Evidence map›Paper›PMID 36572733›Full record

ArticleBritish journal of cancer2023

Critical evaluation of molecular tumour board outcomes following 2 years of clinical practice in a Comprehensive Cancer Centre.

Alexander Scheiter, Frederik Hierl, Florian Lüke, Felix Keil, Daniel Heudobler, Sabine Einhell, Margit Klier-Richter, Nikola P Konstandin, Florian Weber, Andrea Scheiter and 25 more

Full text read
In one paragraph

Article in British journal of cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. [Molecular tumor boards in uro-oncology-prostate cancer].Urologie (Heidelberg, Germany) · 2024
    Article
  11. [Precision oncology and molecular tumor boards].Innere Medizin (Heidelberg, Germany) · 2024
    Review
  12. [Personalized medicine in oncology].Pathologie (Heidelberg, Germany) · 2024
    Review
  13. [Precision medicine in oncology].Innere Medizin (Heidelberg, Germany) · 2024
    Review
  14. Article
  15. 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

35 authors.

Alexander ScheiterInstitute of Pathology, University of Regensburg, 93053, Regensburg, Germany. Alexander.Scheiter@klinik.uni-regensburg.de.ORCID http://orcid.org/0000-0001-6734-261X
Frederik HierlInstitute of Pathology, University of Regensburg, 93053, Regensburg, Germany.
Florian LükeBavarian Center for Cancer Research / BZKF, Regensburg, Bavaria, Germany.
Felix KeilInstitute of Pathology, University of Regensburg, 93053, Regensburg, Germany.
Daniel HeudoblerBavarian Center for Cancer Research / BZKF, Regensburg, Bavaria, Germany.
Sabine EinhellDepartment of Internal Medicine III, Hematology and Oncology, University Hospital Regensburg, 93053, Regensburg, Germany.
Margit Klier-RichterInstitute of Pathology, University of Regensburg, 93053, Regensburg, Germany.
Nikola P KonstandinInstitute of Pathology, University of Regensburg, 93053, Regensburg, Germany.
Florian WeberInstitute of Pathology, University of Regensburg, 93053, Regensburg, Germany.
Andrea ScheiterSchool of Engineering and Design, Chair of Ergonomics, Technical University of Munich, 85748, Garching, Germany.
Arne KandulskiDepartment of Internal Medicine I, University Hospital Regensburg, 93053, Regensburg, Germany.
Sophie SchlosserDepartment of Internal Medicine I, University Hospital Regensburg, 93053, Regensburg, Germany.
Lidia-Sabina CosmaDepartment of Internal Medicine I, University Hospital Regensburg, 93053, Regensburg, Germany.
Hauke TewsDepartment of Internal Medicine I, University Hospital Regensburg, 93053, Regensburg, Germany.
Andreas R R WeissDepartment of Surgery, University Hospital Regensburg, 93053, Regensburg, Germany.
Matthias GrubeDepartment of Internal Medicine III, Hematology and Oncology, University Hospital Regensburg, 93053, Regensburg, Germany.
Elisabeth BumesDepartment of Neurology and Wilhelm Sander-NeuroOncology Unit, 93053 Regensburg University Hospital, 93053, Regensburg, Germany.
Peter HauDepartment of Neurology and Wilhelm Sander-NeuroOncology Unit, 93053 Regensburg University Hospital, 93053, Regensburg, Germany.
Martin ProescholdtDepartment of Neurosurgery, University Hospital Regensburg, 93053, Regensburg, Germany.
Felix StegerDepartment of Radiotherapy, Regensburg University Medical Center, 93053, Regensburg, Germany.
Anja TroegerDepartment of Pediatric Hematology, Oncology and Stem Cell Transplantation, University Hospital of Regensburg, 93053, Regensburg, Germany.
Sebastian HaferkampDepartment of Dermatology, University Hospital Regensburg, Regensburg, Germany.
Lucas E ReibenspiesInstitute of Pathology, University of Regensburg, 93053, Regensburg, Germany.
Marco J SchnabelDepartment of Urology, Caritas St. Josef Medical Center, University of Regensburg, 93053, Regensburg, Germany.
Christian SchulzDepartment of Pneumology, University Hospital Regensburg, 93053, Regensburg, Germany.
Konstantin DrexlerDepartment of Dermatology, University Hospital Regensburg, Regensburg, Germany.
Maria E HatzipanagiotouUniversity Medical Centre Regensburg, Department of Gynecology and Obstetrics, 93053, Regensburg, Germany.
Stephan SeitzUniversity Medical Centre Regensburg, Department of Gynecology and Obstetrics, 93053, Regensburg, Germany.
Monika Klinkhammer-SchalkeTumour Center-Institute for Quality Management and Health Services Research, University of Regensburg, 93053, Regensburg, Germany.
Philipp UnberathFriedrich-Alexander University Erlangen-Nuremberg, Chair of Medical Informatics, 91054, Erlangen, Germany.
Diego F CalvisiInstitute of Pathology, University of Regensburg, 93053, Regensburg, Germany.ORCID http://orcid.org/0000-0002-6038-8567
Tobias PukropBavarian Center for Cancer Research / BZKF, Regensburg, Bavaria, Germany.
Wolfgang DietmaierInstitute of Pathology, University of Regensburg, 93053, Regensburg, Germany.
Matthias EvertInstitute of Pathology, University of Regensburg, 93053, Regensburg, Germany.
Kirsten UtpatelInstitute of Pathology, University of Regensburg, 93053, Regensburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecently, molecular tumour boards (MTBs) have been integrated into the clinical routine. Since their benefit remains debated, we assessed MTB outcomes in the Comprehensive Cancer Center Ostbayern (CCCO) from 2019 to 2021. METHODS AND

resultsIn total, 251 patients were included. Targeted sequencing was performed with PCR MSI-evaluation and immunohistochemistry for PD-L1, Her2, and mismatch repair enzymes. 125 treatment recommendations were given (49.8%). High-recommendation rates were achieved for intrahepatic cholangiocarcinoma (20/30, 66.7%) and gastric adenocarcinoma (10/16, 62.5%) as opposed to colorectal cancer (9/36, 25.0%) and pancreatic cancer (3/18, 16.7%). MTB therapies were administered in 47 (18.7%) patients, while 53 (21.1%) received alternative treatment regimens. Thus 37.6% of recommended MTB therapies were implemented (47/125 recommendations). The clinical benefit rate (complete + partial + mixed response + stable disease) was 50.0% for MTB and 63.8% for alternative treatments. PFS2/1 ratios were 34.6% and 16.1%, respectively. Significantly improved PFS could be achieved for m1A-tier-evidence-based MTB therapies (median 6.30 months) compared to alternative treatments (median 2.83 months; P = 0.0278).

conclusionThe CCCO MTB yielded a considerable recommendation rate, particularly in cholangiocarcinoma patients. The discrepancy between the low-recommendation rates in colorectal and pancreatic cancer suggests the necessity of a weighted prioritisation of entities. High-tier recommendations should be implemented predominantly.

Indexed as

Bile Duct NeoplasmsCholangiocarcinomaPancreatic NeoplasmsBile Ducts, IntrahepaticHumans

Identifiers

PMID36572733
PMCPMC10006213

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Textfull text, public
LicenceCC BY
measurements read176
identifiers read3
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.