Evidence map›Paper›PMID 39806648›Full record

SynthesisBMJ open2024

Thoracic perfusion of antiangiogenic agents combined with chemotherapy for treating malignant pleural effusion in non-small cell lung cancer: a network meta-analysis.

Yan Xu, Yingying Cui, Liming Jiang, Yinan Yu, Wei Si, Xiaohua Zhu

Abstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in BMJ open, 2024. 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
–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

1 citing paper in PubMed.

  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

6 authors.

Yan XuDepartment of Oncology, Shaoxing People's Hospital, Shaoxing, Zhejiang, China xybsyj@126.com.ORCID 0000-0002-8668-8146
Yingying CuiDepartment of Surgery, Yuyao Hospital of Traditional Chinese Medicine, Yuyao, Zhejiang, China.
Liming JiangDepartment of Oncology, Shaoxing People's Hospital, Shaoxing, Zhejiang, China.
Yinan YuDepartment of Oncology, Shaoxing People's Hospital, Shaoxing, Zhejiang, China.
Wei SiDepartment of Oncology, Shaoxing People's Hospital, Shaoxing, Zhejiang, China.
Xiaohua ZhuDepartment of Oncology, Shaoxing People's Hospital, Shaoxing, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDifferent intrathoracic perfusion therapeutic regimens are available for non-small cell lung cancer with malignant pleural effusion (MPE). Antiangiogenic agents are often used to control MPE, and the results are satisfactory. Here, we performed a network meta-analysis to reveal optimal combinations of antiangiogenic agents and chemical agents and assess their effectiveness and safety.

designSystematic review and network meta-analysis. DATA SOURCES: PubMed/Medline, Embase, Cochrane, Web of Science, Wanfang, VIP Database and Chinese National Knowledge Infrastructure were searched from inception to May 2023. Eligible studies were randomised controlled trials that reported on curative effect of MPE. DATA EXTRACTION AND SYNTHESIS: The Cochrane Collaboration tool was used to assess risk of bias. The consistency was evaluated by examining the agreement between direct and indirect effects. Network meta-analysis was performed and the ranking probabilities of being at each possible rank for each intervention were estimated. Comparison-adjusted funnel plots were obtained to assess publication bias.

resultsA total of 46 studies were included in the analysis. Among them, we included a total of seven interventions. A total of 3026 patients participated in this analysis. According to the results of the network meta-analysis, some antiangiogenic agents combined with chemotherapy regimens improved objective response rate (ORR) and disease control rate (DCR) and quality of life (QOL). The rank probabilities suggested that in terms of ORR, DCR and QOL, Endostar plus lobaplatin was the first-ranked intervention.

conclusionAdministration of antiangiogenic agents plus chemical agents significantly improved the clinical response and QOL. In addition, Endostar plus lobaplatin was the most effective combination. PROSPERO REGISTRATION NUMBER: CRD42021284786.

Indexed as

Angiogenesis InhibitorsAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungLung NeoplasmsPleural Effusion, MalignantHumansRandomized Controlled Trials as TopicAngiogenesis InhibitorsAntineoplastic AgentsClinical Decision-MakingRespiratory tract tumoursSystematic Review

Identifiers

PMID39806648
PMCPMC11667478

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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.