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  1. Article ; Online: Assessing the methodological strengths and limitations of the Spanish Society of Medical Oncology (SEOM) guidelines: a critical appraisal using AGREE II and AGREE-REX tool.

    Santero, Marilina / de Mas, Júlia / Rifà, Berta / Clavero, Inés / Rexach, Irene / Bonfill Cosp, Xavier

    Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico

    2023  Volume 26, Issue 1, Page(s) 85–97

    Abstract: Background: The Spanish Society of Medical Oncology (SEOM) has provided open-access guidelines for cancer since 2014. However, no independent assessment of their quality has been conducted to date. This study aimed to critically evaluate the quality of ... ...

    Abstract Background: The Spanish Society of Medical Oncology (SEOM) has provided open-access guidelines for cancer since 2014. However, no independent assessment of their quality has been conducted to date. This study aimed to critically evaluate the quality of SEOM guidelines on cancer treatment.
    Methods: Appraisal of Guidelines for Research and Evaluation II (AGREE II) and AGREE-REX tool was used to evaluate the qualities of the guidelines.
    Results: We assessed 33 guidelines, with 84.8% rated as "high quality". The highest median standardized scores (96.3) were observed in the domain "clarity of presentation", whereas "applicability" was distinctively low (31.4), with only one guideline scoring above 60%. SEOM guidelines did not include the views and preferences of the target population, nor did specify updating methods.
    Conclusions: Although developed with acceptable methodological rigor, SEOM guidelines could be improved in the future, particularly in terms of clinical applicability and patient perspectives.
    MeSH term(s) Humans ; Medical Oncology ; Neoplasms/therapy ; Health Services Needs and Demand
    Language English
    Publishing date 2023-06-27
    Publishing country Italy
    Document type Journal Article ; Review
    ZDB-ID 2397359-6
    ISSN 1699-3055 ; 1699-048X
    ISSN (online) 1699-3055
    ISSN 1699-048X
    DOI 10.1007/s12094-023-03219-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Treatments for non-small cell lung cancer: a systematic quality assessment of clinical practice guidelines.

    Cortés-Jofré, Marcela / Madera, Meisser / Tirado-Amador, Lesbia / Asenjo-Lobos, Claudia / Bonfill-Cosp, Xavier

    Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico

    2023  Volume 25, Issue 12, Page(s) 3541–3555

    Abstract: Aim: To evaluate the methodological quality of clinical practice guidelines (CPGs) on treatments for non-small cell lung cancer (NSCLC).: Methods: We searched MEDLINE, CPG developer websites, lung cancer societies, and oncology organizations to ... ...

    Abstract Aim: To evaluate the methodological quality of clinical practice guidelines (CPGs) on treatments for non-small cell lung cancer (NSCLC).
    Methods: We searched MEDLINE, CPG developer websites, lung cancer societies, and oncology organizations to identify CPGs providing recommendations on treatments for NSCLC. The methodological quality for each CPG was determined independently by three appraisers using the AGREE II (Appraisal of Guidelines for Research and Evaluation II) instrument.
    Results: Twenty-two CPGs met the eligibility criteria. The median scores per AGREE II domain were: scope and purpose 90.7% (64.8-100%), stakeholder involvement 76.9% (27.8-96.3%); rigor of development 80.9% (27.1-92.4%); clarity of presentation 89.8% (50-100%); applicability 46.5% (12.5-87.5%); and editorial independence 91.7% (27.8-100%). Most of the CPGs (54.5%) were rated as "recommended with modifications" for clinical use.
    Conclusions: Overall, the methodological quality of CPGs proving recommendations on the management of NSCLC is moderate, but there is still room for improvement in their development and implementation.
    MeSH term(s) Humans ; Carcinoma, Non-Small-Cell Lung/therapy ; Lung Neoplasms/therapy ; Medical Oncology ; Practice Guidelines as Topic
    Language English
    Publishing date 2023-05-30
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2397359-6
    ISSN 1699-3055 ; 1699-048X
    ISSN (online) 1699-3055
    ISSN 1699-048X
    DOI 10.1007/s12094-023-03223-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Sexual Function in Women with Breast Cancer: An Evidence Map of Observational Studies.

