Evidence map›Paper›PMID 37174084›Full record

ArticleCancers2023

A Retrospective Multi-Institutional Cohort Analysis of Clinical Characteristics and Outcomes in Dedifferentiated Chondrosarcoma.

Nam Bui, Hilary Dietz, Sheima Farag, Angela C Hirbe, Michael J Wagner, Brian A Van Tine, Kristen Ganjoo, Robin L Jones, Vicki L Keedy, Elizabeth J Davis

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

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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

10 authors at 5 institutions in 2 countries.

Nam BuiStanford Cancer Institute, Palo Alto, CA 94304, USA.
Hilary DietzVanderbilt University Medical Center, Nashville, TN 37232, USA.
Sheima FaragInstitute of Cancer Research, Royal Marsden Hospital, London SW3 6JJ, UK.
Angela C HirbeSiteman Cancer Center, Washington University in St. Louis, St. Louis, MO 63110, USA.ORCID 0000-0003-1719-0771
Michael J WagnerFred Hutchinson Cancer Center, University of Washington, Seattle, WA 98109, USA.
Brian A Van TineSiteman Cancer Center, Washington University in St. Louis, St. Louis, MO 63110, USA.ORCID 0000-0003-4572-6668
Kristen GanjooStanford Cancer Institute, Palo Alto, CA 94304, USA.
Robin L JonesInstitute of Cancer Research, Royal Marsden Hospital, London SW3 6JJ, UK.ORCID 0000-0003-4173-3844
Vicki L KeedyVanderbilt University Medical Center, Nashville, TN 37232, USA.
Elizabeth J DavisVanderbilt University Medical Center, Nashville, TN 37232, USA.
Vanderbilt University Medical Center · USInstitute of Cancer Research · GBPalo Alto Institute · USWashington University in St. Louis · USUniversity of Washington · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
NCATS NIH HHS UL1 TR000445NIH HHS UL1 TR000445
6 · The paper itself

Abstract

backgroundDedifferentiated chondrosarcoma (DDCS) is a rare subset of chondrosarcoma. It is an aggressive neoplasm characterized by a high rate of recurrent and metastatic disease with overall poor outcomes. Systemic therapy is often used to treat DDCS; however, the optimal regimen and timing are not well defined, with current guidelines recommending following osteosarcoma protocols.

methodsWe conducted a multi-institutional retrospective analysis of clinical characteristics and outcomes of patients with DDCS. Between 1 January 2004 and 1 January 2022, the databases from five academic sarcoma centers were reviewed. Patient and tumor factors, including age, sex, tumor size, site, location, the treatments rendered, and survival outcomes, were collected.

resultsSeventy-four patients were identified and included in the analysis. Most patients presented with localized disease. Surgical resection was the mainstay of therapy. Chemotherapy was used predominantly in the metastatic setting. Partial responses were low (n = 4; 9%) and occurred upon treatment with doxorubicin with cisplatin or ifosfamide and single-agent pembrolizumab. For all other regimens, stable disease was the best response. Prolonged stable disease occurred with the use of pazopanib and immune checkpoint inhibitors.

conclusionsDDCS has poor outcomes and conventional chemotherapy has limited benefit. Future studies should focus on defining the possible role of molecularly targeted therapies and immunotherapy in the treatment of DDCS.

Indexed as

bone sarcomachondrosarcomadedifferentiated chondrosarcomasarcoma

Identifiers

PMID37174084
PMCPMC10177459
OpenAlexW4376629987

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.