Evidence map›Paper›PMID 32963993›Full record

ArticleERJ open research2020

Adverse events reporting in stage III NSCLC trials investigating surgery and radiotherapy.

Thomas Iseli, Thierry Berghmans, Markus Glatzer, Achim Rittmeyer, Gilbert Massard, Valérie Durieux, Thomas Buchsbaum, Paul Martin Putora

Open access · goldAbstract read
In one paragraph

Article in ERJ open research, 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
0.3field-weighted citation impact, top 38% 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. 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

8 authors at 5 institutions in 3 countries.

Thomas IseliDept of Radiation Oncology, Kantonsspital St Gallen, St Gallen, Switzerland.ORCID https://orcid.org/0000-0002-5007-2294
Thierry BerghmansThoracic Oncology Clinic, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.
Markus GlatzerDept of Radiation Oncology, Kantonsspital St Gallen, St Gallen, Switzerland.
Achim RittmeyerDept of Thoracic Oncology, Lungenfachklinik Immenhausen, Immenhausen, Germany.
Gilbert MassardLung Transplantation Group, University Hospital Strasbourg, Strasbourg, France.
Valérie DurieuxDept of Libraries and Information Science, Université Libre de Bruxelles, Brussels, Belgium.ORCID https://orcid.org/0000-0002-8975-6562
Thomas BuchsbaumDept of Radiation Oncology, Stadtspital Triemli, Zurich, Switzerland.
Paul Martin PutoraDept of Radiation Oncology, Kantonsspital St Gallen, St Gallen, Switzerland.
Kantonsspital St. Gallen · CHUniversité Libre de Bruxelles · BETriemli Hospital · CHUniversité de Strasbourg · FRUniversity of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent treatment options for stage III non-small cell lung cancer (NSCLC) consist of different combinations of chemotherapy, surgery, radiotherapy and immunotherapy. Treatment choices are highly individual decisions, in which adverse events (AEs) are relevant for decision-making. This study aims to analyse reporting of AEs in prospective stage III NSCLC trials, focussing on trials including radiotherapy and/or surgery.

methodsPubMed was searched for prospective studies dealing with stage III NSCLC from January 1987 to April 2019. Meta-analyses were screened as a positive control. Pearson's Chi-squared test and smooth kernel distribution were used to estimate distributions. Data was resampled using bootstrapping.

resultsOut of 1193 initially identified studies, 119 met the inclusion criteria. Of these, 31 had a surgical procedure in any study arm. Grade 3 and 4 AEs were reported in 94.12% and 92.44% of the included studies, respectively. Reporting of grade 5 AEs was provided in 87.39% of cases. Grade 1 and 2 AEs were less commonly reported at 53.78% and 63.03%, respectively. One study did not mention any AEs. Of the 31 treatment arms including any form of surgery, AEs were not reported in 10. Overall, 231 different AE items were reported, only 18 of them were included in at least 20% of the analysed studies.

conclusionOverall, AE reporting in stage III NSCLC was inconsistent and inhomogeneous. Studies including surgical study arms often reported only treatment-related deaths in regards of surgical AEs. Underreporting of AEs prohibits the extraction of patient-relevant information for decision-making and represents a suboptimal use of invested resources.

Identifiers

PMID32963993
PMCPMC7487347
OpenAlexW3086491011

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.