Evidence map›Paper›PMID 37919185›Full record

ArticleClinical colorectal cancer2024

Effectiveness of Biologic Agents Among Hispanic Patients With Metastatic Colorectal Cancer.

Riya Patel, Abdissa Negassa, Seda S Tolu, Ana Acuna-Villaorduna, Sanjay Goel

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Clinical colorectal cancer, 2024. 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
0.2field-weighted citation impact, top 31% 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, 1 citations in OpenAlex.

  1. Article
  2. 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

5 authors at 5 institutions in 1 country.

Riya PatelDepartment of Medical Oncology, The State University of New York, University at Buffalo, Buffalo, NY; Department of Medical Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, NY.
Abdissa NegassaDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY.
Seda S ToluDepartment of Medical Oncology, Columbia University, New York, NY.
Ana Acuna-VillaordunaDepartment of Medical Oncology, Icahn School of Medicine at Mount Sinai, New York, NY.
Sanjay GoelDepartment of Medical Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ. Electronic address: sanjay.goel@rutgers.edu.
Albert Einstein College of Medicine · USColumbia University Irving Medical Center · USIcahn School of Medicine at Mount Sinai · USRoswell Park Comprehensive Cancer Center · USRutgers, The State University of New Jersey · US

Funding

Einstein-Montefiore Clinical and Translational Science Award HubUM1TR004400 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI Jessica Kahn, Mimi Y Kim · 2023 to 2026
$17.3M
COMPARATIVE EFFECTIVENESS OF BIOLOGIC AGENTS IN ETHNIC MINORITIES WITH COLORECTAL CANCERR21AG058027 · NIA · MONTEFIORE MEDICAL CENTER (BRONX, NY) · PI GOEL, SANJAY, NEGASSA, ABDISSA · 2018 to 2019
$397k
NCATS NIH HHS UM1 TR004400NIA NIH HHS R21 AG058027
6 · The paper itself

Abstract

backgroundRandomized clinical trials have defined the survival advantage with the addition of biologic drugs to chemotherapy in patients with metastatic colorectal cancer (mCRC). Under representation of Hispanics contributes to poorly defined outcomes in this group. We aim to determine whether the real-world benefit of biologics extends to Hispanics using a comparative effectiveness research approach.

methodsThis retrospective cohort study included all treatment centers contributing to SEER registry with available claims in the SEER-Medicare linked database (2001-2011) and 2 hospitals (2004-2016) catering to minorities. Metastatic CRC patients were classified as receiving chemotherapy or biochemotherapy (CT plus biologics; if initiated within 3 months of chemotherapy). The primary outcome was overall survival (OS) among the Hispanic patients calculated from time of administration of first dose of chemotherapy to death or last follow-up. A weighted Cox regression model was used to assess differences in survival.

resultsWe identified 182 Hispanic patients with mCRC from the Patient Entitlement and Diagnosis Summary (PEDSF) file (n = 101) and hospital database (n = 81). Overall, 52% were women and 72% received biologics. The median OS was 11.3 and 17.0 months in chemotherapy and biochemotherapy group, respectively. Biochemotherapy offered a survival benefit compared with chemotherapy alone, with an average hazard rate reduction of 39% (95% CI 6%-60%, p = .0236) using inverse probability of treatment weighting (IPTW) based analysis.

conclusionIn this cohort of Hispanic patients with mCRC, biochemotherapy was associated with longer survival. Clinicians may offer biochemotherapy therapy to all patients regardless of race/ethnicity to maximize clinical benefit.

Indexed as

Biological ProductsColonic NeoplasmsColorectal NeoplasmsRectal NeoplasmsAgedAntineoplastic Combined Chemotherapy ProtocolsBiological FactorsFemaleHispanic or LatinoHumansMaleMedicareRetrospective StudiesUnited StatesBiological FactorsBiological ProductsBiologic therapyChemotherapyComparative effectiveness researchHispanicsSurvival outcome

Identifiers

PMID37919185
PMCPMC10922547
OpenAlexW4387409436

What OpenQuestion holds

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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.