Evidence map›Paper›PMID 42063222›Full record

SynthesisThe oncologist2026

Adherence to oral antineoplastic agents, an overview and meta-analysis.

David Mourath, Helena Fohlin

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in The oncologist, 2026. 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. Trial
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

2 authors.

David MourathDepartment of Oncology, Linköping University Hospital, Linköping, 58185, Sweden.ORCID 0009-0002-6399-8368
Helena FohlinRegional Cancer Center Southeast Sweden, Linköping, 58185, Sweden.ORCID 0000-0003-4336-0949

Funding

Onkologiska Klinikernas i Linköping forskningsfond
6 · The paper itself

Abstract

backgroundThe use of oral antineoplastic therapies has accelerated in recent years. Non-supervised administration of oncological therapies introduces uncertainty in regard to adherence. This review and meta-analysis reports on available literature relating to adherence, adherence-measuring methods, interventions to improve adherence, and estimates patient adherence to common oral antineoplastic therapies.

methodsA literature search was conducted in the PubMed database up to January 29, 2024 using relevant terminology for oral antineoplastic agents. Titles and abstracts of retrieved articles were screened, and full-text articles deemed of interest were reviewed. Studies suitable for meta-analysis and consistent with the analytical approach were selected based on adherence measurement methods and definitions. Random effects meta-analysis was conducted using the R package metafor and visualized with forest plots for cumulative adherence and lower-bound adherence separately.

resultsWe identified eight reviews and 75 original studies on adherence to non-endocrine oral antineoplastic agents, spanning the years from 1987 to 2023, with the vast majority published from 2010 onward. This review estimates the cumulative adherence to oral antineoplastic agents to be 84% (95% CI, 78-89) and lower-bound adherence as 71% (95% CI, 63-78).

conclusionThe definition of non-adherence and the measurement methods used across studies vary, rendering the comprehensive understanding of the subject challenging. This review identifies an adherence rate that deviates from full compliance across a wide variety of treatment regimens and tumor types, which could provide valuable insights for healthcare professionals in optimizing patient management.

Indexed as

Antineoplastic AgentsDrug MonitoringMedication AdherenceNeoplasmsAdministration, OralHumansAntineoplastic Agentsadherenceantineoplastic agentschemotherapycomplianceoral cancer agentsoral drug administration

Identifiers

PMID42063222
PMCPMC13195812

What OpenQuestion holds

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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.