Evidence map›Paper›PMID 34917991›Full record

ArticleJTO clinical and research reports2021

Concurrent Chemoradiation With or Without Durvalumab in Elderly Patients With Unresectable Stage III NSCLC: Safety and Efficacy.

Sally C M Lau, Malcolm Ryan, Jessica Weiss, Aline Fusco Fares, Miguel Garcia, Sabine Schmid, Shelley Kuang, Deirdre Kelly, Ming Sound Tsao, Penelope A Bradbury and 11 more

Open access · goldAbstract read
In one paragraph

Article in JTO clinical and research reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 31% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
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  3. Trial
  4. Article
  5. Article
  6. Article
  7. Observational
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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

21 authors at 4 institutions in 2 countries.

Sally C M LauDepartment of Medical Oncology, Princess Margaret Cancer Centre, University Health Network, University of Toronto, Toronto, Canada.
Malcolm RyanDepartment of Medical Oncology, Princess Margaret Cancer Centre, University Health Network, University of Toronto, Toronto, Canada.
Jessica WeissDepartment of Biostatistics, Princess Margaret Cancer Centre, University Health Network, University of Toronto, Toronto, Canada.
Aline Fusco FaresDepartment of Medical Oncology, Faculty of Medicine, Hospital de Base de São José do Rio Preto, Sao Paulo, Brazil.
Miguel GarciaDepartment of Medical Oncology, Princess Margaret Cancer Centre, University Health Network, University of Toronto, Toronto, Canada.
Sabine SchmidDepartment of Medical Oncology, Princess Margaret Cancer Centre, University Health Network, University of Toronto, Toronto, Canada.
Shelley KuangDepartment of Medical Oncology, Princess Margaret Cancer Centre, University Health Network, University of Toronto, Toronto, Canada.
Deirdre KellyDepartment of Medical Oncology, Princess Margaret Cancer Centre, University Health Network, University of Toronto, Toronto, Canada.
Ming Sound TsaoDepartment of Pathology, Laboratory Medicine Program, Princess Margaret Cancer Centre, University Health Network, University of Toronto, Toronto, Canada.
Penelope A BradburyDepartment of Medical Oncology, Princess Margaret Cancer Centre, University Health Network, University of Toronto, Toronto, Canada.
Byoung Chun J ChoRadiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Canada.
Alexander SunRadiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Canada.
Srinivas RamanRadiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Canada.
Andrew HopeRadiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Canada.
Meredith GiulianiRadiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Canada.
Benjamin H LokRadiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Canada.
Andrea BezjakRadiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Canada.
Geoffrey LiuDepartment of Medical Oncology, Princess Margaret Cancer Centre, University Health Network, University of Toronto, Toronto, Canada.
Natasha B LeighlDepartment of Medical Oncology, Princess Margaret Cancer Centre, University Health Network, University of Toronto, Toronto, Canada.
Frances A ShepherdDepartment of Medical Oncology, Princess Margaret Cancer Centre, University Health Network, University of Toronto, Toronto, Canada.
Adrian G SacherDepartment of Medical Oncology, Princess Margaret Cancer Centre, University Health Network, University of Toronto, Toronto, Canada.
Princess Margaret Cancer Centre · CAUniversity of Toronto · CAUniversity Health Network · CAHospital de Base · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe addition of durvalumab after chemoradiation therapy (CRT) in unresectable stage III NSCLC significantly improves survival. The benefit of this approach in elderly patients is controversial given the toxicity associated with CRT and, thus, may be underutilized. We sought to investigate the outcomes of elderly patients treated with CRT without or without durvalumab at our center.

methodsWe reviewed all stage III patients with NSCLC treated with CRT between 2018 and 2020. Patients were analyzed on the basis of age: less than 70 years and 70 years and older. The end points evaluated were treatment patterns, toxicity, progression-free survival, and overall survival.

resultsThe baseline characteristics including Eastern Cooperative Oncology Group performance status and comorbidities were similar among the 115 patients (44 elderly, 71 young). Completion rates of CRT (100%, 97%) and chemotherapy dose intensity (97%, 97%) were high in elderly and young patients, respectively. There was a trend toward increased hospitalizations in elderly patients because of infections (27% versus 13%,

conclusionsWell-selected elderly patients can be treated safely with CRT followed by durvalumab with similar survival benefits compared with their younger counterparts. We would advocate for the referral of all elderly patients for oncologic assessment to avoid undertreatment.

Indexed as

ChemoradiotherapyElderlyImmune checkpoint inhibitorsMultimodality treatmentSafety

Identifiers

PMID34917991
PMCPMC8665356
OpenAlexW3208513157

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.