Evidence map›Paper›PMID 37156580›Full record

ArticleBMJ open2023

Assessment of bone-targeting agents use in patients with bone metastasis from breast, lung or prostate cancer using structured and unstructured electronic health records from a regional UK-based hospital.

Anouchka Seesaghur, Peter Egger, Joshua Warden, Ali Abbasi, Bethany Levick, Majid Riaz, Peter McMahon, Matthew Thompson, Sue Cheeseman

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 16% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. BeTTer Outcomes Workgroup Health Quality Initiative to optimize bone health for prostate cancer patients in the British Columbia Cancer System.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023
    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

9 authors at 3 institutions in 3 countries.

Anouchka SeesaghurCentre for Observational Research, Amgen Ltd Uxbridge, Uxbridge, Middlesex, UK.ORCID 0000-0003-2997-5867
Peter EggerReal World Studies, IQVIA Europe, London, UK peter.egger@iqvia.com.ORCID 0000-0002-8819-6700
Joshua WardenReal World Studies, IQVIA Europe, London, UK.
Ali AbbasiCentre for Observational Research, Amgen Ltd Uxbridge, Uxbridge, Middlesex, UK.
Bethany LevickReal World Studies, IQVIA Europe, London, UK.
Majid RiazReal World Studies, IQVIA Europe, London, UK.
Peter McMahonReal World Studies, IQVIA Europe, London, UK.
Matthew ThompsonReal World Studies, IQVIA Europe, London, UK.
Sue CheesemanREAL Oncology, The Leeds Teaching Hospitals NHS Trust, Leeds, UK.
IQVIA (United Kingdom) · GBAmgen (United States) · USLeeds Teaching Hospitals NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ObjectiveTo assess use of bone-targeting agents (BTA) in patients with confirmed bone metastases (BM) from breast cancer (BC), non-small cell lung cancer (NSCLC) or prostate cancer (PC).

designRetrospective cohort study.

settingRegional hospital-based oncology database of approximately 2 million patients in England.

participantsPatients aged ≥18 years with a diagnosis of BC, NSCLC or PC as well as BM between 1 January 2007 and 31 December 2018, with follow-up to 30 June 2020 or death; BM diagnosis ascertained from recorded medical codes and unstructured data using natural language processing (NLP). MAIN OUTCOMES MEASURES: Initiation or non-initiation of BTA following BM diagnosis, time from BM diagnosis to BTA initiation, time from first to last BTA, time from last BTA to death.

resultsThis study included 559 BC, 894 NSCLC and 1013 PC with BM; median age (Q1-Q3) was 65 (52-76), 69 (62-77) and 75 (62-77) years, respectively. NLP identified BM diagnosis from unstructured data for 92% patients with BC, 92% patients with NSCLC and 95% patients with PC. Among patients with BC, NSCLC and PC with BM, 47%, 87% and 88% did not receive a BTA, and 53%, 13% and 12% received at least one BTA, starting a median 65 (27-167), 60 (28-162) and 610 (295-980) days after BM, respectively. Median (Q1-Q3) duration of BTA treatment was 481 (188-816), 89 (49-195) and 115 (53-193) days for patients with BC, NSCLC and PC. For those with a death record, median time from last BTA to death was 54 (26-109) for BC, 38 (17-98) for NSCLC and 112 (44-218) days for PC.

conclusionIn this study identifying BM diagnosis from both structured and unstructured data, a high proportion of patients did not receive a BTA. Unstructured data provide new insights on the real-world use of BTA.

Indexed as

Bone NeoplasmsBreast NeoplasmsCarcinoma, Non-Small-Cell LungLung NeoplasmsProstatic NeoplasmsAdolescentAdultElectronic Health RecordsHumansLungMaleRetrospective StudiesUnited KingdomBreast tumoursEpidemiologyONCOLOGYRespiratory tract tumoursUrological tumours

Identifiers

PMID37156580
PMCPMC10410833
OpenAlexW4375956130

What OpenQuestion holds

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LicenceCC BY-NC
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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.