Evidence map›Paper›PMID 34881026›Full record

ArticleMolecular and clinical oncology2022

Real-world evaluation of molecular testing and treatment patterns for EGFR mutations in non-small cell lung cancer in Latin America.

Claudio Martin, Mauricio Cuello, Olga Barajas, Gonzalo Recondo, Sandra Aruachan, Herman Perroud, Susana Sena, Carlos Bonilla, Francisco Orlandi, Susana Berutti and 8 more

Open access · diamondAbstract read
In one paragraph

Article in Molecular and clinical oncology, 2022. 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
1.9field-weighted citation impact, top 13% 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

14 citing papers in PubMed, 19 citations in OpenAlex.

  1. Observational
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  4. Prevalence ofJournal of thoracic disease · 2025
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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

18 authors at 12 institutions in 5 countries.

Claudio MartinDepartment of Clinical Oncology, Institute Alexander Fleming, Buenos Aires C1426ANZ, Argentina.
Mauricio CuelloDepartment of Oncology, Hospital of Clinics, Montevideo 11600, Uruguay.
Olga BarajasDepartment of Medical Oncology, Arturo Lopez Perez Foundation, Santiago 7500000, Chile.
Gonzalo RecondoDepartment of Thoracic Oncology, Medical education and Clinical Research Centre, University Institute (CEMIC), Buenos Aires C1431FWO, Argentina.
Sandra AruachanDepartment of Clinical Oncology, High Technology Medical Institute Oncomedica, Monteria 23001, Colombia.
Herman PerroudDepartment of Clinical Oncology, Women's Health Centre, Rosario 2000, Argentina.
Susana SenaDepartment of Clinical Oncology; German Hospital, Buenos Aires PC C1118AAT, Argentina.
Carlos BonillaClinical Oncology Unit, National Cancer Institute of Colombia, Bogotá 110411, Colombia.
Francisco OrlandiDepartment of Clinical Oncology, Orlandi Oncology, Providencia 7500713, Chile.
Susana BeruttiDepartment of Clinical Oncology, Italian Hospital of La Plata, La Plata B1900AXI, Argentina.
Virginia Garcia CoccoDepartment of Clinical Oncology, Italian Hospital, Cordoba 5000, Argentina.
Alvaro GomezDepartment of Medical Oncology, Hemato-oncologos SA, Cali 760042, Colombia.
Ernesto KorbenfeldDepartment of Medical Oncology, British Hospital of Buenos Aires, Buenos Aires C1280AEB, Argentina.
Maycos ZapataDepartment of Medical Oncology, Cancer Institute Las Americas, Antioquia 050025, Colombia.
Juan CundomDepartment of Medical Oncology, Lanari Institute, University of Buenos Aires, Buenos Aires C1427ARN, Argentina.
Eric OrellanaDepartment of Clinical Oncology, Clinic Santa Maria, Santiago 7500000, Chile.
Susana GoncalvesAstraZeneca Medical Department, Buenos Aires CP1437, Argentina.
Florencia ReinholdAstraZeneca Medical Department, Buenos Aires CP1437, Argentina.
Hospital Italiano La Plata · ARAsociación Colombiana de Gastroenterología · COCentro de Educación Médica e Investigaciones Clínicas Norberto Quirno · ARClinica Santa Maria · CLFundación Arturo López Pérez · CLHospital Británico de Buenos Aires · ARHospital de Clínicas · UYInstituto Alexander Fleming · ARInstituto de Cancerología Las Américas · COInstituto Nacional de Cancerología · COOncoMed (United States) · USUniversity of Buenos Aires · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lung cancer is a leading cause of cancer-related deaths in Latin America, with non-small cell lung cancer (NSCLC) being the most prevalent. The current study aimed to report real-world data on epidermal growth factor receptor (EGFR) mutational testing and treatment regimens at diagnosis and progression in patients with metastatic NSCLC across four Latin American countries (Argentina, Chile, Colombia and Uruguay). A retrospective, multicenter, observational study was conducted in patients with NSCLC using medical records from participating countries. The study population was categorized into two cohorts: Cohort 1 comprised of newly diagnosed, treatment-naïve patients with stage IV NSCLC; and cohort 2 comprised of stage IV NSCLC EGFR mutation (EGFRm)-positive patients who had progressed after first- or second-generation EGFR-tyrosine kinase inhibitor (TKI) treatment. Measures included demographic variables, health characteristics, treatment regimen, molecular testing rate and turnaround time at diagnosis and at progression for cohorts 1 and 2, respectively. Descriptive statistics were used to summarize all study measures. Of the 462 patients enrolled, 431 were newly diagnosed or treatment naïve with metastatic NSCLC. In cohort 1, the majority of patients with private health insurance (57.31%) underwent molecular diagnosis while only 41.3% of patients within the public sector had access to testing. The average molecular testing rate in cohort 1 varied across countries, with Argentina having the highest testing rate (79%) and Uruguay the lowest (27.63%). EGFRm was observed in 22% of patients. Cohort 2 comprised 31 patients who had progressed after first- or second-generation EGFR-TKI treatment and of these, only 22 (70.97%) underwent testing after progression. Access to molecular testing is still a challenge impacting the choice of first-line treatment in Latin American patients with NSCLC. These findings underline the unmet needs of ensuring early diagnosis, molecular profiling and use of correct treatment to alleviate NSCLC burden in the region.

Indexed as

epidermal growth factor receptorLatin Americalung cancernon-small cell lung cancertyrosine kinase inhibitor

Identifiers

PMID34881026
PMCPMC8647188
OpenAlexW3214015044

What OpenQuestion holds

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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.