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

antineoplastic agents bile duct neoplasms biological therapy gallbladder neoplasms immunotherapy liver neoplasms palliative care

Journal

Clinical epidemiology
ISSN: 1179-1349
Titre abrégé: Clin Epidemiol
Pays: New Zealand
ID NLM: 101531700

Informations de publication

Date de publication:
2023
Historique:
received: 20 07 2023
accepted: 14 10 2023
medline: 29 11 2023
pubmed: 29 11 2023
entrez: 29 11 2023
Statut: epublish

Résumé

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. 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. 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. 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.

Identifiants

pubmed: 38025841
doi: 10.2147/CLEP.S431498
pii: 431498
pmc: PMC10644842
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

1069-1085

Informations de copyright

© 2023 Requeijo et al.

Déclaration de conflit d'intérêts

The authors declare that they have no competing interests in this work.

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Auteurs

Carolina Requeijo (C)

Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.

Javier Bracchiglione (J)

Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.
Interdisciplinary Centre for Health Studies (CIESAL), Valparaiso University, Viña del Mar, Chile.
CIBER of Epidemiology and Public Health (CIBERESP), Barcelona, Spain.

Nicolás Meza (N)

Interdisciplinary Centre for Health Studies (CIESAL), Valparaiso University, Viña del Mar, Chile.

Roberto Acosta-Dighero (R)

Interdisciplinary Centre for Health Studies (CIESAL), Valparaiso University, Viña del Mar, Chile.

Josefina Salazar (J)

Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.

Marilina Santero (M)

Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.

Adriana-G Meade (AG)

Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.

María Jesús Quintana (MJ)

Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.
CIBER of Epidemiology and Public Health (CIBERESP), Barcelona, Spain.
Autonomous University of Barcelona, Barcelona, Spain.

Gerardo Rodríguez-Grijalva (G)

Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.

Anna Selva (A)

CIBER of Epidemiology and Public Health (CIBERESP), Barcelona, Spain.
Clinical Epidemiology and Cancer Screening, Parc Taulí Hospital Universitari, Parc Taulí Research and Innovation Institute Foundation (I3PT-CERCA), Autonomous University of Barcelona, Sabadell, Spain.

Ivan Solà (I)

Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.
CIBER of Epidemiology and Public Health (CIBERESP), Barcelona, Spain.

Gerard Urrútia (G)

Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.
CIBER of Epidemiology and Public Health (CIBERESP), Barcelona, Spain.

Xavier Bonfill Cosp (X)

Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.
CIBER of Epidemiology and Public Health (CIBERESP), Barcelona, Spain.
Autonomous University of Barcelona, Barcelona, Spain.

Classifications MeSH