Evidence map›Paper›PMID 34436036›Full record

ArticleCurrent oncology (Toronto, Ont.)2021

Real-World Treatment Patterns, Clinical Outcomes, and Health Care Resource Utilization in Extensive-Stage Small Cell Lung Cancer in Canada.

Dylan E O'Sullivan, Winson Y Cheung, Iqra A Syed, Daniel Moldaver, Mary Kate Shanahan, D Gwyn Bebb, Christina Sit, Darren R Brenner, Devon J Boyne

Open access · goldAbstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.1field-weighted citation impact, top 10% 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

24 citing papers in PubMed, 35 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

9 authors at 2 institutions in 1 country.

Dylan E O'SullivanDepartment of Oncology, University of Calgary, Calgary, AB T2N 4N2, Canada.
Winson Y CheungDepartment of Oncology, University of Calgary, Calgary, AB T2N 4N2, Canada.
Iqra A SyedAstraZeneca Canada, Mississauga, ON L4Y 1M4, Canada.
Daniel MoldaverAstraZeneca Canada, Mississauga, ON L4Y 1M4, Canada.
Mary Kate ShanahanAstraZeneca Canada, Mississauga, ON L4Y 1M4, Canada.
D Gwyn BebbDepartment of Oncology, University of Calgary, Calgary, AB T2N 4N2, Canada.
Christina SitLung Cancer Canada, Toronto, ON M5H 2L3, Canada.
Darren R BrennerDepartment of Oncology, University of Calgary, Calgary, AB T2N 4N2, Canada.
Devon J BoyneDepartment of Oncology, University of Calgary, Calgary, AB T2N 4N2, Canada.
University of Calgary · CAAstraZeneca (Canada) · CA

Funding

CIHR
6 · The paper itself

Abstract

The prognosis for extensive-stage small cell lung cancer (ES-SCLC) is poor. Real-world evidence can highlight the unmet clinical need within this population. We conducted a population-based cohort study of ES-SCLC patients diagnosed in a large Canadian province (2010-2018) using electronic medical records and administrative claims data. In all, 1941 ES-SCLC patients were included, of which 476 (25%) were recurrent cases. Median age at diagnosis was 70 years (range: 39-94) and 50.2% were men. Of the 1941 ES-SCLC patients, 29.5% received chemotherapy and radiotherapy, 17.0% chemotherapy alone, 8.7% radiotherapy alone, and 44.8% received best supportive care. Chemotherapy was initiated by 46.5%, 8.5%, and 1.4% of first-, second-, and third-line patients, with lower uptake for recurrent cases. Median survival from first-, second-, and third-line chemotherapy was 7.82 months (95% CI: 7.50-8.22), 5.72 months (95% CI: 4.90-6.87), and 3.83 months (95% CI: 2.99-4.60). Among patients who received first-line therapy, the 2-year and 5-year survival was 7.3% (95% CI: 5.7-9.2) and 2.9% (95% CI: 1.8-4.5). In conclusion, initiation of first-line treatment in ES-SCLC was low with significant attrition in subsequent lines. These results underscore the need for effective front-line treatments and highlight the potential for novel therapies to improve patient outcomes.

Indexed as

Lung NeoplasmsSmall Cell Lung CarcinomaCanadaCohort StudiesDelivery of Health CareHumansMalechemotherapylines of therapyoverall survivalpopulation-based studyreal-world evidence

Identifiers

PMID34436036
PMCPMC8395392
OpenAlexW3194861611

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.