    Rodrigues-Machado, Nelson / Quintana, M Jesús / Gómez-Gómez, Raquel / Bonfill-Cosp, Xavier

    International journal of environmental research and public health

    2022  Volume 19, Issue 21

    Abstract: Breast cancer (BC) is the leading cause of cancer in women, and has implications for sexual function (SF). In this study, we used an evidence map to identify, describe, and organise the current available evidence regarding SF in women with BC. We ... ...

    Abstract Breast cancer (BC) is the leading cause of cancer in women, and has implications for sexual function (SF). In this study, we used an evidence map to identify, describe, and organise the current available evidence regarding SF in women with BC. We searched the MEDLINE, PsycINFO, and CINAHL databases for observational studies assessing SF in women with BC published in English, Spanish, Portuguese, and French between 2000 and 2021 (sample ≥ 50 women). Of the 64 included studies (13,257 women with BC), 58 were published since 2010. Women who were married, partnered, or in relationships represented 74.1% of the entire sample. Only a single study was conducted on women representing a sexual minority. We identified 22 assessment instruments and 40 sexual dysfunction (SdF) domains. The number of publications on SF in women with BC has increased in the last 10 years, but still remains low. Some groups of women are underrepresented, and some SdF domains are underdiagnosed, with the assessment instrument used affecting which domains are studied. Women with BC need to be better screened, as their quality of life (QoL) is affected by SdF.
    MeSH term(s) Female ; Humans ; Breast Neoplasms/epidemiology ; Breast Neoplasms/complications ; Quality of Life ; Sexual Dysfunction, Physiological/etiology ; Sexual Partners ; Observational Studies as Topic
    Language English
    Publishing date 2022-10-27
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph192113976
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: How oral health care organizations formulate actionable statements to inform practice and policy: A protocol for a systematic survey.

    Verdugo-Paiva, Francisca / Bonfill Cosp, Xavier / Alonso-Coello, Pablo / Ávila-Oliver, Camila / Glick, Michael / Carrasco-Labra, Alonso

    F1000Research

    2023  Volume 12, Page(s) 1261

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Quality of Life ; Public Health ; Policy ; Databases, Factual ; Delivery of Health Care
    Language English
    Publishing date 2023-10-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 2699932-8
    ISSN 2046-1402 ; 2046-1402
    ISSN (online) 2046-1402
    ISSN 2046-1402
    DOI 10.12688/f1000research.141423.1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A methodological review finds mismatch between overall and pairwise overlap analysis in a sample of overviews.

    Bracchiglione, Javier / Meza, Nicolás / Pérez-Carrasco, Ignacio / Vergara-Merino, Laura / Madrid, Eva / Urrútia, Gerard / Bonfill Cosp, Xavier

    Journal of clinical epidemiology

    2023  Volume 159, Page(s) 31–39

    Abstract: Objectives: Overlap of primary studies is a key methodological challenge for overviews. There are limited reports of methods used to address overlap, and there is no detailed assessment of the corrected covered area (CCA) of a representative sample of ... ...

    Abstract Objectives: Overlap of primary studies is a key methodological challenge for overviews. There are limited reports of methods used to address overlap, and there is no detailed assessment of the corrected covered area (CCA) of a representative sample of overviews. To describe the approaches used to address overlap, and to estimate the overall and pairwise CCA.
    Methods: We searched PubMed for overviews published in 2018. Two authors conducted the screening process. We described the strategy used for assessing overlap, and calculated overall and pairwise CCA for each overview.
    Results: We analyzed a random sample of 30 out of 89 eligible articles. Eleven did not address the overlap. Of the remainder, most frequent strategies were visual assessment and discussion of overlap as a limitation. Median overall CCA among the included overviews was 6.7%. The pairwise analysis showed that 52.8% of SR pairs had slight overlap, while 28.3% had very high overlap.
    Conclusion: Reported strategies for addressing overlap vary considerably among overview authors. The pairwise approach for assessing the CCA revealed highly overlapped pairs of SRs in overviews with overall slight overlap and vice versa. We encourage authors to complement the overall CCA assessment with a pairwise approach.
    MeSH term(s) Humans ; Research Design ; Publications
    Language English
    Publishing date 2023-05-08
    Publishing country United States
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 639306-8
    ISSN 1878-5921 ; 0895-4356
    ISSN (online) 1878-5921
    ISSN 0895-4356
    DOI 10.1016/j.jclinepi.2023.05.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: How appropriate is treating patients diagnosed with advanced esophageal cancer with anticancer drugs? A multicenter retrospective cohort Spanish study.

