Evidence map›Paper›PMID 33956213›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021

Patient, nurse, and physician preferences: final results of the CONVENIENCE study evaluating pegfilgrastim prophylaxis via pre-filled syringe or on-body injector in cancer patients.

Michael Metz, Dieter Semsek, Gunther Rogmans, Ulrich Hutzschenreuter, Thomas Fietz, Johanna Harde, Stefan Zacharias, Carsten Hielscher, Andreas Lorenz, Mark-Oliver Zahn and 7 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03619993 (A Comparison of Pegfilgrastim), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 27% 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.

NCT03619993 nacompletednot on this map

A Comparison of Pegfilgrastim (Neulasta®) Application Via Manual Injection Versus Injection Via an On-body Injector Regarding Patient Preference and Health Economics

TypeinterventionalSponsoriOMEDICO AGRan2018 to 2019Enrolled404ConditionsNon Hodgkin Lymphoma, Breast CancerArmsOn-body injector, Pre-filled syringe
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Enhancing patient-centered care: a randomized study on G-CSF administration preferences in chemotherapy-induced neutropenia.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Observational
  3. Review
  4. Article
  5. Observational
  6. 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

17 authors at 7 institutions in 1 country.

Michael MetzOSP Göttingen, Göttingen, Germany.
Dieter SemsekPraxis für interdisziplinäre Onkologie & Hämatologie, Freiburg im Breisgau, Germany.
Gunther RogmansZAGO- Zentrum für ambulante gynäkologische Onkologie, Krefeld, Germany.
Ulrich HutzschenreuterHämatologisch-Onkologische Gemeinschaftspraxis, Nordhorn, Germany.
Thomas FietzSchwerpunktpraxis für Hämatologie und Internistische Onkologie, Gastroenterologie, Singen, Germany.
Johanna HardeiOMEDICO, Freiburg im Breisgau, Germany.
Stefan ZachariasiOMEDICO, Freiburg im Breisgau, Germany.
Carsten Hielscherg.SUND Gynäkologie Kompetenzzentrum Stralsund, Stralsund, Germany.
Andreas LorenzGynäkologische Onkologie, Frauenarztpraxis Dr. Lorenz, Hildburghausen, Germany.
Mark-Oliver ZahnÜberörtliche Berufsausübungsgemeinschaft MVZ Onkologische Kooperation Harz, Goslar, Germany.
Dagmar GuthGynäkologische Onkologie, Praxis Dr. med. Dagmar Guth, Plauen, Germany.
Steffen LiebersKMG Klinikum Sömmerda, Sömmerda, Germany.
Michael BerghornMVZ am Allgemeinen Krankenhaus Celle, Celle, Germany.
Sina GrebhardtiOMEDICO, Freiburg im Breisgau, Germany.
Christiane D MatilloniOMEDICO, Freiburg im Breisgau, Germany.
Gerlinde EgererUniversitätsklinikum Heidelberg, Klinik Für Hämatologie, Onkologie, Rheumatologie, Heidelberg, Germany.
Karin PotthoffiOMEDICO, Freiburg im Breisgau, Germany. manuscript@iomedico.com.ORCID http://orcid.org/0000-0003-1015-9624
Iomedico (Germany) · DEPraxis für Hämatologie und Onkologie · DEAllgemeines Krankenhaus Celle · DEHeidelberg University · DEHelios Klinikum Krefeld · DEOrthopädische Praxis · DEUniversity of Applied Sciences Stralsund · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe on-body injector (OBI) automatically delivers pegfilgrastim the day after chemotherapy (CTx), thus eliminating the need of return visits to the medical office for guideline-compliant pegfilgrastim administration. The CONVENIENCE study aimed to evaluate patient, nurse, and physician preferences as well as health economics for pegfilgrastim administration either with OBI or manually using a pre-filled syringe (PS).

methodsPatients with early breast cancer, receiving two or three weekly anthracycline/cyclophosphamide or three weekly taxane-based CTx, and patients with Non-Hodgkin lymphoma (NHL) receiving first-line R-CHOP-14 or -21 were randomized 1:1 to receive both pegfilgrastim application forms for four consecutive CTx cycles in an alternating sequence starting either with OBI or PS. Primary endpoint was patient preference, assessed by questionnaires.

resultsA total of 308 patients were evaluable in the per-protocol analysis. Patients slightly preferred OBI over PS (OBI, n = 133, 43.2%; vs. PS, n = 111, 36.0%; p-value = 0.159), while study nurses slightly preferred PS (n = 19, 46.3%) over OBI (n = 18, 43.9%) and physicians clearly preferred PS (n = 24, 58.8%) over OBI (n = 15, 36.6%). Among patients with preference for OBI, saving of time was their major reason for preference (53.4%). Pegfilgrastim was administered 24-72 h after each CTx cycle in 97.6% of OBI and 63.1% of PS applications.

conclusionThe OBI was slightly preferred by patients and saving time was the major reason for their preference. PS was physicians' most preferable choice and slightly preferred by nurses. Using OBI, pegfilgrastim was almost always administered within the time period recommended by current guidelines, while it was often not applied as specified using PS.

trial registrationNo: ClinicalTrials.gov No. NCT03619993. Registered on June 25, 2018.

Indexed as

Breast NeoplasmsPhysiciansAntineoplastic Combined Chemotherapy ProtocolsFemaleFilgrastimGranulocyte Colony-Stimulating FactorHumansPolyethylene GlycolsRecombinant ProteinsSyringesFilgrastimGranulocyte Colony-Stimulating FactorpegfilgrastimPolyethylene GlycolsRecombinant ProteinsManual injectionOn-body injectorPatient/physician/nurse preferencePegfilgrastim

Identifiers

PMID33956213
PMCPMC8464571
OpenAlexW3157701155

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.