Evidence map›Paper›PMID 35159036›Full record

ReviewCancers2022

Targeted Therapy for Older Patients with Non-Small Cell Lung Cancer: Systematic Review and Guidelines from the French Society of Geriatric Oncology (SoFOG) and the French-Language Society of Pulmonology (SPLF)/French-Language Oncology Group (GOLF).

Laurent Greillier, Manon Gauvrit, Elena Paillaud, Nicolas Girard, Coline Montégut, Rabia Boulahssass, Marie Wislez, Frédéric Pamoukdjian, Romain Corre, Mathilde Cabart and 8 more

Abstract readReview
In one paragraph

Review in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Expert consensus to optimize the management of older adult patients with advanced EGFR-mutated non-small cell lung cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
    Article
  7. Annals of translational medicine · 2023
    Article
  8. Article
  9. 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

18 authors.

Laurent GreillierMultidisciplinary Oncology and Therapeutic Innovations Department, AP-HM Marseille France, Aix-Marseille University, CNRS INSERM CRCM, F-13009 Marseille, France.ORCID 0000-0002-5807-9503
Manon GauvritInserm CIC1401 Institut Bergonié Clinical Research Plateform for Older Patients with Cancer (PACAN), F-33076 Bordeaux, France.
Elena PaillaudDepartment of Geriatrics Geriatric Oncology Clinic HEGP Paris Cancer Institute CARPEM, AP-HP, F-75015 Paris, France.ORCID 0000-0002-5579-9927
Nicolas GirardFrench-Language Society of Pulmonology (SPLF), F-75006 Paris, France.
Coline MontégutFrench Society of Geriatric Oncology (SoFOG), F-63122 Ceyrat, France.
Rabia BoulahssassFrench Society of Geriatric Oncology (SoFOG), F-63122 Ceyrat, France.ORCID 0000-0002-3949-4250
Marie WislezFrench-Language Society of Pulmonology (SPLF), F-75006 Paris, France.
Frédéric PamoukdjianFrench Society of Geriatric Oncology (SoFOG), F-63122 Ceyrat, France.ORCID 0000-0003-2246-9857
Romain CorreFrench Society of Geriatric Oncology (SoFOG), F-63122 Ceyrat, France.
Mathilde CabartOncology Department Institut Bergonié, F-33076 Bordeaux, France.
Philippe CailletDepartment of Geriatrics Geriatric Oncology Clinic HEGP Paris Cancer Institute CARPEM, AP-HP, F-75015 Paris, France.
Yaniss BelaroussiInserm CIC1401 Institut Bergonié Clinical Research Plateform for Older Patients with Cancer (PACAN), F-33076 Bordeaux, France.
Matthieu FrascaInserm CIC1401 Institut Bergonié Clinical Research Plateform for Older Patients with Cancer (PACAN), F-33076 Bordeaux, France.
Pernelle NoizeInserm CIC1401 Institut Bergonié Clinical Research Plateform for Older Patients with Cancer (PACAN), F-33076 Bordeaux, France.
Pascal WangOncology Thoracic Unit Pulmonology Department AP-HP Hôpital Cochin, F-75014 Paris, France.ORCID 0000-0002-4057-3765
Soraya MebarkiDepartment of Geriatrics Geriatric Oncology Clinic HEGP Paris Cancer Institute CARPEM, AP-HP, F-75015 Paris, France.
Simone Mathoulin-PelissierInserm CIC1401 Institut Bergonié Clinical Research Plateform for Older Patients with Cancer (PACAN), F-33076 Bordeaux, France.
Anne-Laure CoudercFrench Society of Geriatric Oncology (SoFOG), F-63122 Ceyrat, France.ORCID 0000-0003-2938-2201

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Systematic molecular profiling and targeted therapy (TKI) have changed the face of Non-Small Cell Lung Cancer (NSCLC) treatment. However, there are no specific recommendations to address the prescription of TKI for older patients. A multidisciplinary task force from the French Society of Geriatric Oncology (SoFOG) and the French Society of Pulmonology/Oncology Group (SPLF/GOLF) conducted a systematic review from May 2010 to May 2021. Protocol registered in Prospero under number CRD42021224103. Three key questions were selected for older patients with NSCLC: (1) to whom TKI can be proposed, (2) for whom monotherapy should be favored, and (3) to whom a combination of TKI can be proposed. Among the 534 references isolated, 52 were included for the guidelines. The expert panel analysis concluded: (1) osimertinib 80 mg/day is recommended as a first-line treatment for older patients with the EGFR mutation; (2) full-dose first generation TKI, such as erlotinib or gefitinib, is feasible; (3) ALK and ROS1 rearrangement studies including older patients were too scarce to conclude on any definitive recommendations; and (4) given the actual data, TKI should be prescribed as monotherapy. Malnutrition, functional decline, and the number of comorbidities should be assessed primarily before TKI initiation.

Indexed as

efficacygeriatric assessmentlung cancerquality of lifesafetytargeted therapytoxicity

Identifiers

PMID35159036
PMCPMC8834005

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.