Evidence map›Paper›PMID 34885238›Full record

ArticleCancers2021

First-Line Pharmacotherapies and Survival among Patients Diagnosed with Non-Resectable NSCLC: A Real-Life Setting Study with Gender Prospective.

Andrea Spini, Rosa Gini, Pietro Rosellini, Allison Singier, Cristiana Bellan, Alessandra Pascucci, Lorenzo Leoncini, Clément Mathieu, Ignazio Martellucci, Folco Furiesi and 5 more

Abstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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

15 authors.

Andrea SpiniINSERM, BPH, U1219, Team Pharmacoepidemiology, Université de Bordeaux, 33000 Bordeaux, France.
Rosa GiniOsservatorio di Epidemiologia, Agenzia Regionale di Sanità Toscana, 50141 Florence, Italy.
Pietro RoselliniCIC 1401, CIC Bordeaux, 33000 Bordeaux, France.
Allison SingierINSERM, BPH, U1219, Team Pharmacoepidemiology, Université de Bordeaux, 33000 Bordeaux, France.ORCID 0000-0003-3151-6299
Cristiana BellanDepartment of Medical Biotechnology, University of Siena, 53100 Siena, Italy.ORCID 0000-0001-6119-9007
Alessandra PascucciAzienda Ospedaliera Universitaria Senese, 53100 Siena, Italy.
Lorenzo LeonciniDepartment of Medical Biotechnology, University of Siena, 53100 Siena, Italy.
Clément MathieuINSERM, BPH, U1219, Team Pharmacoepidemiology, Université de Bordeaux, 33000 Bordeaux, France.
Ignazio MartellucciAzienda Ospedaliera Universitaria Senese, 53100 Siena, Italy.
Folco FuriesiAzienda Ospedaliera Universitaria Senese, 53100 Siena, Italy.
Silvano GiorgiAzienda USL Toscana Sud Est, 53100 Siena, Italy.
Sandra DonniniDepartment of Life Sciences, University of Siena, 53100 Siena, Italy.ORCID 0000-0001-6617-1644
Giuseppe RobertoOsservatorio di Epidemiologia, Agenzia Regionale di Sanità Toscana, 50141 Florence, Italy.
Marina ZicheDepartment of Medical Science, Surgery and Neuroscience, University of Siena, 53100 Siena, Italy.
Francesco SalvoINSERM, BPH, U1219, Team Pharmacoepidemiology, Université de Bordeaux, 33000 Bordeaux, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Purpose: To describe first-line pharmacotherapy and overall survival in non-resectable non-small cell lung cancer (nrNSCLC) patients by gender. (2) Methods: Incident cases of nrNSCLC recorded between 2009 and 2019 (cohort entry) in the pathology registry of the regional administrative healthcare database of Tuscany were identified. Records of antineoplastic therapies delivered up to 4 months following cohort entry were classified as chemotherapy, target therapies, immunotherapies, and undefined monoclonal antibodies. First-line treatment and survival of patients receiving drug treatment was described. Analyses were stratified according to histology, gender, and cohort entry year. (3) Results: 4393 incident cases of nrNSCLC were included. Women with non-squamous-NSCLC received target-therapy more frequently than men (14.9% vs. 6.5%). Immunotherapy incidence of use varied between 3.8% (2017) and 9.1% (2019). The 2-year survival rate increased over time: for non-squamous-NSCLC, it was 22.3% (2009-2011) and 30.6% (2018-2019), while for squamous-NSCLC, it was 13.5% and 22.5%, respectively. After multivariate analysis, a low reduction in mortality risk in 2018-2019 vs. 2009-2011 was found (non-squamous: HR: 0.95 CI95%: 0.92-0.98; squamous: HR: 0.94 CI95%: 0.90-0.98). Among non-squamous NSCLC, median survival was longer in women than in men (389 vs. 276 days). (4) Conclusion: In light of sex-related biomolecular differences, among non-squamous NSCLC, women received target-therapy more frequently than men. Survival seemed to slightly improve over the study period for both histologies, despite a poor reduction in mortality risk was still observed.

Indexed as

drug utilizationgender differencesimmunotherapynon-small cell lung cancerNSCLCobservational studysurvivaltarget therapy

Identifiers

PMID34885238
PMCPMC8657179

What OpenQuestion holds

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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.