Evidence map›Paper›PMID 34622117›Full record

ArticleJCO precision oncology2021

Molecular Tumor Board Review and Improved Overall Survival in Non-Small-Cell Lung Cancer.

Bin Huang, Quan Chen, Derek Allison, Riham El Khouli, Keng Hee Peh, James Mobley, Abigail Anderson, Eric B Durbin, Donald Goodin, John L Villano and 3 more

Abstract read
In one paragraph

Article in JCO precision oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Precision Medicine in Cytopathology.Surgical pathology clinics · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

13 authors.

Bin HuangMarkey Cancer Center, University of Kentucky, Lexington, KY.
Quan ChenMarkey Cancer Center, University of Kentucky, Lexington, KY.ORCID 0000-0003-4436-3471
Derek AllisonMarkey Cancer Center, University of Kentucky, Lexington, KY.
Riham El KhouliDepartment of Pathology and Laboratory Medicine, University of Kentucky, Lexington, KY.ORCID 0000-0002-1892-491X
Keng Hee PehDepartment of Pharmacy, University of Kentucky, Lexington, KY.ORCID 0000-0002-2569-3910
James MobleyDepartment of Internal Medicine, University of Kentucky, Lexington, KY.
Abigail AndersonMarkey Cancer Center, University of Kentucky, Lexington, KY.
Eric B DurbinMarkey Cancer Center, University of Kentucky, Lexington, KY.ORCID 0000-0002-5600-7645
Donald GoodinBaptist Health Hardin, Elizabethtown, KY.
John L VillanoDepartment of Internal Medicine, University of Kentucky, Lexington, KY.ORCID 0000-0001-5583-0093
Rachel W MillerMarkey Cancer Center, University of Kentucky, Lexington, KY.ORCID 0000-0002-9417-6642
Susanne M ArnoldMarkey Cancer Center, University of Kentucky, Lexington, KY.ORCID 0000-0001-6542-9551
Jill M KolesarMarkey Cancer Center, University of Kentucky, Lexington, KY.ORCID 0000-0001-8575-4546

Funding

University of Kentucky Markey Cancer Center Support Grant ECIA SupplementP30CA177558 · NCI · UNIVERSITY OF KENTUCKY · PI Jennifer F Rogers · 2013 to 2026
$38.3M
NCI NIH HHS P30 CA177558
6 · The paper itself

Abstract

With the introduction of precision medicine, treatment options for non-small-cell lung cancer have improved dramatically; however, underutilization, especially in disadvantaged patients, like those living in rural Appalachian regions, is associated with poorer survival. Molecular tumor boards (MTBs) represent a strategy to increase precision medicine use. UK HealthCare at the University of Kentucky (UK) implemented a statewide MTB in January 2017. We wanted to test the impact of UK MTB review on overall survival in Appalachian and other regions in Kentucky.

methodsWe performed a case-control study of Kentucky patients newly diagnosed with non-small-cell lung cancer between 2017 and 2019. Cases were reviewed by the UK MTB and were compared with controls without UK MTB review. Controls were identified from the Kentucky Cancer Registry and propensity-matched to cases. The primary end point was the association between MTB review and overall patient survival.

resultsOverall, 956 patients were included, with 343 (39%) residing in an Appalachian region. Seventy-seven (8.1%) were reviewed by the MTB and classified as cases. Cox regression analysis showed that poorer survival outcome was associated with lack of MTB review (hazard ratio [HR] = 8.61; 95% CI, 3.83 to 19.31;

conclusionMTB review is an independent positive predictor of overall survival regardless of residence location. MTBs may help overcome some health disparities for disadvantaged populations.

Indexed as

Carcinoma, Non-Small-Cell LungCase-Control StudiesFemaleHealth Status DisparitiesHumansKentuckyMaleMiddle AgedPrecision MedicineProportional Hazards ModelsRegistriesRural PopulationSurvival Analysis

Identifiers

PMID34622117
PMCPMC8492377

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.