    Santero, Marilina / Requeijo, Carolina / Quintana, Maria Jesus / Rodríguez, Dulce / Bottaro, David / Macias, Ismael / Pericay, Carles / Farina, Natalie / Blanco, Jesus Manuel / Urreta-Barallobre, Iratxe / Punti, Laura / Nava, Maria Angeles / Bonfill Cosp, Xavier

    Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico

    2024  

    Abstract: Aim: To assess the appropriateness of systemic oncological treatments (SOT) provided to patients diagnosed with advanced esophageal cancer (EC) across a group of participating hospitals.: Methods: Multicenter, retrospective cohort study in five ... ...

    Abstract Aim: To assess the appropriateness of systemic oncological treatments (SOT) provided to patients diagnosed with advanced esophageal cancer (EC) across a group of participating hospitals.
    Methods: Multicenter, retrospective cohort study in five Spanish hospitals including newly confirmed advanced EC cases between July 1, 2014, and June 30, 2016, with a 5-year follow-up.
    Results: We identified 157 patients fulfilling the inclusion criteria (median age: 65 years, 85.9% males). Most patients, 125 (79.6%) were treated at least with one active treatment, and 33% received two or more lines of SOT. The 1-, 2- and 5-year overall survival rates were 30.3% [95%CI: 23.8, 38.7], 14.0% [95%CI: 9.3, 21.0], and 7.1% [95% CI: 3.8, 13.1] respectively, and the median survival time 8 months (95% CI: 6, 19) for stages IIIb IIIc and 7 months (95% CI: 5, 9) for stage IV. Clinical stage, receiving more than one line of SOT, and treatment with radiotherapy accelerated the time to death (0.4, 0.9-, and 0.8-times shorter survival respectively, p < 0.05). Better performance status (ECOG < 2) extended survival time by 2.2 times (p = 0.04). Age < 65 years (OR 9.4, 95% CI 3.2, 31.4, p < 0.001), and being treated in one particular hospital (OR 0.2, 95% CI 0.0, 0.8, p < 0.01) were associated with the administration of two or more lines of SOT. Altogether, 18.9% and 9.0% of patients received chemotherapy in the last four and two weeks of life, respectively. Moreover, 2.5% of patients were prescribed a new line of chemotherapy during the last month of life. The proportion of all patients who did not have access to palliative care reached 29.3%, and among those who had access to it, 34.2% initiated it in the last month of life.
    Conclusion: A high proportion of advanced EC patients receive many treatments not based on sound evidence and they do not benefit enough from palliative care services. The most accepted appropriateness indicators point out that some of the analyzed patients could have been overtreated. This study provides important insights into the quality of care provided to advanced EC, and furthermore, for giving valuable insight and opportunities for improvement.
    Language English
    Publishing date 2024-04-25
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2397359-6
    ISSN 1699-3055 ; 1699-048X
    ISSN (online) 1699-3055
    ISSN 1699-048X
    DOI 10.1007/s12094-024-03436-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Anticancer Drugs Compared to No Anticancer Drugs in Patients with Advanced Hepatobiliary Cancer: A Mapping Review and Evidence Gap Map.

    Requeijo, Carolina / Bracchiglione, Javier / Meza, Nicolás / Acosta-Dighero, Roberto / Salazar, Josefina / Santero, Marilina / Meade, Adriana-G / Quintana, María Jesús / Rodríguez-Grijalva, Gerardo / Selva, Anna / Solà, Ivan / Urrútia, Gerard / Bonfill Cosp, Xavier

    Clinical epidemiology

    2023  Volume 15, Page(s) 1069–1085

    Abstract: Introduction: Despite being commonly recommended, the impact of anticancer drugs (ACDs) on patient-important outcomes beyond survival for advanced hepatobiliary cancers (HBCs) may not have been sufficiently assessed. We aim to identify and map the ... ...

