Evidence map›Paper›PMID 32109159›Full record

ArticleJCO global oncology2020

Outcomes in Black and White Patients With Metastatic Renal Cell Carcinoma Treated With First-Line Tyrosine Kinase Inhibitors: Insights From Two Large Cohorts.

Dominick Bossé, Wanling Xie, Xun Lin, Ronit Simantov, Aly-Khan A Lalani, Jeffrey Graham, J Connor Wells, Frede Donskov, Brian Rini, Benoit Beuselinck and 9 more

Open access · goldAbstract read
In one paragraph

Article in JCO global oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Kinase Inhibitors FDA Approved 2018-2023: Drug Targets, Metabolic Pathways, and Drug-Induced Toxicities.Drug metabolism and disposition: the biological fate of chemicals · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Article
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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

19 authors at 15 institutions in 3 countries.

Dominick BosséThe Ottawa Hospital, Division of Medical Oncology, University of Ottawa, Ottawa, Ontario, Canada.
Wanling XieDana-Farber Cancer Institute and Harvard Medical School, Boston, MA.
Xun LinPfizer Oncology, La Jolla, CA.
Ronit SimantovPfizer Oncology, La Jolla, CA.
Aly-Khan A LalaniJuravinski Cancer Centre, Department of Oncology, McMaster University, Hamilton, Ontario, Canada.
Jeffrey GrahamCancerCare Manitoba, Winnipeg, Manitoba, Canada.
J Connor WellsTom Baker Cancer Centre, University of Calgary, Calgary, Alberta, Canada.
Frede DonskovAarhus University Hospital, Aarhus, Denmark.
Brian RiniDepartment of Hematology and Medical Oncology, Cleveland Clinic-Taussig Cancer Institute, Cleveland, OH.
Benoit BeuselinckUniversity Hospitals Leuven, Leuven Cancer Institute, Leuven, Belgium.
Ajjai AlvaUniversity of Michigan, Ann Arbor, MI.
Aaron HansenPrincess Margaret Cancer Centre, Toronto, Ontario, Canada.
Lori WoodQueen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.
Denis SoulièresCentre Hospitalier de l'Université de Montréal, Division of Oncology, Montreal, Quebec, Canada.
Christian KollmannsbergerDepartment of Medicine, British Columbia Cancer Agency, Vancouver, British Columbia, Canada.
Francois PatenaudeDepartment of Oncology, McGill University Health Centre, McGill University, Montreal, Quebec, Canada.
Daniel Y C HengUniversity of California San Diego, Moores Cancer Center, San Diego, CA.
Toni K ChoueiriDana-Farber Cancer Institute and Harvard Medical School, Boston, MA.
Rana R McKayUniversity of California San Diego, Moores Cancer Center, San Diego, CA.
Harvard University · USUniversity of California, San Diego · USAarhus University Hospital · DKBC Cancer Agency · CACancerCare Manitoba · CACentre Hospitalier de l’Université de Montréal · CACleveland Clinic · USDana-Farber Cancer Institute · USJuravinski Cancer Centre · CAMcGill University Health Centre · CAPfizer (United States) · USPrincess Margaret Cancer Centre · CAQueen Elizabeth II Health Sciences Centre · CAUniversity of Calgary · CAUniversity of Michigan–Ann Arbor · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate whether black race is an independent predictor of overall survival (OS) in metastatic renal cell carcinoma (mRCC).

methodsWe performed a retrospective 2-cohort (International Metastatic Renal Cell Carcinoma Database Consortium [IMDC] and trial-database) study of patients with mRCC treated with first-line tyrosine kinase inhibitors (TKIs). Unmatched (UM) and matched (M) analyses accounting for imbalances in region, year of treatment, age, and sex between races were performed. Cox models adjusting for histology, number of metastatic sites, nephrectomy, and IMDC risk compared time to treatment failure (TTF; IMDC cohort), progression-free survival (PFS; trial-database cohort), and OS.

resultsThe IMDC cohort included 73 black versus 3,381 (UM) and 1,236 (M) white patients. The trial-database cohort included 21 black versus 1,040 (UM) and 431 (M) white patients. Median OS for black versus white patients was 18.5 versus 25.8 months in the IMDC group and 21.0 versus 25.6 months in the trial-database group. Differences in OS were not significant in multivariable analysis in the IMDC group (hazard ratio [HR]

conclusionBlack patients had more IMDC risk factors and worse outcomes with TKIs versus white patients. Race was not an independent predictor of OS. Strategies to understand biologic determinants of outcomes for minority patients are needed to optimize care.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsBlack or African AmericanDisease-Free SurvivalHumansProtein Kinase InhibitorsRetrospective StudiesProtein Kinase Inhibitors

Identifiers

PMID32109159
PMCPMC7055470
OpenAlexW3006937281

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.