Evidence map›Paper›PMID 41097786›Full record

ArticleCancers2025

"Are You Just Looking to 'Survive'?": A Qualitative Study of Importance of Oncology Endpoints Beyond Overall Survival in Early-Stage Cancer.

Shelagh M Szabo, Sarah Walker, Evelyn Griffin, Aya McMillan, Robert Bick, Frances Simbulan, Eon Ting, Stephanie Snow

Abstract read
In one paragraph

Article in Cancers, 2025. 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

8 authors.

Shelagh M SzaboBroadstreet HEOR, 300-177 West 7th Ave, Vancouver, BC V5Y 1L8, Canada.ORCID 0000-0002-9044-3192
Sarah WalkerBroadstreet HEOR, 300-177 West 7th Ave, Vancouver, BC V5Y 1L8, Canada.
Evelyn GriffinBroadstreet HEOR, 300-177 West 7th Ave, Vancouver, BC V5Y 1L8, Canada.
Aya McMillanCollaborator at Rethink Breast Cancer, 50 Carroll St, Toronto, ON M4M 3G3, Canada.
Robert BickCanCertainty Coalition, 3-251 Queen Street South, Suite 561, Mississauga, ON L5M 1L7, Canada.
Frances SimbulanAstraZeneca Canada, 1004 Middlegate Road, Mississauga, ON L4Y 1M4, Canada.
Eon TingAstraZeneca Canada, 1004 Middlegate Road, Mississauga, ON L4Y 1M4, Canada.ORCID 0009-0003-1222-6795
Stephanie SnowQEII Health Sciences Centre, Dalhousie University, Halifax, NS B3H 2Y9, Canada.ORCID 0000-0003-3847-0289

Funding

AstraZeneca Canada n/a
6 · The paper itself

Abstract

BACKGROUND/

objectivesIn early-stage oncology clinical trials, the use of endpoints beyond overall survival (OS), including recurrence-free survival (RFS) or event-free survival (EFS), is becoming more common. To understand whether these outcomes are important to patients, this study explored the perceived value of non-OS endpoints among Canadians treated for early-stage cancer or with curative intent.

methodsCanadians treated for early-stage breast, lung, or gastrointestinal cancer participated in semi-structured interviews. Participants provided perspectives on OS, RFS, disease-free survival (DFS), EFS, and pathological complete response (pCR) endpoints. Reflexive thematic analysis was used to explore patterns in responses and alignment of trial endpoints with patient treatment goals, priorities and preferences.

resultsThe mean age of the 33 participants was 54.8 years, and 21 were female; 28 reported prior surgery, and 21 were also treated with chemotherapy (11 specified as neo-adjuvant; 9 specified adjuvant). All participants valued OS, and most viewed non-OS endpoints as reflective of their treatment priorities, including maintaining health-related quality of life and getting back to 'normal'. They also valued timely and equitable treatment access and equated having access to new treatments with better options. While participants considered efficacy data from clinical trials provided by non-OS endpoints sufficient to want access to new treatments, the relative importance of being disease- or recurrence-free versus maximizing length of life differed according to recurrence status, prognosis, cancer type and life stage.

conclusionsThese findings support the relevance and importance of non-OS endpoints to Canadians with early-stage cancer and highlight participants' desire for rapid approval of treatments with demonstrated improvements in non-OS endpoints.

Indexed as

medical oncologypatient-centered carepatient outcome assessmentqualitative research

Identifiers

PMID41097786
PMCPMC12523970

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.