The impact of radiological assessment schedules on progression-free survival in metastatic breast cancer: A systemic review and meta-analysis
Cancer Treatment Reviews Sep 16, 2021
Dabush DR, Shepshelovich D, Shochat T, et al. - Findings suggested an association of shorter restaging intervals with a higher magnitude of effect on progression-free survival (PFS), but not overall survival (OS). The impact of the restaging interval on PFS quantification is critical for the design and interpretation of randomized controlled trials.
There were 89 studies in total, with 95 comparisons and 44,901 patients.
The magnitude of the PFS advantage was greater in trials with short restaging intervals compared to long restaging intervals, but this difference did not approach the pre-defined statistical significance criterion.
In pre-specified subgroups, including non-first-line trials, trials with drugs replacing standard treatment, and studies performed in exclusively human epidermal growth factor receptor 2 positive disease, a short restaging interval was associated with a significantly larger magnitude of effect on PFS.
With both short and long restaging periods, the magnitude of the OS improvement was comparable.
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