Evidence map›Paper›PMID 32479187›Full record

ArticleJCO clinical cancer informatics2020

Prior Treatment Time Affects Survival Outcomes in Metastatic Breast Cancer.

Gabrielle B Rocque, Aidan Gilbert, Courtney P Williams, Kelly M Kenzik, Arie Nakhmani, Pravinkumar G Kandhare, Smita Bhatia, Mark E Burkard, Andres Azuero

Open access · hybridAbstract read
In one paragraph

Article in JCO clinical cancer informatics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

9 authors at 2 institutions in 1 country.

Gabrielle B RocqueO'Neill Comprehensive Cancer Center, University of Alabama at Birmingham (UAB), Birmingham, AL.
Aidan GilbertDepartment of Medicine, Division of Hematology and Oncology, UAB, Birmingham, AL.
Courtney P WilliamsDepartment of Medicine, Division of Hematology and Oncology, UAB, Birmingham, AL.
Kelly M KenzikO'Neill Comprehensive Cancer Center, University of Alabama at Birmingham (UAB), Birmingham, AL.
Arie NakhmaniDepartment of Electrical and Computer Engineering, UAB, Birmingham, AL.
Pravinkumar G KandhareDepartment of Electrical and Computer Engineering, UAB, Birmingham, AL.
Smita BhatiaO'Neill Comprehensive Cancer Center, University of Alabama at Birmingham (UAB), Birmingham, AL.
Mark E BurkardDepartment of Medicine, Division of Hematology, Medical Oncology, and Palliative Care, University of Wisconsin, Madison, WI.
Andres AzueroSchool of Nursing, UAB, Birmingham, AL.
University of Alabama at Birmingham · USUniversity of Wisconsin–Madison · US

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Douglas Robert Spitz · 2000 to 2026
$70.0M
NCI NIH HHS P30 CA086862
6 · The paper itself

Abstract

purposeSequential drug treatments in metastatic breast cancer (MBC) are disparate. Clinical trial data includes limited reporting of treatment context, primarily including the number of prior therapies. This study evaluates the relationship between prior treatment time, prior lines of treatment, and survival using a novel visualization technique coupled with statistical analyses. PATIENTS AND

methodsThis retrospective cohort study used a nationwide, de-identified electronic health record-derived database to identify women with hormone receptor-positive, human epidermal growth factor receptor 2-negative MBC diagnosed in 2014 who subsequently received paclitaxel. Images were created, with individual patients represented on the

resultsOf 234 patients, median survival from first paclitaxel administration was 20 months (interquartile range, 8-53 months). An inverse relationship was observed between OS after paclitaxel and timing of administration. In adjusted models, each year on treatment prior to paclitaxel was associated with a 16% increased hazard of death after paclitaxel (HR, 1.16; 95% CI, 1.05 to 1.29).

conclusionOS after a specific treatment is dependent on when a drug is given in the disease context, highlighting the potential for an overall OS benefit to be observed on the basis of treatment timing. Prior time on treatment should be considered as a stratifying factor in randomized trials and a confounding factor when examining survival in observational data.

Indexed as

Breast NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsDisease-Free SurvivalErb-b2 Receptor Tyrosine KinasesFemaleHumansRetrospective StudiesErb-b2 Receptor Tyrosine Kinases

Identifiers

PMID32479187
PMCPMC7444642
OpenAlexW3030836102

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.