Evidence map›Paper›PMID 31896945›Full record

Observational studyCurrent oncology (Toronto, Ont.)2019

A retrospective observational study to estimate the attrition of patients across lines of systemic treatment for metastatic colorectal cancer in Canada.

H Kennecke, S Berry, J Maroun, P Kavan, N Aucoin, F Couture, M Poulin-Costello, B Gillesby

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Current oncology (Toronto, Ont.), 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
0.6field-weighted citation impact, top 28% 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, 16 citations in OpenAlex.

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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

8 authors at 6 institutions in 2 countries.

H KenneckeVirginia Mason Cancer Institute, Seattle, WA, U.S.A.
S BerrySunnybrook Odette Cancer Centre, University of Toronto, Toronto, ON.
J MarounMedical Oncology, Faculty of Medicine, University of Ottawa, Ottawa, ON.
P KavanDepartment of Oncology, Faculty of Medicine, McGill University, Montreal, QC.
N AucoinHôpital de la Cité-de-la-Santé, Laval, QC.
F CoutureCentre hospitalier universitaire de Québec, Quebec City, QC.
M Poulin-CostelloAmgen Canada, Inc., Mississauga, ON.
B GillesbyAmgen Canada, Inc., Mississauga, ON.
Amgen (Canada) · CACentre hospitalier universitaire de Québec · CAMcGill University · CASunnybrook Health Science Centre · CAUniversity of Ottawa · CAVirginia Mason Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Selection and sequencing of treatment regimens for individual patients with metastatic colorectal cancer (mcrc) is driven by maintaining reasonable quality of life and extending survival, as well as by access to and cost of therapies. The objectives of the present study were to describe, for patients with mcrc, attrition across lines of systemic therapy, patterns of therapy and their timing, and Methods: A retrospective chart review at 6 Canadian academic centres included sequential patients who were diagnosed with mcrc from 1 January 2009 onward and who initiated first-line systemic treatment for mcrc between 1 January and 31 December 2009. Death was included as a competing risk in the analysis. Results: The analysis included 200 patients who started first-line therapy. The proportions of patients who started second-, third-, and fourth-line systemic therapy were 70%, 30%, and 15% respectively. Chemotherapy plus bevacizumab was the most common first-line combination (66%). The most common first-line regimen was folfiri plus bevacizumab. Conclusions: In the modern treatment era, a high proportion of patients receive at least two lines of therapy for mcrc, but only 19% receive egfri therapy. Earlier

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCamptothecinCanadaColorectal NeoplasmsErbB ReceptorsFluorouracilHumansKaplan-Meier EstimateLeucovorinMiddle AgedProto-Oncogene Proteins p21(ras)Antineoplastic AgentsBevacizumabCamptothecinEGFR protein, humanErbB ReceptorsFluorouracilKRAS protein, humanLeucovorinProto-Oncogene Proteins p21(ras)anti-vascular growth factor agentschemotherapyepidermal growth factor inhibitorKRAS testingTreatment patterns

Identifiers

PMID31896945
PMCPMC6927777
OpenAlexW2998019136

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.