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Cancer Evidence Update

12th July 2016

Suspected cancer

Ceritinib for previously treated anaplastic lymphoma kinase positive non-small-cell lung cancer


Trametinib in combination with dabrafenib for treating unresectable or metastatic melanoma
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New and Updated Cochrane Systematic Reviews

Diagnostic accuracy of laparoscopy following computed tomography (CT) scanning for assessing the resectability with curative intent in pancreatic and periampullary cancer
Authors' conclusions: Diagnostic laparoscopy may decrease the rate of unnecessary laparotomy in people with pancreatic and periampullary cancer found to have resectable disease on CT scan. On average, using diagnostic laparoscopy with biopsy and histopathological confirmation of suspicious lesions prior to laparotomy would avoid 21 unnecessary laparotomies in 100 people in whom resection of cancer with curative intent is planned.

Luteinising hormone releasing hormone (LHRH) agonists for the treatment of relapsed epithelial ovarian cancer
Authors' conclusions: Based on this review of two small RCTs, there is not enough evidence to comment on the safety and effectiveness of LHRH agonists in the treatment of platinum-refractory and platinum-resistant (relapsed) EOC. Overall, the quality of evidence for all outcomes (including OS, PFS, QoL and adverse events) is very low.

Radiotherapy for diffuse brainstem glioma in children and young adults
Authors' conclusions: We could make no definitive conclusions from this review based on the currently available evidence. Further research is needed to establish the role of radiotherapy in the management of newly diagnosed diffuse brainstem glioma in children and young adults. Future RCTs should be conducted with adequate power and all relevant outcomes should be taken into consideration. Moreover, international multicentre collaboration is encouraged. Considering the potential advantage of hypofractionated radiotherapy to decrease the treatment burden and increase the quality of remaining life, we suggest that more attention should be paid to hypofractionated radiotherapy.
Flexible sigmoidoscopy for colorectal cancer screening
  • risk of perforation < 1 and major bleeding < 2 per 10,000 procedures in adults having flexible sigmoidoscopy screening (but higher rates in follow-up colonoscopies) (JAMA 2016 Jun 21)
  • flexible sigmoidoscopy screening reduces colorectal cancer-related mortality and colorectal cancer incidence in adults (USPSTF Jun 2016) 
  • review of benefits, burden, and harms of screening based on mathematical modeling simulations (JAMA 2016 Jun 21) 
Other High Quality Research

Impact of statin use on cancer recurrence and mortality in breast cancer: A systematic review and meta-analysis.

Cost-Effectiveness Analyses of Lung Cancer Screening Strategies Using Low-Dose Computed Tomography: a Systematic Review.

Anticonvulsants or Antidepressants in Combination Pharmacotherapy for Treatment of Neuropathic Pain in Cancer Patients: A Systematic Review and Meta-analysis.


CA125-related tumor cell kinetics variables after chemotherapy in advanced ovarian cancer: a systematic review.

Epidemiologic evidence of slow growing, nonprogressive or regressive breast cancer: A systematic review.

The need for community pharmacists in oncology outpatient care: a systematic review.

Taxane acute pain syndrome (TAPS) in patients receiving taxane-based chemotherapy for breast cancer-a systematic review.

Unmet care needs in people living with advanced cancer: a systematic review.

Integrated palliative care in Europe: a qualitative systematic literature review of empirically-tested models in cancer and chronic disease.

Effectiveness of critical care pathways for head and neck cancer surgery: A systematic review.

Extranodal extension of lymph node metastasis is a marker of poor prognosis in oesophageal cancer: a systematic review with meta-analysis.

Hydrocortisone as an Intervention for Dexamethasone-Induced Adverse Effects in Pediatric Patients With Acute Lymphoblastic Leukemia: Results of a Double-Blind, Randomized Controlled Trial.
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UpToDate

What's new in oncology

Choice of adjuvant chemotherapy for resected pancreatic cancer


 

National Institute for Health Research

A scan may help decide if surgery is required as follow-on treatment for head and neck cancer

NHS Behind the Headlines -  media stories explained

1 in 8 advanced prostate cancers may be linked to faulty genes

Could 5:2 diet play a role in preventing breast cancer?
Table of Contents
Annals of Oncology
Anti-Cancer Drugs
British Journal of Cancer
Cancer
Cancer Imaging
Cancer Nursing
Cancer Causes & Control
Clinical oncology
JAMA Oncology
Lancet Oncology
Radiotherapy and Oncology
Our mailing address is: keith.nockels@uhl-tr.nhs.uk
 
Copyright © 2016 UHL Clinical Librarian Service, All rights reserved.
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