Evidence map›Paper›PMID 31970055›Full record

ArticleJournal of bone oncology2020

Patterns of care for patients with metastatic bone disease in solid tumors: A cross-sectional study from Switzerland (SAKK 95/16).

Michael Mark, Beat Thürlimann, Karin Ribi, Corinne Schär, Daniel Dietrich, Richard Cathomas, Ursina Zürrer-Härdi, Thomas von Briel, Sandro Anchisi, Pierre Bohanes and 5 more

Open access · goldAbstract read
In one paragraph

Article in Journal of bone oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.9field-weighted citation impact, top 22% 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

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Observational
  2. Article
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  4. Article
  5. Article
  6. A cross-sectional study on Chinese oncology nurses' knowledge of bone health among cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  7. Article
  8. Medication adherence with denosumab in patients with bone metastases from solid tumors treated in routine clinical settings: a retrospective study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Observational
  9. A new therapeutic approach for bone metastasis in colorectal cancer: intratumoral melittin.The journal of venomous animals and toxins including tropical diseases · 2022
    Article
  10. Observational
  11. 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

15 authors at 11 institutions in 1 country.

Michael MarkDepartment of Hematology/Oncology, Kantonsspital Graubünden, Loestrasse 170, 7000 Chur, Switzerland.
Beat ThürlimannKantonsspital St. Gallen, St. Gallen, Switzerland.
Karin RibiInternational Breast Cancer Study Group IBCSG (IBCSG), Bern, Switzerland.
Corinne SchärSwiss Group for Clinical Cancer Research (SAKK) Coordinating Center, Bern, Switzerland.
Daniel DietrichSwiss Group for Clinical Cancer Research (SAKK) Coordinating Center, Bern, Switzerland.
Richard CathomasDepartment of Hematology/Oncology, Kantonsspital Graubünden, Loestrasse 170, 7000 Chur, Switzerland.
Ursina Zürrer-HärdiKantonsspital Winterthur, Winterthur, Switzerland.
Thomas von BrielKlinik Hirslanden, Zürich, Switzerland.
Sandro AnchisiHôpital du Valais, Sion, Switzerland.
Pierre BohanesCentre de Chimiothérapie Anti-Cancéreuse, Lausanne, Switzerland.
Veronika BlumKantonsspital Luzern, Luzern, Switzerland.
Philipp von BurgBurgerspital Solothurn, Solothurn, Switzerland.
Meinrad MannhartAndreasklinik Cham Zug, Cham, Switzerland.
Clemens B CasparKantonsspital Baden, Baden, Switzerland.
Roger von MoosDepartment of Hematology/Oncology, Kantonsspital Graubünden, Loestrasse 170, 7000 Chur, Switzerland.
Kantonsspital Graubünden · CHSwiss Group For Clinical Cancer Research · CHHirslanden Andreasklinik Cham Zug · CHHôpital du Valais · CHInternational Breast Cancer Study Group · CHKantonsspital Baden · CHKantonsspital St. Gallen · CHKantonsspital Winterthur · CHKlinik Hirslanden · CHLuzerner Kantonsspital · CHSolothurner Spitäler · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBone-targeted agents (BTAs) are widely used in the management of patients with bone metastases from solid tumors, but knowledge of their routine care use and the therapeutic implications remains limited. This non-interventional study aimed to characterize real-world BTA patterns of care in Switzerland. MATERIALS AND

methodsNon-interventional, cross-sectional study involving oncologists from across Switzerland who completed a Treating Physician questionnaire, providing data on their clinical setting and BTA-related practices, and a Patient Characteristics and Treatment questionnaire, providing data on their patients' disease status, risk of bone complications, BTA regimen and related outcomes. Eligible patients were aged ≥ 18 years, with solid tumors and at least one bone metastasis and were receiving routine management at the participating physician's center over the 3-month study period.

resultsA total of 86 oncologists recruited 417 patients from across 18 centers in Switzerland (80% public hospitals; 20% private clinics). The majority of physicians (70.9%) reported prescribing BTAs in line with international guidelines; denosumab was the treatment of choice in 78.5% of patients. BTAs were widely administered (94.2%) according to a 3-4-weekly dosing regimen; 33.7% of physicians reported extending intervals to 12 weeks after an initial 2 years of treatment. Physicians appeared to use clinical judgement, as well as formal risk assessment, to guide treatment for symptomatic skeletal events. No association was seen between either BTA use, or risk of complications, and incidence of skeletal complications. Only 4.3% of patients were reported to be experiencing severe bone pain at the time of the study.

conclusionsThis cross-sectional, non-interventional study found high implementation of guideline-recommended BTA prescribing, good pain control and low incidence of skeletal-related events. Long-term BTA randomized controlled trials have the potential to further optimize routine care outcomes for patients.

Indexed as

Bone metastasesBone-targeting agentsBP, bisphosphonateBTA, bone-targeted agentHRQoL, health-related quality of lifeIBCSG, International Breast Cancer Study GroupmCRPC, metastatic castration-resistant prostate cancerNon-interventionalPatterns of careRANKL, receptor activator of nuclear factor kappa-B ligandRCT, randomized controlled trialSAKK, Swiss Group for Clinical Cancer ResearchSGMO, Schweizerische Gesellschaft für Medizinische OnkologieSkeletal-related eventSRE, symptomatic skeletal-related eventSSE, symptomatic skeletal eventSymptomatic skeletal events

Identifiers

PMID31970055
PMCPMC6965709
OpenAlexW2994618478

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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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.