perez-Soler

Open access · greenAbstract read
In one paragraph

Article in Clinical lung cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 26% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Review
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    Review
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  15. Testing forOncoTargets and therapy · 2021
    Review
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

9 authors at 3 institutions in 1 country.

Haiying ChengDepartment of Medical Oncology, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY. Electronic address: hcheng@montefiore.org.
H Dean HosgoodDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY.
Lei DengDepartment of Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY.
Kenny YeDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY.
Christopher SuDepartment of Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Janaki SharmaDepartment of Medical Oncology, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Yuanquan YangDepartment of Medicine, Roswell Park Comprehensive Cancer Center, Buffalo, NY.
Balazs HalmosDepartment of Medical Oncology, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Roman Perez-SolerDepartment of Medical Oncology, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Albert Einstein College of Medicine · USJacobi Medical Center · USRoswell Park Comprehensive Cancer Center · US

Funding

Paul Calabresis Career Development Award For Clinical Oncology K12CA132783 · NCI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI PEREZ-SOLER, ROMAN, VERMA, AMIT K. · 2009 to 2019
$8.2M
NCI NIH HHS K12 CA132783
6 · The paper itself

Abstract

backgroundLittle is known about the difference between black and non-black patients with epidermal growth factor receptor (EGFR)-mutated non-small-cell lung cancer (NSCLC), particularly regarding survival. We thus characterized the EGFR expression profile, clinical characteristics, and survival outcome in these patients. PATIENT AND

methodsWe reviewed the cancer registry and patient charts at a New York-Bronx network (n = 2773) treating a large population of minority patients, for non-squamous NSCLC (n = 1986) diagnosed between 2009 and 2015. Survival was adjusted for smoking, gender, age, weight, and stage.

resultsThe EGFR mutation rate was 15% (98/652) in tested patients (black, 14%; non-black, 16%). There was no significant difference between the 2 cohorts with respect to age at diagnosis, gender, presenting stages, and socioeconomic status. On the other hand, weight was noted to be heavier in black patients with EGFR-mutated NSCLC than their non-black counterparts (P = .012). After adjusting for gender, age, smoking status, weight, and stage, the multivariate analysis revealed no racial disparity in survival among patients with wild-type EGFR (P = .774); However, among patients with EGFR-mutated NSCLC, black patients had shorter survival in comparison with non-black patients (P = .001), with 2-year survival rates being 33% versus 61%, respectively. Such shorter survival was also observed among EGFR-inhibitor treated patients with common EGFR mutations (P = .040).

conclusionsTo our knowledge, this is the first report of inferior survival among black patients with NSCLC with EGFR mutations, relative to non-black patients. The survival disparities suggest the need of more tailored management for this patient population.

Indexed as

MutationAgedAntineoplastic Combined Chemotherapy ProtocolsBlack or African AmericanCarcinoma, Non-Small-Cell LungErbB ReceptorsFemaleFollow-Up StudiesHumansLung NeoplasmsMaleMiddle AgedPrognosisRetrospective StudiesSurvival RateWhite PeopleEGFR protein, humanErbB ReceptorsBlack patientsEGFRLung cancerSurvivalUncommon EGFR mutations

Identifiers

PMID31420240
PMCPMC6980454
OpenAlexW2961799267

What OpenQuestion holds

Textmetadata
LicenceTDM
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.