    Abstract Introduction: Despite being commonly recommended, the impact of anticancer drugs (ACDs) on patient-important outcomes beyond survival for advanced hepatobiliary cancers (HBCs) may not have been sufficiently assessed. We aim to identify and map the evidence regarding ACDs versus best supportive care (BSC) for advanced HBCs, considering patient-centered outcomes.
    Methods: In this mapping review, we included systematic reviews, randomized controlled trials, quasi-experimental, and observational studies comparing ACDs (chemotherapy, immunotherapy, biological/targeted therapy) versus BSC for advanced HBCs. We searched MEDLINE (PubMed), EMBASE (Ovid), Cochrane Library, Epistemonikos, PROSPERO and clinicaltrials.gov for eligible studies. Two reviewers performed the screening and data extraction processes. We developed evidence maps for each type of cancer.
    Results: We included 87 studies (60 for advanced liver cancer and 27 for gallbladder or bile duct cancers). Most of the evidence favored ACDs for survival outcomes, and BSC for toxicity. We identified several evidence gaps for non-survival outcomes, including quality of life or quality of end-of-life care.
    Discussion: Patient-important outcomes beyond survival in advanced HBCs are insufficiently assessed by the available evidence. Future studies need to address these gaps to better inform decision-making processes.
    Language English
    Publishing date 2023-11-10
    Publishing country New Zealand
    Document type Journal Article ; Review
    ZDB-ID 2494772-6
    ISSN 1179-1349
    ISSN 1179-1349
    DOI 10.2147/CLEP.S431498
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Drugs for preventing lung cancer in healthy people.

    Cortés-Jofré, Marcela / Rueda, José-Ramón / Asenjo-Lobos, Claudia / Madrid, Eva / Bonfill Cosp, Xavier

    The Cochrane database of systematic reviews

    2020  Volume 3, Page(s) CD002141

    Abstract: Background: This is the second update of this Cochrane Review. Some studies have suggested a protective effect of antioxidant nutrients and higher dietary levels of fruits and vegetables on lung cancer.: Objectives: To determine whether vitamins and ... ...

