Evidence map›Paper›PMID 32992324›Full record

Observational studyUrologia internationalis2020

Using Data from a Sickness Fund Claims Database to Assess the Treatment Patterns and Healthcare Resource Utilization among Patients with Metastatic Renal Cell Carcinoma in Germany.

Martin Bögemann, Aleksandra Zagorska, Divine Akumo, Laila El Hadad, Marc Pignot

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Urologia internationalis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 9% 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, 7 citations in OpenAlex.

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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

5 authors at 5 institutions in 2 countries.

Martin BögemannDepartment of Urology, University of Münster, Münster, Germany, Martin.boegemann@ukmuenster.de.
Aleksandra ZagorskaIpsen, Paris, France.
Divine AkumoZEG Berlin GmbH, Berlin, Germany.
Laila El HadadTeam Gesundheit GmbH, Essen, Germany.
Marc PignotKantar GmbH, Munich, Germany.
Berlin Center for Epidemiology and Health Research · DEDAK-Gesundheit (Germany) · DEIpsen (France) · FRKantar (Germany) · DEUniversity of Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo characterize real-world prescribing patterns and their clinical and healthcare resource utilization (HRU) implications in patients with metastatic renal cell carcinoma (mRCC) treated in Germany.

methodsEligible individuals were enrolled in the "Bundesverband der Betriebskrankenkassen" claims database and received targeted mRCC therapy between 1 January 2008 and 31 December 2016. Prescribing patterns and HRU were characterized by treatment line and summarized by descriptive statistics. Proxy progression-free survival (PFS) and overall survival (OS) were estimated using Kaplan-Meier curves.

results536 patients receiving mRCC treatment were included. The median treatment duration was 4.2 months (interquartile range [IQR]: 1.7-9.3) for first-line therapy and 3.8 months (IQR: 1.7-9.1) for second-line therapy. Median PFS and OS estimates were similar for the first- and second-line treatments: PFS, 7.4 versus 7.2 months; OS, 14.9 versus 13.6 months. Mean HRU costs were higher for patients receiving first-line therapy (€7,253.2) compared with those receiving second-line therapy (€6,242.9). Exploratory stratification of outcomes by centre expertise suggested a possible trend towards improved OS in the 10 most experienced centres versus all -others: first-line, 18.4 versus 13.2 months; second-line, 16.4 versus 12.4 months.

conclusionsIn routine care, German clinicians make rational prescribing decisions; possible variations in outcomes between centres warrant further investigation.

Indexed as

AgedCarcinoma, Renal CellDatabases, FactualFemaleGermanyHumansKidney NeoplasmsMaleMiddle AgedPatient Acceptance of Health CarePractice Patterns, Physicians'Retrospective StudiesReal-world practiceRenal cell carcinomaRetrospective observational studySickness fund databaseTreatment patterns and healthcare resources

Identifiers

PMID32992324
PMCPMC7845442
OpenAlexW3090598016

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.