Critical appraisal:Standfield L, Weston AR, Barraclough H, Van Kooten M, Pavlakis N 2011

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Critical Appraisal

Article being appraised

Standfield L, Weston AR, Barraclough H, Van Kooten M, Pavlakis N. Histology as a treatment effect modifier in advanced non-small cell lung cancer: a systematic review of the evidence. Respirology 2011 Nov;16(8):1210-20 Available from: http://www.ncbi.nlm.nih.gov/pubmed/21801275.


Applicable clinical question

Key Facts

Study Design

systematic review — RCTs and meta-analyses of RCTs Studies spilt into varying categories N below relates to : Category E studies: treatment effect modification by histology (with formal treatment-by-histology test

Number of Patients:

5851


Includes an economic evaluation

no

Evidence ratings

Level of evidence

I

Risk of bias
High risk of bias Comments: Please replace this text and include any additional comments in regards to your quality rating


Size of effect
1 Reason for decision: No pooling of study data undertaken because of heterogeneity of designs and study arms. There was consistency only amongst the 3 pemetrexed studies.
Relevance of evidence
1 Additional comments: treatment by histology interaction for ket clinical endpoints
Result of appraisal

Jutta's tick icon.png Included




Completed by

Assoc. Prof. Nick Pavlakis


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


Article
Standfield L, Weston AR, Barraclough H, Van Kooten M, Pavlakis N. Histology as a treatment effect modifier in advanced non-small cell lung cancer: a systematic review of the evidence. Respirology 2011 Nov;16(8):1210-20 Available from: http://www.ncbi.nlm.nih.gov/pubmed/21801275.
Assigned to
User:Nick.pavlakis
Topic area
Guidelines:Guidelines:Lung cancer/Treatment/Non-small-cell stage IV inoperable
Clinical question
Form
Form:Critical appraisal


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