Evidence map›Paper›PMID 32846465›Full record

ReviewCancer medicine2020

Investigating the impact of open label design on patient-reported outcome results in prostate cancer randomized controlled trials.

Guillaume Mouillet, Fabio Efficace, Antoine Thiery-Vuillemin, Emilie Charton, Mieke Van Hemelrijck, Francesco Sparano, Amélie Anota

Abstract readReview
In one paragraph

Review in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
–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

22 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  5. Prognostic associations between patient-reported outcomes and overall survival among patients with advanced squamous non-small cell lung cancer: results from the RATIONALE-307 trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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  12. Quality of Life in Men With Prostate Cancer Randomly Allocated to Receive Docetaxel or Abiraterone in the STAMPEDE Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
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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

7 authors.

Guillaume MouilletDepartment of Medical Oncology, University Hospital of Besançon, Besançon, France.ORCID 0000-0002-2288-7461
Fabio EfficaceData Center and Health Outcomes Research Unit, Italian Group for Adult Hematologic Diseases (GIMEMA), Rome, Italy.ORCID 0000-0002-5065-5166
Antoine Thiery-VuilleminDepartment of Medical Oncology, University Hospital of Besançon, Besançon, France.
Emilie ChartonMethodological and Quality of Life Unit in Oncology, University Hospital of Besançon, Besançon, France.ORCID 0000-0003-0259-8811
Mieke Van HemelrijckTranslational Oncology and Urology Research (TOUR), School of Cancer and Pharmaceutical Sciences, King's College London, Guy's Hospital, London, UK.ORCID 0000-0002-7317-0858
Francesco SparanoData Center and Health Outcomes Research Unit, Italian Group for Adult Hematologic Diseases (GIMEMA), Rome, Italy.ORCID 0000-0002-1358-3095
Amélie AnotaMethodological and Quality of Life Unit in Oncology, University Hospital of Besançon, Besançon, France.ORCID 0000-0001-6896-1367

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile open-label randomized controlled trials (RCT) are common in oncology, some concerns have been expressed with regard to Patient-Reported Outcomes (PRO)-based claims stemming from these studies. We aimed to investigate the impact of open-label design in the context of prostate cancer (PCa) RCTs with PRO data.

methodsRandomized controlled trials of PCa with a PRO endpoint published between 2004 and 2018 were considered. RCTs were systematically evaluated on the basis of previously defined criteria, including international PRO reporting quality standards and the Cochrane Collaboration's tool for assessing Risk of Bias. The rate of concordance was estimated and compared between traditional clinical outcomes (eg, survival or tumor response) and PRO in open and blinded RCTs.

resultsWe identified 110 RCTs published between 2004 and 2018, of which 62% (n = 68) were open-label. The general characteristics of PCa RCTs were not different according to their design (open-label vs blinded). The proportion of PCa RCTs with high-quality PRO reporting was not different between open-label RCTs and blinded RCTs (41.2% vs 38.1%; P = .75). No statistically significant difference was found between PRO results and concordance with traditional clinical outcomes according to the study design.

conclusionOur findings suggest that there is no evidence of significant bias for PROs due to the absence of blinding in the context of PCa RCTs. Further analyses should be conducted in other cancer disease sites.

Indexed as

Patient Reported Outcome MeasuresRandomized Controlled Trials as TopicResearch DesignCombined Modality TherapyHumansMaleNeoplasm StagingPrevalenceProstatic NeoplasmsTreatment Outcomeblindedhealth-related quality of lifemethodologypatient-reported outcomeprostate cancerrandomized trials

Identifiers

PMID32846465
PMCPMC7571808

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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.