Evidence map›Paper›PMID 32866350›Full record

Observational studyResearch in nursing & health2020

Adherence trajectories in oral therapy for chronic myeloid leukemia: Overview of a research protocol.

Katherine A Yeager, Drenna Waldrop-Valverde, Sudeshna Paul, Deborah Watkins Bruner, Rebecca Klisovic, Emily Burns, Tamara A Mason, Nisha Patel, Bonnie Mowinski Jennings

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Research in nursing & health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Temporal effect of imatinib adherence on time to remission in chronic myeloid leukemia patients.Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners · 2024
    Article
  2. 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.

Katherine A YeagerNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia.ORCID 0000-0001-5076-3151
Drenna Waldrop-ValverdeNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia.
Sudeshna PaulNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia.
Deborah Watkins BrunerNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia.
Rebecca KlisovicDepartment of Hematology and Medical Oncology, Emory School of Medicine, Atlanta, Georgia.
Emily BurnsNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia.
Tamara A MasonNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia.
Nisha PatelNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia.
Bonnie Mowinski JenningsNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia.
Emory University · USEmory Healthcare · US

Funding

Oral Chemotherapy Adherence Trajectories in Chronic Myeloid LeukemiaR01CA236871 · NCI · EMORY UNIVERSITY · PI YEAGER, KATHERINE AYLWARD · 2019 to 2022
$1.8M
NCI NIH HHS R01 CA236871
6 · The paper itself

Abstract

Over a quarter of chemotherapy regimens now include oral agents. Individuals living with cancer are now responsible for administering this lifesaving therapy at home by taking every dose as prescribed. One type of oral chemotherapy, tyrosine kinase inhibitors (TKIs), is the current recommended treatment for chronic myeloid leukemia. This targeted therapy has markedly improved survival but comes with significant side effects and financial costs. In the study described in this protocol, the investigators seek to understand the dynamic nature of TKI adherence experienced by individuals diagnosed with CML. Using a mixed-method approach in this prospective observational study, funded by the National Cancer Institute, we seek to describe subjects' adherence trajectories over 1 year. We aim to characterize adherence trajectories in individuals taking TKIs using model-based cluster analysis. Next, we will determine how side effects and financial toxicity influence adherence trajectories. Then we will examine the influence of TKI adherence trajectories on disease outcomes. Additionally, we will explore the experience of patients taking TKIs by interviewing a subset of participants in different adherence trajectories. The projected sample includes 120 individuals taking TKIs who we will assess monthly for 12 months, measuring adherence with an objective measure (Medication Event Monitoring System). Identifying differential trajectories of adherence for TKIs is important for detecting subgroups at the highest risk of nonadherence and will support designing targeted interventions. Results from this study can potentially translate to other oral agents to improve care across different types of cancer.

Indexed as

Administration, OralAdultAgedAged, 80 and overAntineoplastic AgentsChronic DiseaseDrug MonitoringFemaleHumansLeukemia, Myelogenous, Chronic, BCR-ABL PositiveMaleMedication AdherenceMiddle AgedProspective StudiesSelf CareSurveys and QuestionnairesAntineoplastic Agentschronic leukemiafinancial hardshipmediation adherenceside effects

Identifiers

PMID32866350
PMCPMC7742414
OpenAlexW3082942106

What OpenQuestion holds

Textmetadata
LicenceTDM
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.