Evidence map›Paper›PMID 37763145›Full record

ArticleJournal of personalized medicine2023

Pancreatic Adenocarcinoma: Real World Evidence of Care Delivery in AccessHope Data.

Afsaneh Barzi, Angela J Kim, Crystal K Liang, Howard West, D Wong, Carol Wright, Nitya Nathwani, Catherine M Vasko, Vincent Chung, Douglas A Rubinson and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of personalized medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 26% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

11 authors at 3 institutions in 1 country.

Afsaneh BarziAccessHope, Duarte, CA 91010, USA.
Angela J KimAccessHope, Duarte, CA 91010, USA.
Crystal K LiangAccessHope, Duarte, CA 91010, USA.
Howard WestAccessHope, Duarte, CA 91010, USA.ORCID 0000-0003-3257-0086
D WongAccessHope, Duarte, CA 91010, USA.
Carol WrightAccessHope, Duarte, CA 91010, USA.
Nitya NathwaniDepartment of Hematology and Hematopoietic Stem Cell Transplant, City of Hope, Duarte, CA 91011, USA.
Catherine M VaskoAccessHope, Duarte, CA 91010, USA.
Vincent ChungDepartment of Medical Oncology and Therapeutics Research, City of Hope, Duarte, CA 91010, USA.ORCID 0000-0001-9475-808X
Douglas A RubinsonDana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02215, USA.ORCID 0000-0002-5337-5231
Todd SachsAccessHope, Duarte, CA 91010, USA.
Access to Wholistic and Productive Living Institute · USCity of Hope · USDana-Farber Cancer Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPancreatic adenocarcinoma is an aggressive disease and the delivery of comprehensive care to individuals with this cancer is critical to achieve appropriate outcomes. The identification of gaps in care delivery facilitates the design of interventions to optimize care delivery and improve outcomes in this population.

methodsAccessHope™ is a growing organization that connects oncology subspecialists with treating providers through contracts with self-insured employers. Data from 94 pancreatic adenocarcinoma cases (August 2019-December 2022) in the AccessHope dataset were used to describe gaps in care delivery.

resultsIn all but 6% of cases, the subspecialist provided guideline-concordant recommendations anticipated to improve outcomes. Gaps in care were more pronounced in patients with non-metastatic pancreatic cancer. There was a significant deficiency in germline testing regardless of the stage, with only 59% of cases having completed testing. Only 20% of cases were receiving palliative care or other allied support services. There was no difference in observed care gaps between patients receiving care in the community setting vs. those receiving care in the academic setting.

conclusionsThere are significant gaps in the care delivered to patients with pancreatic adenocarcinoma. A concurrent subspecialist review has the opportunity to identify and address these gaps in a timely manner.

Indexed as

care deliverycomprehensive caregermline testingpancreatic cancersubspecialist care

Identifiers

PMID37763145
PMCPMC10532778
OpenAlexW4386781852

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.