    Abstract Background: This is the second update of this Cochrane Review. Some studies have suggested a protective effect of antioxidant nutrients and higher dietary levels of fruits and vegetables on lung cancer.
    Objectives: To determine whether vitamins and minerals and other potential agents, alone or in combination, reduce lung cancer incidence and lung cancer mortality in healthy populations.
    Search methods: We searched CENTRAL, MEDLINE and Embase from 1974 to May 2019 and screened references included in published studies and reviews.
    Selection criteria: We included randomised controlled trials (RCTs) comparing vitamins or mineral supplements with placebo, administered to healthy people with the aim of preventing lung cancer.
    Data collection and analysis: Four review authors independently selected the trials to be included in the review, assessed their methodological quality and extracted data. For dichotomous outcomes we calculated risk ratios (RRs) and 95% confidence intervals (CIs) and pooled results using the random-effects model. We assessed the risk of bias using Cochrane's 'Risk of bias' assessment tool and certainty of evidence using the GRADE approach.
    Main results: In this update, we identified three new trials for a total of 12 studies. Six analysed vitamin A, three vitamin C, three combined vitamin D3 + calcium, four vitamin E combined with other products, one selenium supplements and nine studied combinations of two or more products. Four studies included only men and five only women. Vitamin A results in little to no difference in lung cancer incidence (RR 1.09, 95% CI 1.00 to 1.19; 5 RCTs, 212314 participants; high-certainty evidence) and lung cancer mortality (RR 1.06, 95% CI 0.81 to 1.38; 3 RCTs, 190118 participants; high-certainty evidence). But in smokers or asbestos workers vitamin A increases the risk of lung cancer incidence (RR 1.10, 95% CI 1.01 to 1.20; 3 RCTs, 43995 participants; high-certainty evidence), lung cancer mortality (RR 1.18, 95% CI 1.01 to 1.38; 2 RCTs, 29426 participants; high-certainty evidence) and all-cause mortality (RR 1.09, 95% CI 1.05 to 1.13; 2 RCTs, 32883 participants; high-certainty evidence). Vitamin A increases the risk of minor side effects, such as yellowing of the skin and minor gastrointestinal symptoms (high-certainty evidence). Vitamin C likely results in little to no difference in lung cancer incidence (RR 1.29, 95% CI 0.67 to 2.49; 2 RCTs, 14953 participants; moderate-certainty evidence). In women, vitamin C increases the risk of lung cancer incidence (RR 1.84, 95% CI 1.14 to 2.95; 1 RCT, 7627 participants; high-certainty evidence). In men, vitamin C results in little to no difference in mortality for lung cancer (RR 0.81, 95% CI 0.53 to 1.23; 1 RCT, 7326 participants; high-certainty evidence). Vitamin D + calcium may result in little to no difference in lung cancer incidence in postmenopausal women (RR 0.90, 95% CI 0.39 to 2.08; 3 RCTs, 37601 women; low-certainty evidence). Vitamin E results in little to no difference in lung cancer incidence (RR 1.01, 95% CI 0.90 to 1.14; 3 RCTs, 36841 participants; high-certainty evidence) or to lung cancer mortality (RR 0.96, 95% CI 0.77 to 1.18; 2 RCTs, 29214 participants; high-certainty evidence), but increases the risk of haemorrhagic strokes (hazard ratio (HR), 1.74, 95% CI 1.04 to 2.91; 1 RCT, 14641 participants; high-certainty evidence). Calcium results in little to no difference in lung cancer incidence in postmenopausal women (RR 0.65, 95% CI 0.13 to 3.18; 1 RCT, 733 participants) or in risk of renal calculi (RR 1.94, 95% CI 0.20 to 18.57; 1 RCT, 733 participants; low-certainty evidence). Selenium in men results in little to no difference in lung cancer incidence (RR 1.11, 95% CI 0.80 to 1.54; 1 RCT, 17448 participants; high-certainty evidence) and lung cancer mortality (RR 1.09, 95% CI 0.72 to 1.66; 1 RCT, 17448 participants; high-certainty evidence) and increases the risk for grade 1 to 2 dermatitis (RR 1.16, 95% CI 1.04 to 1.31; 1 RCT, 17448 participants; high-certainty evidence) and for alopecia (RR 1.28, 95% CI 1.07 to 1.53; 1 RCT, 17448 participants; high-certainty evidence). The combination of vitamins A, C, E + selenium + zinc results in little to no difference in lung cancer incidence (RR 0.64, 95% CI 0.28 to 1.48; 1 RCT, 12741 participants; high-certainty evidence).
    Authors' conclusions: Well-designed RCTs have shown no beneficial effect of supplements for the prevention of lung cancer and lung cancer mortality in healthy people. Vitamin A supplements increase lung cancer incidence and mortality in smokers or persons exposed to asbestos. Vitamin C increases lung cancer incidence in women. Vitamin E increases the risk of haemorrhagic strokes.
    MeSH term(s) Ascorbic Acid/therapeutic use ; Calcium, Dietary/adverse effects ; Calcium, Dietary/therapeutic use ; Cholecalciferol/therapeutic use ; Confidence Intervals ; Dietary Supplements ; Female ; Health Status ; Humans ; Incidence ; Lung Neoplasms/epidemiology ; Lung Neoplasms/mortality ; Lung Neoplasms/prevention & control ; Male ; Minerals/therapeutic use ; Randomized Controlled Trials as Topic ; Selenium ; Selenium Compounds/therapeutic use ; Sex Factors ; Vitamin A/adverse effects ; Vitamin A/therapeutic use ; Vitamin E/therapeutic use ; Vitamins/adverse effects ; Vitamins/therapeutic use ; alpha-Tocopherol/adverse effects ; alpha-Tocopherol/therapeutic use ; beta Carotene/therapeutic use
    Chemical Substances Calcium, Dietary ; Minerals ; Selenium Compounds ; Vitamins ; beta Carotene (01YAE03M7J) ; Vitamin A (11103-57-4) ; Vitamin E (1406-18-4) ; Cholecalciferol (1C6V77QF41) ; alpha-Tocopherol (H4N855PNZ1) ; Selenium (H6241UJ22B) ; Ascorbic Acid (PQ6CK8PD0R)
    Language English
    Publishing date 2020-03-04
    Publishing country England
    Document type Journal Article ; Meta-Analysis ; Research Support, Non-U.S. Gov't ; Systematic Review
    ISSN 1469-493X
    ISSN (online) 1469-493X
    DOI 10.1002/14651858.CD002141.pub3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Prevalence study of intermittent hormonal therapy of Prostate Cancer patients in Spain.

