Evidence map›Paper›PMID 33956499›Full record

ArticleJCO global oncology2021

Impact of the COVID-19 Pandemic on Oncology Clinical Research in Latin America (LACOG 0420).

Aline B Lara Gongora, Gustavo Werutsky, Denis L Jardim, Angelica Nogueira-Rodrigues, Carlos H Barrios, Clarissa Mathias, Fernando Maluf, Rachel Riechelmann, Maurício Fraga, Henry Gomes and 11 more

Abstract read
In one paragraph

Article in JCO global oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Narrative review of telemedicine applications in decentralized research.Journal of clinical and translational science · 2024
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Gynecologic radiation therapy in low and middle income countries during the COVID-19 pandemic.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2022
    Review
  13. Article
  14. 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

21 authors.

Aline B Lara GongoraLatin American Cooperative Oncology Group (LACOG), Porto Alegre, Brazil.ORCID 0000-0002-2167-8166
Gustavo WerutskyLatin American Cooperative Oncology Group (LACOG), Porto Alegre, Brazil.ORCID 0000-0001-6271-105X
Denis L JardimLatin American Cooperative Oncology Group (LACOG), Porto Alegre, Brazil.ORCID 0000-0003-4663-1521
Angelica Nogueira-RodriguesLatin American Cooperative Oncology Group (LACOG), Porto Alegre, Brazil.ORCID 0000-0002-3405-8310
Carlos H BarriosLatin American Cooperative Oncology Group (LACOG), Porto Alegre, Brazil.ORCID 0000-0001-6021-667X
Clarissa MathiasLatin American Cooperative Oncology Group (LACOG), Porto Alegre, Brazil.
Fernando MalufHospital Sírio-Libanês, São Paulo, Brazil.ORCID 0000-0001-6122-1374
Rachel RiechelmannA.C. Camargo Cancer Center, São Paulo, Brazil.
Maurício FragaLatin American Cooperative Oncology Group (LACOG), Porto Alegre, Brazil.
Henry GomesLatin American Cooperative Oncology Group (LACOG), Porto Alegre, Brazil.ORCID 0000-0002-4234-4448
William N WilliamLatin American Cooperative Oncology Group (LACOG), Porto Alegre, Brazil.ORCID 0000-0001-5008-8854
Camilla A F YamadaLatin American Cooperative Oncology Group (LACOG), Porto Alegre, Brazil.
Gilberto de CastroLatin American Cooperative Oncology Group (LACOG), Porto Alegre, Brazil.ORCID 0000-0001-8765-3044
Daniela D RosaLatin American Cooperative Oncology Group (LACOG), Porto Alegre, Brazil.
Andreia C de MeloLatin American Cooperative Oncology Group (LACOG), Porto Alegre, Brazil.ORCID 0000-0002-1201-4333
Raul SalaLatin American Cooperative Oncology Group (LACOG), Porto Alegre, Brazil.
Eva BustamanteLatin American Cooperative Oncology Group (LACOG), Porto Alegre, Brazil.
Denisse BretelLatin American Cooperative Oncology Group (LACOG), Porto Alegre, Brazil.
Oscar ArrietaLatin American Cooperative Oncology Group (LACOG), Porto Alegre, Brazil.ORCID 0000-0002-1164-3779
Andrés F CardonaLatin American Cooperative Oncology Group (LACOG), Porto Alegre, Brazil.ORCID 0000-0003-3525-4126
Diogo A BastosLatin American Cooperative Oncology Group (LACOG), Porto Alegre, Brazil.ORCID 0000-0003-2480-353X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCOVID-19 has affected cancer care worldwide. Clinical trials are an important alternative for the treatment of oncologic patients, especially in Latin America, where trials can be the only opportunity for some of them to access novel and, sometimes, standard treatments.

methodsThis was a cross-sectional study, in which a 22-question survey regarding the impact of the COVID-19 pandemic on oncology clinical trials was sent to 350 representatives of research programs in selected Latin American institutions, members of the Latin American Cooperative Oncology Group.

resultsThere were 90 research centers participating in the survey, with 70 of them from Brazil. The majority were partly private or fully private (n = 77; 85.6%) and had confirmed COVID-19 cases at the institution (n = 57; 63.3%). Accruals were suspended at least for some studies in 80% (n = 72) of the responses, mostly because of sponsors' decision. Clinical trials' routine was affected by medical visits cancelation, reduction of patients' attendance, reduction of other specialties' availability, and/or alterations on follow-up processes. Formal COVID-19 mitigation policies were adopted in 96.7% of the centers, including remote monitoring and remote site initiation visits, telemedicine visits, reduction of research team workdays or home office, special consent procedures, shipment of oral drugs directly to patients' home, and increase in outpatient diagnostic studies. Importantly, some of these changes were suggested to be part of future oncology clinical trials' routine, particularly the ones regarding remote methods, such as telemedicine.

conclusionTo our knowledge, this was the first survey to evaluate the impact of COVID-19 on Latin American oncology clinical trials. The results are consistent with surveys from other world regions. These findings may endorse improvements in clinical trials' processes and management in the postpandemic period.

Indexed as

COVID-19Biomedical ResearchBrazilClinical Trials as TopicCross-Sectional StudiesHumansLatin AmericaMedical OncologyPandemics

Identifiers

PMID33956499
PMCPMC8162498

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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.