Evidence map›Paper›PMID 33852571›Full record

Trial reportPloS one2021

Mapping expanded prostate cancer index composite to EQ5D utilities to inform economic evaluations in prostate cancer: Secondary analysis of NRG/RTOG 0415.

Rahul Khairnar, Stephanie L Pugh, Howard M Sandler, W Robert Lee, Ester Villalonga Olives, C Daniel Mullins, Francis B Palumbo, Deborah W Bruner, Fadia T Shaya, Soren M Bentzen and 13 more

Open access · goldAbstract readRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 13% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. 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

23 authors at 17 institutions in 2 countries.

Rahul KhairnarDepartment of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, MD, United States of America.ORCID 0000-0002-2373-0431
Stephanie L PughNRG Oncology Statistics and Data Management Center, Philadelphia, PA, United States of America.
Howard M SandlerDepartment of Radiation Oncology, Cedars-Sinai Medical Center, Los Angeles, CA, United States of America.
W Robert LeeDepartment of Radiation Oncology, Duke University, Durham, NC, United States of America.
Ester Villalonga OlivesDepartment of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, MD, United States of America.
C Daniel MullinsDepartment of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, MD, United States of America.
Francis B PalumboDepartment of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, MD, United States of America.
Deborah W BrunerDepartment of Radiation Oncology, Emory University, Atlanta, GA, United States of America.
Fadia T ShayaDepartment of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, MD, United States of America.
Soren M BentzenDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Amit B ShahWellSpan Health-York Cancer Center, York, PA, United States of America.
Shawn C MaloneOttawa Hospital and Cancer Center, Ottawa, ON, Canada.
Jeff M MichalskiDepartment of Radiation Oncology, Washington University, St. Louis, MO, United States of America.
Ian S DayesJuravinski Cancer Center at Hamilton Health Sciences, Hamilton, ON, Canada.
Samantha A SeawardKaiser Permanente Northern California, Oakland, CA, United States of America.
Michele AlbertSaint Anne's Hospital, Fall River, MA, United States of America.
Adam D CurreyZablocki VAMC and the Medical College of Wisconsin, Milwaukee, WI, United States of America.
Thomas M PisanskyDepartment of Radiation Oncology, Mayo Clinic Rochester, Rochester, MN, United States of America.
Yuhchyau ChenDepartment of Radiation Oncology, University of Rochester, Rochester, NY, United States of America.
Eric M HorwitzDepartment of Radiation Oncology, Fox Chase Cancer Center, Philadelphia, PA, United States of America.
Albert S DeNittisDepartment of Radiation Oncology, Main Line Health, Philadelphia, PA, United States of America.
Felix Y FengDepartment of Radiation Oncology, University of California San Francisco, San Francisco, CA, United States of America.
Mark V MishraDepartment of Radiation Oncology, University of Maryland School of Medicine, Baltimore, MD, United States of America.ORCID 0000-0002-2588-1575
University of Maryland, Baltimore · USCedars-Sinai Medical Center · USDuke University · USEmory University · USFox Chase Cancer Center · USJuravinski Cancer Centre · CAKaiser Permanente · USMain Line Health · USMayo Clinic · USMedical College of Wisconsin · USNRG Oncology · USOttawa Hospital · CASaint Anne's Hospital · USUniversity of California, San Francisco · USUniversity of Rochester · USWashington University in St. Louis · USWellSpan Health · US

Funding

NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
Statistics CoreU10CA180822 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI James J. Dignam, GREG YOTHERS · 2014 to 2026
$146.4M
NRG Oncology NCORP Research Base-BIQSFPUG1CA189867 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI Deborah Watkins Bruner, Lisa A. Kachnic · 2014 to 2026
$140.5M
Kaiser Permanente NCI National Community Oncology Research Program, NCORPUG1CA189821 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI Jennifer Marie Suga · 2014 to 2026
$44.4M
Rochester Network Lead Academic Participating SiteUG1CA233230 · NCI · UNIVERSITY OF ROCHESTER · PI Paul M Barr · 2019 to 2026
$6.9M
NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180868NCI NIH HHS UG1 CA189821NCI NIH HHS UG1 CA189867NCI NIH HHS UG1 CA233230
6 · The paper itself

Abstract

purposeThe Expanded Prostate Cancer Index Composite (EPIC) is the most commonly used patient reported outcome (PRO) tool in prostate cancer (PC) clinical trials, but health utilities associated with the different health states assessed with this tool are unknown, limiting our ability to perform cost-utility analyses. This study aimed to map EPIC tool to EuroQoL-5D-3L (EQ5D) to generate EQ5D health utilities. METHODS AND MATERIALS: This is a secondary analysis of a prospective, randomized non-inferiority clinical trial, conducted between 04/2006 and 12/2009 at cancer centers across the United States, Canada, and Switzerland. Eligible patients included men >18 years with a known diagnosis of low-risk PC. Patient HRQoL data were collected using EPIC and health utilities were obtained using EQ5D. Data were divided into an estimation sample (n = 765, 70%) and a validation sample (n = 327, 30%). The mapping algorithms that capture the relationship between the instruments were estimated using ordinary least squares (OLS), Tobit, and two-part models. Five-fold cross-validation (in-sample) was used to compare the predictive performance of the estimated models. Final models were selected based on root mean square error (RMSE).

resultsA total of 565 patients in the estimation sample had complete information on both EPIC and EQ5D questionnaires at baseline. Mean observed EQ5D utility was 0.90±0.13 (range: 0.28-1) with 55% of patients in full health. OLS models outperformed their counterpart Tobit and two-part models for all pre-determined model specifications. The best model fit was: "EQ5D utility = 0.248541 + 0.000748*(Urinary Function) + 0.001134*(Urinary Bother) + 0.000968*(Hormonal Function) + 0.004404*(Hormonal Bother)- 0.376487*(Zubrod) + 0.003562*(Urinary Function*Zubrod)"; RMSE was 0.10462.

conclusionsThis is the first study to identify a comprehensive set of mapping algorithms to generate EQ5D utilities from EPIC domain/ sub-domain scores. The study results will help estimate quality-adjusted life-years in PC economic evaluations.

Indexed as

Cost of IllnessQuality-Adjusted Life YearsAlgorithmsHumansMaleOutcome Assessment, Health CareProstatic NeoplasmsQuality of Life

Identifiers

PMID33852571
PMCPMC8046237
OpenAlexW3153281522

What OpenQuestion holds

Textmetadata
LicenceCC0
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.