Evidence map›Paper›PMID 37335901›Full record

ArticleThe oncologist2023

Health Equity in Patients Receiving Durvalumab for Unresectable Stage III Non-Small Cell Lung Cancer in the US Veterans Health Administration.

Amanda M Moore, Zohra Nooruddin, Kelly R Reveles, Jim M Koeller, Jennifer M Whitehead, Kathleen Franklin, Paromita Datta, Munaf Alkadimi, Lance Brannman, Ion Cotarla and 4 more

Open access · goldAbstract read
In one paragraph

Article in The oncologist, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Review
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

14 authors at 4 institutions in 1 country.

Amanda M MooreDivision of Pharmacotherapy, College of Pharmacy, The University of Texas at Austin, San Antonio, TX, USA.ORCID 0000-0003-2051-1476
Zohra NooruddinPharmacotherapy Education and Research Center, Department of Medicine, Long School of Medicine, University of Texas Health San Antonio, San Antonio, TX, USA.ORCID 0000-0003-4659-4310
Kelly R RevelesDivision of Pharmacotherapy, College of Pharmacy, The University of Texas at Austin, San Antonio, TX, USA.ORCID 0000-0001-8880-4879
Jim M KoellerDivision of Pharmacotherapy, College of Pharmacy, The University of Texas at Austin, San Antonio, TX, USA.ORCID 0000-0002-8962-7453
Jennifer M WhiteheadPharmacotherapy Education and Research Center, Department of Medicine, Long School of Medicine, University of Texas Health San Antonio, San Antonio, TX, USA.
Kathleen FranklinResearch Service, Audie L. Murphy Memorial Veterans Hospital Division, South Texas Veterans Health Care System, San Antonio, TX, USA.
Paromita DattaPharmacotherapy Education and Research Center, Department of Medicine, Long School of Medicine, University of Texas Health San Antonio, San Antonio, TX, USA.ORCID 0000-0001-9153-0020
Munaf AlkadimiPharmacotherapy Education and Research Center, Department of Medicine, Long School of Medicine, University of Texas Health San Antonio, San Antonio, TX, USA.ORCID 0000-0003-3363-730X
Lance BrannmanOncology Business Unit, Global Medical Affairs, AstraZeneca Pharmaceuticals, Gaithersburg, MD, USA.ORCID 0000-0003-1189-8074
Ion CotarlaOncology Business Unit, US Medical Affairs, AstraZeneca Pharmaceuticals, Gaithersburg, MD, USA.ORCID 0000-0002-8986-3616
Andrew J FrankartDepartment of Radiation Oncology, University of Cincinnati, Cincinnati, OH, USA.ORCID 0000-0002-1220-6511
Tiernan MulrooneyOncology Business Unit, US Medical Affairs, AstraZeneca Pharmaceuticals, Gaithersburg, MD, USA.ORCID 0000-0002-0218-2771
Xavier JonesDivision of Pharmacotherapy, College of Pharmacy, The University of Texas at Austin, San Antonio, TX, USA.
Christopher R FreiDivision of Pharmacotherapy, College of Pharmacy, The University of Texas at Austin, San Antonio, TX, USA.ORCID 0000-0002-0692-4787
The University of Texas Health Science Center at San Antonio · USAstraZeneca (United States) · USMurphy Oil Corporation (United States) · USUniversity of Cincinnati · US

Funding

Institute for Integration of Medicine & Science: A Partnership to Improve HealthUL1TR002645 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CLARK, ROBERT A, HARGREAVES, KENNETH M · 2018 to 2022
$20.4M
NCATS NIH HHS UL1 TR002645
6 · The paper itself

Abstract

backgroundReal-world evidence is limited regarding the relationship between race and use of durvalumab, an immunotherapy approved for use in adults with unresectable stage III non-small cell lung cancer (NSCLC) post-chemoradiotherapy (CRT). This study aimed to evaluate if durvalumab treatment patterns differed by race in patients with unresectable stage III NSCLC in a Veterans Health Administration (VHA) population. MATERIALS AND

methodsThis was a retrospective analysis of White and Black adults with unresectable stage III NSCLC treated with durvalumab presenting to any VHA facility in the US from January 1, 2017, to June 30, 2020. Data captured included baseline characteristics and durvalumab treatment patterns, including treatment initiation delay (TID), interruption (TI), and discontinuation (TD); defined as CRT completion to durvalumab initiation greater than 42 days, greater than 28 days between durvalumab infusions, and more than 28 days from the last durvalumab dose with no new durvalumab restarts, respectively. The number of doses, duration of therapy, and adverse events were also collected.

resultsA total of 924 patients were included in this study (White = 726; Black = 198). Race was not a significant factor in a multivariate logistic regression model for TID (OR, 1.39; 95% CI, 0.81-2.37), TI (OR, 1.58; 95% CI, 0.90-2.76), or TD (OR, 0.84; 95% CI, 0.50-1.38). There were also no significant differences in median (interquartile range [IQR]) number of doses (White: 15 [7-24], Black: 18 [7-25]; P = .25) or median (IQR) duration of therapy (White: 8.7 months [2.9-11.8], Black: 9.8 months [3.6-12.0]; P = .08), although Black patients were less likely to experience an immune-related adverse event (28% vs. 36%, P = .03) and less likely to experience pneumonitis (7% vs. 14%, P < .01).

conclusionRace was not found to be linked with TID, TI, or TD in this real-world study of patients with unresectable stage III NSCLC treated with durvalumab at the VHA.

Indexed as

Carcinoma, Non-Small-Cell LungHealth EquityLung NeoplasmsAdultAntibodies, MonoclonalChemoradiotherapyHumansRetrospective StudiesVeterans HealthAntibodies, Monoclonaldurvalumabdurvalumabhealth disparityhealth equityimmunotherapylung cancer

Identifiers

PMID37335901
PMCPMC10485300
OpenAlexW4381251901

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.