Evidence map›Paper›PMID 33282740›Full record

ArticleFrontiers in oncology2020

High Prevalence and Early Occurrence of Skeletal Complications in EGFR Mutated NSCLC Patients With Bone Metastases.

Marta Laganà, Cristina Gurizzan, Elisa Roca, Diego Cortinovis, Diego Signorelli, Filippo Pagani, Anna Bettini, Lucia Bonomi, Silvia Rinaldi, Rossana Berardi and 14 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

19 citing papers in PubMed, 27 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

24 authors at 12 institutions in 1 country.

Marta LaganàMedical Oncology, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health University of Brescia, ASST-Spedali Civili, Brescia, Italy.
Cristina GurizzanMedical Oncology, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health University of Brescia, ASST-Spedali Civili, Brescia, Italy.
Elisa RocaMedical Oncology, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health University of Brescia, ASST-Spedali Civili, Brescia, Italy.
Diego CortinovisMedical Oncology, Ospedale S. Gerardo di Monza, Monza, Italy.
Diego SignorelliMedical Oncology, Fondazione IRCCS Istituto Nazionale Tumori, Milano, Italy.
Filippo PaganiMedical Oncology, Fondazione IRCCS Istituto Nazionale Tumori, Milano, Italy.
Anna BettiniMedical Oncology, ASST Papa Giovanni XXIII di Bergamo, Bergamo, Italy.
Lucia BonomiMedical Oncology, ASST Papa Giovanni XXIII di Bergamo, Bergamo, Italy.
Silvia RinaldiMedical Oncology, Ospedali Riuniti di Ancona, Ancona, Italy.
Rossana BerardiMedical Oncology, Ospedali Riuniti di Ancona, Ancona, Italy.
Marco FilettiMedical Oncology, Azienda Ospedaliero Universitaria S. Andrea di Roma, Roma, Italy.
Raffaele GiustiMedical Oncology, Azienda Ospedaliero Universitaria S. Andrea di Roma, Roma, Italy.
Sara PilottoMedical Oncology, Università degli studi di Verona, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
Michele MilellaMedical Oncology, Università degli studi di Verona, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
Salvatore IntagliataMedical Oncology, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health University of Brescia, ASST-Spedali Civili, Brescia, Italy.
Alice BaggiMedical Oncology, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health University of Brescia, ASST-Spedali Civili, Brescia, Italy.
Alessio CortelliniMedical Oncology, Ospedale San Salvatore di L'Aquila, L'Aquila, Italy.
Hector Soto ParraMedical Oncology, Policlinico Vittorio Emanuele di Catania, Catania, Italy.
Matteo BrighentiMedical Oncology, Ospedale di Cremona, Cremona, Italy.
Fausto PetrelliOspedale Treviglio, ASST Bergamo Ovest, Treviglio, Italy.
Chiara BennatiOspedale Santa Maria delle Croci di Ravenna, Ravenna, Italy.
Paolo BidoliMedical Oncology, Ospedale S. Gerardo di Monza, Monza, Italy.
Marina Chiara GarassinoMedical Oncology, Fondazione IRCCS Istituto Nazionale Tumori, Milano, Italy.
Alfredo BerrutiMedical Oncology, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health University of Brescia, ASST-Spedali Civili, Brescia, Italy.
University of Brescia · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITAzienda Ospedaliera San Gerardo · ITAzienda Ospedaliera Sant'Andrea · ITAzienda Ospedaliera Universitaria Integrata Verona · ITOspedale Papa Giovanni XXIII · ITOspedali Riuniti di Ancona · ITAzienda Ospedaliero-Universitaria Policlinico - Vittorio Emanuele · ITAzienda Socio Sanitaria Territoriale di Bergamo OvestIstituti Ospitalieri di Cremona · ITOspedale "Santa Maria delle Croci" di Ravenna · ITSan Salvatore Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe prevalence of Skeletal Related Adverse Events (SREs) in EGFR mutated non-small cell lung cancer (NSCLC) patients with bone metastases, treated with modern tyrosine kinase inhibitors (TKIs), has been scarcely investigated. MATERIALS AND

methodsWe retrospectively evaluated the data of EGFR mutated NSCLC patients with bone metastases treated with TKIs in 12 Italian centers from 2014 to 2019, with the primary aim to explore type and frequency of SREs.

resultsSeventy-seven out of 274 patients enrolled (28%) developed at least one major SRE: 55/274 (20%) bone fractures, 30/274 (11%) spinal cord compression, 5/274 (2%) hypercalcemia. Median time to the onset of SRE was 3.63 months. Nine patients (3%) underwent bone surgery and 150 (55%) radiation therapy on bone. SREs were more frequently observed within the 12 months from TKI start than afterwards (71

conclusionBone metastatic NSCLC patients with EGFR mutated disease, treated with EGFR TKIs, have a relatively long survival expectancy and are at high risk to develop SREs. The early SRE occurrence after the TKI start provides the rationale to administer bone resorption inhibitors.

Indexed as

bone metastasisepidermal growth factor receptornon-small cell lung cancerskeletal related eventstyrosine kinase inhibitors

Identifiers

PMID33282740
PMCPMC7689017
OpenAlexW3100009697

What OpenQuestion holds

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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.