Evidence mapPaperPMID 38650388Full record

SynthesisJournal of cachexia, sarcopenia and muscle2024

Mortality burden of pre-treatment weight loss in patients with non-small-cell lung cancer: A systematic literature review and meta-analysis.

Philip D Bonomi, Jeffrey Crawford, Richard F Dunne, Eric J Roeland, Karen E Smoyer, Mohd Kashif Siddiqui, Thomas D McRae, Michelle I Rossulek, James H Revkin, Lisa C Tarasenko

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of cachexia, sarcopenia and muscle, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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.

Philip D BonomiDepartment of Internal Medicine, Division of Hematology, Oncology and Cell Therapy, Rush University Medical Center, Chicago, IL, USA.ORCID 0000-0002-6539-3111
Jeffrey CrawfordDuke Cancer Institute, Duke University Medical Center, Durham, NC, USA.
Richard F DunneDepartment of Medicine and Wilmot Cancer Institute, Division of Hematology/Oncology, University of Rochester Medical Center, Rochester, NY, USA.
Eric J RoelandKnight Cancer Institute, Oregon Health and Science University, Portland, OR, USA.
Karen E SmoyerCuro, Envision Pharma Group, Philadelphia, PA, USA.
Mohd Kashif SiddiquiEBM Health Consultants, New Delhi, Delhi, India.
Thomas D McRaeInternal Medicine Business Unit, Global Product Development, Pfizer Inc, New York, NY, USA.
Michelle I RossulekInternal Medicine Research Unit, Worldwide Research, Development and Medical, Pfizer Inc, Cambridge, MA, USA.
James H RevkinInternal Medicine Research Unit, Clinical Development, Pfizer Inc, Cambridge, MA, USA.
Lisa C TarasenkoGlobal Medical Affairs, Pfizer Inc, New York, NY, USA.

Funding

URCC NCORP Research BaseUG1CA189961 · UNIVERSITY OF ROCHESTER · 2025 to 2025
$5.6M
NCI NIH HHS UG1 CA189961Pfizer Inc
6 · The paper itself

Abstract

Cachexia, with weight loss (WL) as a major component, is highly prevalent in patients with cancer and indicates a poor prognosis. The primary objective of this study was to conduct a meta-analysis to estimate the risk of mortality associated with cachexia (using established WL criteria prior to treatment initiation) in patients with non-small-cell lung cancer (NSCLC) in studies identified through a systematic literature review. The review was conducted according to PRISMA guidelines. Embase® and PubMed were searched to identify articles on survival outcomes in adult patients with NSCLC (any stage) and cachexia published in English between 1 January 2016 and 10 October 2021. Two independent reviewers screened titles, abstracts and full texts of identified records against predefined inclusion/exclusion criteria. Following a feasibility assessment, a meta-analysis evaluating the impact of cachexia, defined per the international consensus criteria (ICC), or of pre-treatment WL ≥ 5% without a specified time interval, on overall survival in patients with NSCLC was conducted using a random-effects model that included the identified studies as the base case. The impact of heterogeneity was evaluated through sensitivity and subgroup analyses. The standard measures of statistical heterogeneity were calculated. Of the 40 NSCLC publications identified in the review, 20 studies that used the ICC for cachexia or reported WL ≥ 5% and that performed multivariate analyses with hazard ratios (HRs) or Kaplan-Meier curves were included in the feasibility assessment. Of these, 16 studies (80%; n = 6225 patients; published 2016-2021) met the criteria for inclusion in the meta-analysis: 11 studies (69%) used the ICC and 5 studies (31%) used WL ≥ 5%. Combined criteria (ICC plus WL ≥ 5%) were associated with an 82% higher mortality risk versus no cachexia or WL < 5% (pooled HR [95% confidence interval, CI]: 1.82 [1.47, 2.25]). Although statistical heterogeneity was high (I

Indexed as

CachexiaCarcinoma, Non-Small-Cell LungLung NeoplasmsWeight LossHumansPrognosiscachexiameta‐analysismuscle wastingnon‐small‐cell lung cancersystematic literature reviewweight loss

Identifiers

PMID38650388
PMCPMC11294038

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.