Evidence map›Paper›PMID 34605003›Full record

ArticleInternational journal of cancer2022

The unfavorable effects of COVID-19 on Dutch advanced melanoma care.

Olivier J van Not, Jesper van Breeschoten, Alfonsus J M van den Eertwegh, Doranne L Hilarius, Melissa M De Meza, John B Haanen, Christian U Blank, Maureen J B Aarts, Franchette W P J van den Berkmortel, Jan Willem B de Groot and 12 more

Open access · hybridAbstract read
In one paragraph

Article in International journal of cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 12% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 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

22 authors at 15 institutions in 1 country.

Olivier J van NotScientific Bureau, Dutch Institute for Clinical Auditing, Leiden, The Netherlands.ORCID 0000-0002-3099-4873
Jesper van BreeschotenScientific Bureau, Dutch Institute for Clinical Auditing, Leiden, The Netherlands.ORCID 0000-0002-1334-2232
Alfonsus J M van den EertweghDepartment of Medical Oncology, Amsterdam UMC, VU University Medical Center, Cancer Center Amsterdam, Amsterdam, The Netherlands.
Doranne L HilariusDepartment of Pharmacy, Rode Kruis Ziekenhuis, Beverwijk, The Netherlands.
Melissa M De MezaScientific Bureau, Dutch Institute for Clinical Auditing, Leiden, The Netherlands.
John B HaanenDepartment of Medical Oncology and Immunology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Christian U BlankDepartment of Medical Oncology and Immunology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Maureen J B AartsDepartment of Medical Oncology, GROW School of Developmental Biology, Maastricht University Medical Center, Maastricht, The Netherlands.
Franchette W P J van den BerkmortelDepartment of Medical Oncology, Zuyderland Medical Center Sittard, Sittard-Geleen, The Netherlands.
Jan Willem B de GrootDepartment of Medical Oncology, Isala Oncology Center, Isala, The Netherlands.
Geke A P HospersDepartment of Medical Oncology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Rawa K IsmailScientific Bureau, Dutch Institute for Clinical Auditing, Leiden, The Netherlands.ORCID 0000-0002-0838-0349
Ellen KapiteijnDepartment of Medical Oncology, Leiden University Medical Center, Leiden, The Netherlands.
Djura PiersmaDepartment of Internal Medicine, Medisch Spectrum Twente, Enschede, The Netherlands.
Rozemarijn S van RijnDepartment of Internal Medicine, Medical Center Leeuwarden, Leeuwarden, The Netherlands.
Marion A M Stevense-den BoerDepartment of Internal Medicine, Amphia Hospital, Breda, The Netherlands.
Astrid A M van der VeldtDepartment of Medical Oncology and Radiology & Nuclear Medicine, Erasmus Medical Center, Rotterdam, The Netherlands.
Gerard VreugdenhilDepartment of Internal Medicine, Maxima Medical Center, Eindhoven, The Netherlands.
Marye J Boers-SonderenDepartment of Medical Oncology, Radboud University Medical Center, Nijmegen, The Netherlands.
Willeke A M BlokxDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
Karijn P M SuijkerbuijkDepartment of Medical Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
Michel W J M WoutersScientific Bureau, Dutch Institute for Clinical Auditing, Leiden, The Netherlands.
Leiden University Medical Center · NLUniversity Medical Center Utrecht · NLDutch Institute for Clinical Auditing · NLRadboud University Nijmegen · NLThe Netherlands Cancer Institute · NLAmphia Ziekenhuis · NLCancer Center Amsterdam · NLErasmus MC · NLIsala · NLMaastricht University Medical Centre · NLMedisch Centrum Leeuwarden · NLMedisch Spectrum Twente · NLRode Kruis Ziekenhuis · NLUniversity Medical Center Groningen · NLZuyderland Medisch Centrum · NL

Funding

Bristol Myers SquibbLes Laboratories Pierre FabreMerck Sharp and DohmeNovartis PharmaRoche PharmaThe Netherlands Organization for Health Research and Development (ZonMW) 836002002
6 · The paper itself

Abstract

The COVID-19 pandemic had a severe impact on medical care. Our study aims to investigate the impact of COVID-19 on advanced melanoma care in the Netherlands. We selected patients diagnosed with irresectable stage IIIc and IV melanoma during the first and second COVID-19 wave and compared them with patients diagnosed within the same time frame in 2018 and 2019. Patients were divided into three geographical regions. We investigated baseline characteristics, time from diagnosis until start of systemic therapy and postponement of anti-PD-1 courses. During both waves, fewer patients were diagnosed compared to the control groups. During the first wave, time between diagnosis and start of treatment was significantly longer in the southern region compared to other regions (33 vs 9 and 15 days, P-value <.05). Anti-PD-1 courses were postponed in 20.0% vs 3.0% of patients in the first wave compared to the control period. Significantly more patients had courses postponed in the south during the first wave compared to other regions (34.8% vs 11.5% vs 22.3%, P-value <.001). Significantly more patients diagnosed during the second wave had brain metastases and worse performance status compared to the control period. In conclusion, advanced melanoma care in the Netherlands was severely affected by the COVID-19 pandemic. In the south, the start of systemic treatment for advanced melanoma was more often delayed, and treatment courses were more frequently postponed. During the second wave, patients were diagnosed with poorer patient and tumor characteristics. Longer follow-up is needed to establish the impact on patient outcomes.

Indexed as

AdultAgedAged, 80 and overCOVID-19FemaleHumansMaleMelanomaMiddle AgedNetherlandsSARS-CoV-2Skin Neoplasmsadvanced melanomaclinical outcomesCOVID-19nationwide registrysystemic therapy

Identifiers

PMID34605003
PMCPMC8652896
OpenAlexW3203985612

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.