Evidence map›Paper›PMID 36363500›Full record

ArticleMedicina (Kaunas, Lithuania)2022

Second-Line Chemotherapy in Elderly Patients with Advanced Biliary Tract Cancer: A Multicenter Real-World Study.

Alessandro Rizzo, Massimiliano Salati, Giorgio Frega, Valeria Merz, Francesco Caputo, Alessandro Di Federico, Andrea Palloni, Riccardo Carloni, Angela Dalia Ricci, Gennaro Gadaleta-Caldarola and 8 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Medicina (Kaunas, Lithuania), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
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  5. 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 at 8 institutions in 1 country.

Alessandro RizzoStruttura Semplice Dipartimentale di Oncologia Medica per la Presa in Carico Globale del Paziente Oncologico "Don Tonino Bello", I.R.C.C.S. Istituto Tumori "Giovanni Paolo II", Viale Orazio Flacco 65, 70124 Bari, Italy.ORCID 0000-0002-5257-8678
Massimiliano SalatiPhD Program Clinical and Experimental Medicine, University of Modena and Reggio Emilia, 41121 Modena, Italy.
Giorgio FregaOsteoncology, Bone and Soft Tissue Sarcomas, and Innovative Therapies, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.ORCID 0000-0001-9153-0557
Valeria MerzDepartment of Medical Oncology, Santa Chiara Hospital, 35127 Trento, Italy.ORCID 0000-0002-2120-1923
Francesco CaputoDivision of Oncology, Department of Oncology and Hematology, University Hospital of Modena, 41125 Modena, Italy.
Alessandro Di FedericoMedical Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Albertoni-15, 40138 Bologna, Italy.ORCID 0000-0001-8877-4315
Andrea PalloniMedical Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Albertoni-15, 40138 Bologna, Italy.
Riccardo CarloniMedical Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Albertoni-15, 40138 Bologna, Italy.ORCID 0000-0003-2061-5451
Angela Dalia RicciMedical Oncology Unit, National Institute of Gastroenterology, "Saverio de Bellis" Research Hospital, 70013 Castellana Grotte, Italy.ORCID 0000-0002-0701-6764
Gennaro Gadaleta-CaldarolaMedical Oncology Unit, 'Mons. R. Dimiccoli' Hospital, Barletta (BT), Azienda Sanitaria Locale Barletta, 76121 Barletta, Italy.
Carlo MessinaDepartment of Medical Oncology, Santa Chiara Hospital, 35127 Trento, Italy.
Andrea SpallanzaniDivision of Oncology, Department of Oncology and Hematology, University Hospital of Modena, 41125 Modena, Italy.
Fabio GelsominoDivision of Oncology, Department of Oncology and Hematology, University Hospital of Modena, 41125 Modena, Italy.
Stefania BenattiDivision of Oncology, Department of Oncology and Hematology, University Hospital of Modena, 41125 Modena, Italy.
Gabriele LuppiDivision of Oncology, Department of Oncology and Hematology, University Hospital of Modena, 41125 Modena, Italy.
Davide MelisiDigestive Molecular Clinical Oncology Research Unit, University of Verona, 37129 Verona, Italy.ORCID 0000-0002-4031-7585
Massimo DominiciDivision of Oncology, Department of Oncology and Hematology, University Hospital of Modena, 41125 Modena, Italy.
Giovanni BrandiMedical Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Albertoni-15, 40138 Bologna, Italy.
University of Modena and Reggio Emilia · ITAzienda USL di Bologna · ITUniversity of Verona · ITASL Roma · ITGastroenterology Hospital "Saverio de Bellis" · ITIstituto Ortopedico Rizzoli · ITIstituto Tumori Bari · ITOspedale Santa Chiara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The ABC-06 and the NIFTY trials recently established the role of second-line chemotherapy (2L) in patients with advanced biliary tract cancer (BTC). Our real-world study aimed to explore 2L in BTC patients aged ≥ 70 years old and to compare their outcomes with younger subjects. Methods: Institutional registries across three academic medical centers were retrospectively reviewed. The Kaplan−Meier methods were used to estimate survival, and the log-rank test was used to make comparisons. Results: A total of 190 BTC patients treated with 2L were identified and included in the analysis. Among them, 52 (27.3%) were aged ≥ 70 years (range 70−87 years). No statistically significant differences in both median overall survival (mOS) and median progression-free survival (mPFS) were recorded between the elderly and younger patients. Absolute lymphocyte count < 1000/mmc (p < 0.001) and albumin level < 3 g/dL (p < 0.001) were independently associated with worse prognoses. Conclusions: The results of this real-world study suggest that for patients aged ≥ 70 years, 2L could be equally effective for younger patients with survival outcomes aligned to those from the ABC-06 and NIFTY trials. The delivery of 2L should be carefully evaluated and monitored in this patient subset.

Indexed as

Bile Duct NeoplasmsBiliary Tract NeoplasmsAgedAntineoplastic Combined Chemotherapy ProtocolsHumansPrognosisRetrospective StudiesTreatment Outcomebiliary tract cancerchemotherapycholangiocarcinomaelderlysecond-line

Identifiers

PMID36363500
PMCPMC9698581
OpenAlexW4307946559

What OpenQuestion holds

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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.