Critical appraisal:Sperduto PW, Kased N, Roberge D, Xu Z, Shanley R, Luo X, et al 2012

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Critical Appraisal

Article being appraised

Sperduto PW, Kased N, Roberge D, Xu Z, Shanley R, Luo X, et al. Summary report on the graded prognostic assessment: an accurate and facile diagnosis-specific tool to estimate survival for patients with brain metastases. J Clin Oncol 2012 Feb 1;30(4):419-25 Available from: http://www.ncbi.nlm.nih.gov/pubmed/22203767.


Applicable clinical question

Key Facts

Study Design

case series

Number of Patients:

1833


Includes an economic evaluation

no

Evidence ratings

Level of evidence

IV

Risk of bias
High risk of bias Comments: Study to evaluate factors predictive of survival in patients with brain metastases following a variety of treatments. Multiple primary tumour sites but 1833 NSCLC patients include.

Risk of bias assessment: case series

Subject selection:
Selected group (e.g. multi-institution study)
Were the outcome measures blind to pre/post-intervention?
No, but objective measures used
Follow-up complete and all patients included in the analysis?
No or not described
Size of effect
1 Reason for decision: Study evaluating factors predictive of survival based on patient and tumour factors.

P values and 95% CI given for survival by treatment.

Relevance of evidence
1 Additional comments: Evaluation of factors predictive of survival in patients with brain metastases
Result of appraisal

Jutta's tick icon.png Included



Comments

Although low quality evidence this study is important in providing a prognostic model on which to help base treatment decisions for NSCLC patients with brain metastases.

Completed by

Associate Professor Shalini Vinod MBBS MD FRANZCR


Jutta's tick icon.png This appraisal has been completed.


Article
Sperduto PW, Kased N, Roberge D, Xu Z, Shanley R, Luo X, et al. Summary report on the graded prognostic assessment: an accurate and facile diagnosis-specific tool to estimate survival for patients with brain metastases. J Clin Oncol 2012 Feb 1;30(4):419-25 Available from: http://www.ncbi.nlm.nih.gov/pubmed/22203767.
Assigned to
User:Shalini.vinod
Topic area
Guidelines:Lung cancer
Clinical question
Form
Form:Critical appraisal


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