    Bonfill-Cosp, Xavier / Auladell-Rispau, Ariadna / Gich, Ignasi / Zamora, Javier / Saiz, Luis Carlos / Pijoan, Jose Ignacio / Urreta, Iratxe / Cordero, José Antonio

    F1000Research

    2021  Volume 10, Page(s) 1069

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Male ; Humans ; Aged ; Aged, 80 and over ; Androgen Antagonists/therapeutic use ; Prostatic Neoplasms/drug therapy ; Prostatic Neoplasms/epidemiology ; Antineoplastic Agents, Hormonal/adverse effects ; Quality of Life ; Spain/epidemiology ; Cross-Sectional Studies ; Retrospective Studies ; Longitudinal Studies ; State Medicine ; Gonadotropin-Releasing Hormone
    Chemical Substances Androgen Antagonists ; Antineoplastic Agents, Hormonal ; Gonadotropin-Releasing Hormone (33515-09-2)
    Language English
    Publishing date 2021-10-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 2699932-8
    ISSN 2046-1402 ; 2046-1402
    ISSN (online) 2046-1402
    ISSN 2046-1402
    DOI 10.12688/f1000research.53875.2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Systemic Oncological Treatments versus Supportive Care for Patients with Advanced Hepatobiliary Cancers: An Overview of Systematic Reviews.

    Bracchiglione, Javier / Rodríguez-Grijalva, Gerardo / Requeijo, Carolina / Santero, Marilina / Salazar, Josefina / Salas-Gama, Karla / Meade, Adriana-Gabriela / Antequera, Alba / Auladell-Rispau, Ariadna / Quintana, María Jesús / Solà, Ivan / Urrútia, Gerard / Acosta-Dighero, Roberto / Bonfill Cosp, Xavier

    Cancers

    2023  Volume 15, Issue 3

    Abstract: Background: The trade-off between systemic oncological treatments (SOTs) and UPSC in patients with primary advanced hepatobiliary cancers (HBCs) is not clear in terms of patient-centred outcomes beyond survival. This overview aims to assess the ... ...

    Abstract Background: The trade-off between systemic oncological treatments (SOTs) and UPSC in patients with primary advanced hepatobiliary cancers (HBCs) is not clear in terms of patient-centred outcomes beyond survival. This overview aims to assess the effectiveness of SOTs (chemotherapy, immunotherapy and targeted/biological therapies) versus UPSC in advanced HBCs.
    Methods: We searched for systematic reviews (SRs) in PubMed, EMBASE, the Cochrane Library, Epistemonikos and PROSPERO. Two authors assessed eligibility independently and performed data extraction. We estimated the quality of SRs and the overlap of primary studies, performed de novo meta-analyses and assessed the certainty of evidence for each outcome.
    Results: We included 18 SRs, most of which were of low quality and highly overlapped. For advanced hepatocellular carcinoma, SOTs showed better overall survival (HR = 0.62, 95% CI 0.55-0.77, high certainty for first-line therapy; HR = 0.85, 95% CI 0.79-0.92, moderate certainty for second-line therapy) with higher toxicity (RR = 1.18, 95% CI 0.87-1.60, very low certainty for first-line therapy; RR = 1.58, 95% CI 1.28-1.96, low certainty for second-line therapy). Survival was also better for SOTs in advanced gallbladder cancer. No outcomes beyond survival and toxicity could be meta-analysed.
    Conclusion: SOTs in advanced HBCs tend to improve survival at the expense of greater toxicity. Future research should inform other patient-important outcomes to guide clinical decision making.
    Language English
    Publishing date 2023-01-26
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers15030766
    Database MEDical Literature Analysis and Retrieval System OnLINE

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