Evidence map›Paper›PMID 31658394›Full record

ArticleBritish journal of clinical pharmacology2020

Serious adverse effects occurring after chemotherapy: A general cancer registry-based incidence survey.

Isabelle Ingrand, Gautier Defossez, Claire Lafay-Chebassier, François Chavant, Aurélie Ferru, Pierre Ingrand, Marie-Christine Pérault-Pochat

Open access · bronzeAbstract read
In one paragraph

Article in British journal of clinical pharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 24% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

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  18. Body Composition, Relative Dose Intensity, and Adverse Events among Patients with Colon Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
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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

7 authors at 3 institutions in 2 countries.

Isabelle IngrandUnité d'Epidémiologie et Biostatistique, Registre Général des Cancers Poitou-Charentes; INSERM CIC 1402; Université; CHU de Poitiers, France.ORCID 0000-0002-2709-1585
Gautier DefossezUnité d'Epidémiologie et Biostatistique, Registre Général des Cancers Poitou-Charentes; INSERM CIC 1402; Université; CHU de Poitiers, France.ORCID 0000-0002-7615-954X
Claire Lafay-ChebassierService de Pharmacologie clinique et Vigilances; Université; CHU de Poitiers, France.ORCID 0000-0001-8970-5514
François ChavantService de Pharmacologie clinique et Vigilances; Université; CHU de Poitiers, France.
Aurélie FerruPôle régional de cancérologie; CHU de Poitiers, France.ORCID 0000-0003-3981-6640
Pierre IngrandUnité d'Epidémiologie et Biostatistique, Registre Général des Cancers Poitou-Charentes; INSERM CIC 1402; Université; CHU de Poitiers, France.ORCID 0000-0002-7765-2520
Marie-Christine Pérault-PochatService de Pharmacologie clinique et Vigilances; Université; CHU de Poitiers, France.ORCID 0000-0002-3289-5502
Inserm · FRCentre Hospitalier Universitaire de Poitiers · FRUniversité de Poitiers · FR

Funding

Agence Nationale de Sécurité du Médicament et des Produits de Santé AAP-2013-057Institut National Du Cancer INCA AAP-SHS-E-SP-2013
6 · The paper itself

Abstract

aimsPharmaco-epidemiological surveys enable the frequency of serious adverse effects-and also the determining factors of their occurrence and seriousness-to be quantified. Few studies systematically gathering post-chemotherapy adverse effects data have been conducted. The objective was to assess the incidence of post-chemotherapy serious adverse effects on the basis of cancer registry data.

methodsThe population was composed of new invasive cancer cases, with the exception of haematopoietic tumours and cutaneous carcinomas. These cancers were identified in 2012 among patients living at the time of diagnosis in a region covered by a general cancer registry and by a French regional pharmacovigilance centre, and treated with neo-adjuvant and/or adjuvant first-intention chemotherapy, followed or not by radiotherapy. The study was based on a sample of 1000 patients from the registry, followed by the collection of serious adverse effects and the required information to constitute a pharmacovigilance file.

resultsChemotherapy was associated with a particularly high incidence of serious adverse effects, affecting 44.5% (41.4-47.5%) of the patients. The highest incidence rates were observed when patients were exposed to topo-isomerase II inhibitors such as etoposide and bleomycin (69.2%), vinca-alkaloids (66.7%), topo-isomerase I inhibitors (54.5%) and platinum derivatives (52.0%). The clinical context was also linked to incidence, especially in case of metastases (53.3%) and comorbidities (51.3%). Substantial differences were found according to localisation, with a particularly high incidence in bronchial-pulmonary cancers (59.0%).

conclusionThe high overall incidence rate of serious adverse effects should motivate a reinforcement of information about drug toxicities and improve knowledge by drawing on patient reporting.

Indexed as

Drug-Related Side Effects and Adverse ReactionsLung NeoplasmsAdverse Drug Reaction Reporting SystemsHumansIncidencePharmacovigilanceRegistrieschemotherapygeneral cancer registryincidenceserious adverse effects

Identifiers

PMID31658394
PMCPMC7098859
OpenAlexW2982679538

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.