Evidence map›Paper›PMID 41913717›Full record

ArticleMedical decision making : an international journal of the Society for Medical Decision Making2026

Visualization of Multi-indication Randomized Control Trial Evidence to Support Decision Making in Oncology: A Case Study on Bevacizumab.

Sumayya Anwer, Janharpreet Singh, Sylwia Bujkiewicz, Anne Thomas, Richard Adams, Elizabeth Smyth, Pedro Saramago, Stephen Palmer, Marta O Soares, Sofia Dias

Abstract read
In one paragraph

Article in Medical decision making : an international journal of the Society for Medical Decision Making, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Sumayya AnwerCentre for Reviews and Dissemination, University of York, York, UK.ORCID 0000-0002-1740-0399
Janharpreet SinghBiostatistics Research Group, Department of Population Health Sciences, University of Leicester, Leicester, UK.ORCID 0000-0002-0272-3902
Sylwia BujkiewiczBiostatistics Research Group, Department of Population Health Sciences, University of Leicester, Leicester, UK.ORCID 0000-0002-3003-9403
Anne ThomasLeicester Cancer Research Centre, University of Leicester, Leicester, UK.
Richard AdamsCardiff University, Cardiff, UK.
Elizabeth SmythOxford NIHR Biomedical Research Centre, Churchill Hospital, Oxford, UK.
Pedro SaramagoCentre for Health Economics, University of York, York, UK.ORCID 0000-0001-9063-8590
Stephen PalmerCentre for Health Economics, University of York, York, UK.
Marta O SoaresCentre for Health Economics, University of York, York, UK.ORCID 0000-0003-1579-8513
Sofia DiasCentre for Reviews and Dissemination, University of York, York, UK.ORCID 0000-0002-2172-0221

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundAs an increasing number of oncology drugs are licensed for multiple indications, sharing information across indications may help improve the precision of estimates for a target indication where evidence may be immature. Visualizing the accumulation of evidence and its characteristics across all indications can help inform policy makers as to whether multi-indication synthesis methods should be considered and guide expert elicitation on appropriate cross-indication assumptions.MethodsThe multi-indication oncology drug bevacizumab was selected as a case study. We used visualization methods including timeline, ridgeline, and split-violin plots to display evidence and synthesis results across 7 licensed cancer types, focusing on the evidence on overall and progression-free survival and the display of results from models with and without information sharing.ResultsThe proposed displays allow for visualization of key characteristics of the evidence to support the assessment of heterogeneity within and across indications and inform the feasibility of information-sharing models.LimitationsThe lack of consistent reporting of data in trial reports limits the visualization of some study characteristics. Tradeoffs between plot readability and the level of detail to include were required.ConclusionsClear graphical representations of the evolution and accumulation of evidence and synthesis results can provide a better understanding of the entire multi-indication evidence base, which can inform judgments regarding the appropriate use of data within and across indications. Interactive plots could help overcome some of the current limitations.ImplicationsThe proposed displays should be used to facilitate discussion with experts on the judgments required to assess the feasibility of using information-sharing methods to improve the estimation of relative treatment effects in evidence synthesis approaches and health technology assessment.HighlightsAn increasing number of oncology drugs are licensed for multiple indications; we developed visualization methods for multi-indication evidence that consider key characteristics unique to oncology.Graphical displays can be used to show the evolution of evidence within and across multiple indications.Clear evidence visualizations can be used as a tool to support evidence synthesis approaches, support policy makers, or guide expert elicitation.

Indexed as

Antineoplastic Agents, ImmunologicalBevacizumabDecision MakingNeoplasmsRandomized Controlled Trials as TopicHumansMedical OncologyAntineoplastic Agents, ImmunologicalBevacizumabhealth technology assessmentmeta-analysismulti-indication drugsoncology

Identifiers

PMID41913717
PMCPMC13346600

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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.