Evidence map›Paper›PMID 32485713›Full record

ArticleOncology2020

Efficacy of a Newly Modified Short Hydration Method for Gemcitabine and Cisplatin Combination Chemotherapy in Patients with Urothelial Carcinoma.

Taku Naiki, Yosuke Sugiyama, Yoshihiko Tasaki, Keitaro Iida, Toshiki Etani, Shuzo Hamamoto, Takashi Nagai, Satoshi Nozaki, Ryosuke Ando, Noriyasu Kawai and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Oncology, 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
1.4field-weighted citation impact, top 18% 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, 12 citations in OpenAlex.

  1. Pooled it
  2. Review
  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

11 authors at 2 institutions in 1 country.

Taku NaikiDepartment of Nephro-urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan, naiki@med.nagoya-cu.ac.jp.
Yosuke SugiyamaDepartment of Pharmacy, Nagoya City University Hospital, Nagoya, Japan.
Yoshihiko TasakiDepartment of Pharmacy, Nagoya City University Hospital, Nagoya, Japan.
Keitaro IidaDepartment of Nephro-urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan.
Toshiki EtaniDepartment of Nephro-urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan.
Shuzo HamamotoDepartment of Nephro-urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan.
Takashi NagaiDepartment of Nephro-urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan.
Satoshi NozakiDepartment of Nephro-urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan.
Ryosuke AndoDepartment of Nephro-urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan.
Noriyasu KawaiDepartment of Nephro-urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan.
Takahiro YasuiDepartment of Nephro-urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan.
Nagoya City University · JPNagoya City University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionConventional first-line chemotherapy for patients with metastatic urothelial carcinoma (UC) is gemcitabine and cisplatin (GC). However, cisplatin can cause renal failure, necessitating abundant fluid replacement and hospitalization during treatment. Recent evidence exists for short hydration methods in cisplatin-based chemotherapy.

objectiveThis study aims to analyze the efficacy of newly established modified short hydration GC (m-shGC) therapy in patients with UC.

methodsFrom May 2017 to March 2019, 48 patients with UC who received m-shGC therapy were treated with 1,000 mg/m2 gemcitabine on days 1, 8, and 15, and 70 mg/m2 cisplatin and 2,000 mL fluid replacement on day 1, in each 28-day cycle. We retrospectively evaluated renal function, serum electrolyte abnormalities, and adverse events (AEs) following treatment, and retrospectively compared patients under m-shGC therapy with those under conventional GC (c-GC) therapy from 2015 to 2017. In addition, from April 2019 to August 2019 in a prospective analysis, 15 patients were newly enrolled, and AE profiles and physical activity during m-shGC therapy were quantified using a wearable tracker.

resultsIn a retrospective analysis of 101 patients (53 c-GC and 48 m-shGC), patient characteristics were not statistically significant between the two groups. Myelosuppression, including predominant neutropenia and decreased platelets, fatigue, nausea, and constipation were the main common AEs. However, renal function and serum sodium levels in the m-shGC group remained unchanged. Grade 3-4 AEs were not more severe in the m-shGC compared with the c-GC group. Furthermore, in a prospective analysis using a wearable tracker, the amount of walking by patients on day 1 significantly declined. However, immediate recovery occurred reflecting the short hydration.

conclusionOur m-shGC therapy has an acceptable AE profile compared with conventional therapy, with UC patients showing good physical activity.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsCisplatinCohort StudiesCreatinineDeoxycytidineFemaleFluid TherapyGemcitabineHumansHyponatremiaKidney DiseasesMaleMiddle AgedCisplatinCreatinineDeoxycytidineGemcitabineSodiumGemcitabine cisplatinShort hydration methodUrothelial carcinoma

Identifiers

PMID32485713
PMCPMC7592929
OpenAlexW3029906759

What OpenQuestion holds

Textmetadata
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.