Evidence map›Paper›PMID 39146509›Full record

ArticleJCO clinical cancer informatics2024

Evaluation of Real-World Tumor Response Derived From Electronic Health Record Data Sources: A Feasibility Analysis in Patients With Metastatic Non-Small Cell Lung Cancer Treated With Chemotherapy.

Brittany A McKelvey, Elizabeth Garrett-Mayer, Donna R Rivera, Amy Alabaster, Hillary S Andrews, Elizabeth G Bond, Thomas D Brown, Amanda Bruno, Lauren Damato, Janet L Espirito and 15 more

Abstract read
In one paragraph

Article in JCO clinical cancer informatics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. 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

25 authors.

Brittany A McKelveyFriends of Cancer Research, Washington, DC.ORCID 0000-0001-9239-7153
Elizabeth Garrett-MayerAmerican Society of Clinical Oncology, Alexandria, VA.ORCID 0000-0003-4709-0333
Donna R RiveraOncology Center of Excellence, US FDA, Silver Spring, MD.ORCID 0000-0002-4565-4556
Amy AlabasterConcertAI, Cambridge, MA.ORCID 0000-0003-2860-1759
Hillary S AndrewsFriends of Cancer Research, Washington, DC.ORCID 0000-0002-0177-2024
Elizabeth G BondGuardian Research Network, Spartanburg, SC.
Thomas D BrownSyapse, San Francisco, CA.ORCID 0000-0002-2123-1014
Amanda BrunoSyneos Health, Morrisville, NC.ORCID 0000-0002-3385-6003
Lauren DamatoFlatiron Health, New York, NY.
Janet L EspiritoOntada, Boston, MA.ORCID 0009-0000-7741-3573
Laura L FernandesCOTA, Inc, New York, NY.
Eric HansenCOTA, Inc, New York, NY.
Paul KluetzOncology Center of Excellence, US FDA, Silver Spring, MD.
Xinran MaFlatiron Health, New York, NY.ORCID 0000-0002-7138-2638
Andrea McCrackenGuardian Research Network, Spartanburg, SC.
Pallavi S Mishra-KalyaniUS FDA, Silver Spring, MD.
Yanina NatanzonConcertAI, Cambridge, MA.ORCID 0000-0002-9302-0304
Danielle PotterIQVIA, Durham, NC.
Nicholas J RobertOntada, Boston, MA.ORCID 0000-0002-8491-5392
Lawrence SchwartzMemorial Sloan Kettering Cancer Center, New York, NY.
Regina SchwindTempus AI, Inc, Chicago, IL.ORCID 0000-0002-3374-3455
Connor SweetnamSyapse, San Francisco, CA.ORCID 0000-0002-4275-0569
Joseph WagnerIQVIA, Durham, NC.ORCID 0000-0002-1776-3819
Mark D StewartFriends of Cancer Research, Washington, DC.ORCID 0000-0002-4847-0736
Jeff D AllenFriends of Cancer Research, Washington, DC.ORCID 0000-0002-0586-3054

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeReal-world data (RWD) holds promise for ascribing a real-world (rw) outcome to a drug intervention; however, ascertaining rw-response to treatment from RWD can be challenging. Friends of Cancer Research formed a collaboration to assess available data attributes related to rw-response across RWD sources to inform methods for capturing, defining, and evaluating rw-response. MATERIALS AND

methodsThis retrospective noninterventional (observational) study included seven electronic health record data companies (data providers) providing summary-level deidentified data from 200 patients diagnosed with metastatic non-small cell lung cancer (mNSCLC) and treated with first-line platinum doublet chemotherapy following a common protocol. Data providers reviewed the availability and frequency of data components to assess rw-response (ie, images, radiology imaging reports, and clinician response assessments). A common protocol was used to assess and report rw-response end points, including rw-response rate (rwRR), rw-duration of response (rwDOR), and the association of rw-response with rw-overall survival (rwOS), rw-time to treatment discontinuation (rwTTD), and rw-time to next treatment (rwTTNT).

resultsThe availability and timing of clinician assessments was relatively consistent across data sets in contrast to images and image reports. Real-world response was analyzed using clinician response assessments (median proportion of patients evaluable, 77.5%), which had the highest consistency in the timing of assessments. Relative consistency was observed across data sets for rwRR (median 46.5%), as well as the median and directionality of rwOS, rwTTD, and rwTTNT. There was variability in rwDOR across data sets.

conclusionThis collaborative effort demonstrated the feasibility of aligning disparate data sources to evaluate rw-response end points using clinician-documented responses in patients with mNSCLC. Heterogeneity exists in the availability of data components to assess response and related rw-end points, and further work is needed to inform drug effectiveness evaluation within RWD sources.

Indexed as

Carcinoma, Non-Small-Cell LungElectronic Health RecordsFeasibility StudiesLung NeoplasmsAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsFemaleHumansMaleMiddle AgedNeoplasm MetastasisRetrospective StudiesTreatment Outcome

Identifiers

PMID39146509
PMCPMC11371119

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.