Evidence map›Paper›PMID 32070312›Full record

ArticleBMC cancer2020

Disease characteristics and treatment patterns of Chinese patients with metastatic colorectal cancer: a retrospective study using medical records from China.

Ruihua Xu, Wei Wang, Bo Zhu, Xiaoyan Lin, Dong Ma, Lingjun Zhu, Qingchuan Zhao, Yongzhan Nie, Xiaohong Cai, Qi Li and 7 more

Abstract readMulticenter Study
In one paragraph

Article in BMC cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
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

27 citing papers in PubMed.

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  15. Microwave ablation induces abscopal effectFrontiers in 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

17 authors.

Ruihua XuSun Yat-sen University Cancer Center, No. 651 Dongfeng East Road, Yuexiu District, Guangzhou, 510060, China.
Wei WangThe First People's Hospital of Foshan, No. 81 North Lingnan Road, Chancheng District, Foshan, 528000, China.
Bo ZhuXinqiao Hospital, Third Military Medical University, No. 83 Xinqiaozheng Street, Shapingbei District, Chongqing, 400037, China.
Xiaoyan LinFujian Medical University Union Hospital, No. 29 Xinquan Road, Gulou District, Fuzhou, 350001, China.
Dong MaGuangdong General Hospital, No.106 Zhongshan Road, Yuexiu District, Guangzhou, 510245, China.
Lingjun ZhuJiangsu Province Hospital, No.300 Guangzhou Road, Gulou District, Nanjing, 210029, China.
Qingchuan ZhaoXijing Hospital, Fourth Military Medical University, No.15 West Road, Xincheng District, 710032, Xi'an, Changle, China.
Yongzhan NieXijing Hospital, Fourth Military Medical University, No.15 West Road, Xincheng District, 710032, Xi'an, Changle, China.
Xiaohong CaiSichuan Cancer Hospital and Institute, No.55 Sectional 4, South Renmin Road, Wuhou District, Chengdu, 610015, China.
Qi LiShanghai General Hospital, No.100 Haining Road, Hongkou District, Shanghai, 200080, China.
Weijia FangThe First Hospital of Zhejiang Province, No.79 Qingchun Road, Shangcheng District, Hangzhou, 310002, China.
Hongyan LiEli Lilly and Company China Affiliate, No. 288 Shi Men Yi Lu, Jing'an District, Shanghai, 200041, China.
Ning WangEli Lilly and Company China Affiliate, No. 288 Shi Men Yi Lu, Jing'an District, Shanghai, 200041, China.
Yun ChenEli Lilly and Company China Affiliate, No. 288 Shi Men Yi Lu, Jing'an District, Shanghai, 200041, China.
Cike PengEli Lilly and Company China Affiliate, No. 288 Shi Men Yi Lu, Jing'an District, Shanghai, 200041, China. Peng_ci_ke@lilly.com.
Honghao FangIQVIA, No. 968 West Beijing Road, Jing'an District, Shanghai, 200063, China.
Lin ShenBeijing Cancer Hospital, No. 52 Fucheng Road, Haidian District, Beijing, 100142, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColorectal cancer (CRC) is the third most prevalent cancer in China but few large-scale studies were conducted to understand CRC patients. The current study is aimed to gain a real-world perspectives of CRC patients in China.

methodsUsing electronic medical records of sampled patients between 2011 and 2016 from 12 hospitals in China, a retrospective cohort study was conducted to describe demographics and disease prognosis of CRC patients, and examine treatment sequences among metastatic CRC (mCRC) patients. Descriptive, comparative and survival analyses were conducted.

resultsAmong mCRC patients (3878/8136, 48%), the fluorouracil, leucovorin, and oxaliplatin (FOLFOX) and other oxaliplatin-based regimens were the most widely-used first-line treatment (42%). Fluorouracil, leucovorin, irinotecan (FOLFIRI) and other irinotecan-based regimens dominated the second-line (40%). There was no a dominated regimen for the third-line. The proportion of patients receiving chemotherapy with targeted biologics increased from less than 20% for the first- and second- lines to 34% for the third-line (p < 0.001). The most common sequence from first- to second-line was from FOLFOX and other oxaliplatin-based regimens to FOLFIRI and other irinotecan-based regimens (286/1200, 24%).

conclusionsOur findings reflected a lack of consensus on the choice of third-line therapy and limited available options in China. It is evident o continue promoting early CRC diagnosis and to increase the accessibility of treatment options for mCRC patients. As the only nationwide large-scale study among CRC and mCRC patients before more biologics became available in China, our results can also be used as the baseline to assess treatment pattern changes before and after more third-line treatment were approved and covered into the National Health Insurance Plan in China between 2017 and 2018.

Indexed as

AdolescentAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCamptothecinCetuximabChinaColorectal NeoplasmsFemaleFluorouracilFollow-Up StudiesHumansIrinotecanLeucovorinBevacizumabCamptothecinCetuximabFluorouracilIrinotecanLeucovorinOxaliplatinChinaColorectal cancerMedical recordsReal-world evidenceTreatment patterns

Identifiers

PMID32070312
PMCPMC7029588

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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.