Evidence map›Paper›PMID 35008291›Full record

ArticleCancers2021

Prediction of Chemotoxicity, Unplanned Hospitalizations and Early Death in Older Patients with Colorectal Cancer Treated with Chemotherapy.

Jaime Feliu, Enrique Espinosa, Laura Basterretxea, Irene Paredero, Elisenda Llabrés, Beatriz Jiménez-Munárriz, Maite Antonio-Rebollo, Beatriz Losada, Alvaro Pinto, Ana Belén Custodio and 7 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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Trial
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  12. Update on the management of elderly patients with colorectal cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
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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

17 authors.

Jaime FeliuOncology Department, La Paz University Hospital, IDIPAZ, CIBERONC, UAM-AMGEN Cathedra, 28046 Madrid, Spain.ORCID 0000-0003-4867-1420
Enrique EspinosaOncology Department, La Paz University Hospital, IDIPAZ, CIBERONC, UAM-AMGEN Cathedra, 28046 Madrid, Spain.
Laura BasterretxeaOncology Department, Donostia University Hospital, 20014 Donostia, Spain.
Irene ParederoOncology Department, Doctor Peset University Hospital, 46017 Valencia, Spain.ORCID 0000-0003-3618-8685
Elisenda LlabrésOncology Department, Insular University Hospital of Gran Canarias, 35016 Las Palmas, Spain.
Beatriz Jiménez-MunárrizOncology Department, Centro Integral Oncológico Clara Campal, 28050 Madrid, Spain.
Maite Antonio-RebolloOncohematogeriatrics Unit, Institut Català d'Oncologia, IDIBELL Hospitalet, 08908 Barcelona, Spain.
Beatriz LosadaOncology Department, University Hospital of Fuenlabrada, 28942 Madrid, Spain.ORCID 0000-0001-9283-4333
Alvaro PintoOncology Department, La Paz University Hospital, IDIPAZ, CIBERONC, UAM-AMGEN Cathedra, 28046 Madrid, Spain.
Ana Belén CustodioOncology Department, La Paz University Hospital, IDIPAZ, CIBERONC, UAM-AMGEN Cathedra, 28046 Madrid, Spain.
María Del Mar MuñozOncology Department, Hospital Virgen de la Luz, 16002 Cuenca, Spain.
Jenifer Gómez-MediavillaOncology Department, Donostia University Hospital, 20014 Donostia, Spain.
María-Dolores TorregrosaOncology Department, Doctor Peset University Hospital, 46017 Valencia, Spain.
Gema SolerOncohematogeriatrics Unit, Institut Català d'Oncologia, IDIBELL Hospitalet, 08908 Barcelona, Spain.
Patricia CruzOncology Department, La Paz University Hospital, IDIPAZ, CIBERONC, UAM-AMGEN Cathedra, 28046 Madrid, Spain.
Oliver HigueraOncology Department, La Paz University Hospital, IDIPAZ, CIBERONC, UAM-AMGEN Cathedra, 28046 Madrid, Spain.
María-José Molina-GarridoOncology Department, Hospital Virgen de la Luz, 16002 Cuenca, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify risk factors for toxicity, unplanned hospitalization (UH) and early death (ED) in older patients with colorectal carcinoma (CRC) initiating chemotherapy.

methods215 patients over 70 years were prospectively included. Geriatric assessment was performed before treatment, and tumor and treatment variables were collected. The association between these factors and grade 3-5 toxicity, UH and ED (<6 months) was examined by using multivariable logistic regression. Score points were assigned to each risk factor.

resultsDuring the first 6 months of treatment, 33% of patients developed grade 3-5 toxicity, 31% had UH and 23% died. Risk factors were, for toxicity, instrumental activities of daily living, creatinine clearance, weight loss and MAX2 index; for UH, Charlson Comorbidity Score, creatinine clearance, weight loss, serum albumin, and metastatic disease; and for ED, basic activities in daily living, weight loss, metastatic disease, and hemoglobin levels. Predictive scores were built with these variables. The areas under receiver operation characteristic (ROC) curves for toxicity, UH and ED were 0.70 (95% CI: 0.64-0.766), 0.726 (95% IC: 0.661-0.799) and 0.74 (95% IC: 0.678-0.809), respectively.

conclusionSimple scores based on geriatric, tumor and laboratory characteristics predict severe toxicity, UH and ED, and may help in treatment planning.

Indexed as

cancerchemo-toxicitiesearly deathfrailtygeriatric assessmentolderprognosticunplanned hospitalizations

Identifiers

PMID35008291
PMCPMC8749992

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.