Evidence map›Paper›PMID 32125899›Full record

ArticleJCO global oncology2020

Low-Dose Abiraterone in Metastatic Prostate Cancer: Is It Practice Changing? Facts and Facets.

Amol Patel, Ian F Tannock, Priyanka Srivastava, Bivas Biswas, Vineet Govinda Gupta, Atul Batra, Sainath Bhethanabhotla, Raja Pramanik, Shubh Mahindru, Tvsvgk Tilak and 2 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 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

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  7. Optimising oncology drug expenditure in Ireland.Irish journal of medical science · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 10 institutions in 2 countries.

Amol PatelMalignant Diseases Treatment Centre, Army Hospital Research & Referral, New Delhi, India.
Ian F TannockPrincess Margaret Cancer Centre and University of Toronto, Toronto, Ontario, Canada.
Priyanka SrivastavaM.S. Patel Cancer Center, Shreekrishna Hospital and Research Center, Karamsad, Gujarat, India.
Bivas BiswasTata Medical Center, Kolkata, India.
Vineet Govinda GuptaDepartment of Medical Oncology and Hemato-Oncology, Artemis Hospital, Gurugram, Haryana, India.
Atul BatraAll India Institute of Medical Sciences, New Delhi, India.
Sainath BhethanabhotlaKrishna Institute of Medical Sciences, Hyderabad, India.
Raja PramanikAll India Institute of Medical Sciences, New Delhi, India.
Shubh MahindruDepartment of Surgical Oncology, Ivy Hospital, Sahibzada Ajit Singh Nagar, Punjab, India.
Tvsvgk TilakDepartment of Internal Medicine, Armed Forces Medical College, Pune, India.
Chandan Krishna DasRegional Cancer Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Prashant MehtaDepartment of Medical Oncology/Hematology/Bone Marrow Transplantation, Asian Institute of Medical Sciences, Faridabad, Haryana, India.
All India Institute of Medical Sciences · INArmed Forces Medical College · INArmy Hospital Research and Referral · INArtemis Hospitals · INAsian Institute of Medical Sciences · INKrishna Institute of Medical Sciences · INPost Graduate Institute of Medical Education and Research · INShree Krishna Hospital · INTata Medical Center · INUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIt is projected that approximately 50,000 new cases of prostate cancer will be diagnosed in 2020 in India. Survival has improved because of the development of effective drugs such as abiraterone acetate, but universal accessibility to treatment is not always possible because of cost constraints in lower- and middle-income countries. Recently, the National Comprehensive Cancer Network (NCCN) has included low-dose abiraterone (250 mg/day) with food as an alternative treatment option to full-dose abiraterone (1,000 mg/day) fasting.

methodsThe Science and Cost Cancer Consortium conducted a survey to evaluate the use of abiraterone in India and the opinions of medical oncologists about using low-dose treatment. Modeling was used to estimate potential financial benefits to individual patients and to estimate overall costs of health care in India if low-dose abiraterone is prescribed.

resultsOf 251 Indian medical oncologists who were invited to participate in the survey, 125 provided their e-mail address and received the survey; 118 responded (47% of the total). Of these, 25% were not aware of the recent NCCN recommendation, 55% were already prescribing low-dose abiraterone when resources were limited, 7% had already changed their practice, and 29% agreed to switch to a universal practice of using low-dose abiraterone with food; 9% of practitioners would not use low-dose abiraterone. Estimated mean per patient savings was US$3,640, with annual savings of US$182 million in India.

conclusionUse of lower-dose abiraterone would increase access to treatment in India and globally and lead to large cost savings.

Indexed as

AndrostenesProstatic NeoplasmsAbiraterone AcetateHumansIndiaMaleabirateroneAbiraterone AcetateAndrostenes

Identifiers

PMID32125899
PMCPMC7113122
OpenAlexW3009821697

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.