Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

68 questions · 70 findings · 9 reviews · Lung Cancer

No studies found 5 · 7.1%GRADE not reported 2 · 2.9%Very low 5 · 7.1%Low 25 · 35.7%Moderate 16 · 22.9%High 17 · 24.3%

Intervention not reported

Quality of life · patients with extensive SCLC who relapsed or progressed after first‐line chemotherapy

The intervention may leads to higher quality of life (low certainty).

1 finding from 1 review

ALK inhibitor vs any cytotoxic chemotherapy

Progression‐free survival · advanced anaplastic lymphoma kinase (ALK)‐rearranged non‐small cell lung cancer

ALK inhibitor leads to lower progression‐free survival: all participants compared with any cytotoxic chemotherapy (high certainty).

1 finding from 1 review

ALK inhibitor vs any cytotoxic chemotherapy

Progression‐free survival in people with central nervous system disease · advanced anaplastic lymphoma kinase (ALK)‐rearranged non‐small cell lung cancer

ALK inhibitor leads to lower progression‐free survival in people with central nervous system… compared with any cytotoxic chemotherapy (high certainty).

1 finding from 1 review

ALK inhibitor vs any cytotoxic chemotherapy

Grade 5 adverse events (excluding progressive disease) · advanced anaplastic lymphoma kinase (ALK)‐rearranged non‐small cell lung cancer

ALK inhibitor showed no clear difference in grade 5 adverse events (excluding progressive disease) compared with any cytotoxic chemotherapy (low certainty).

1 finding from 1 review

ALK inhibitor vs any cytotoxic chemotherapy

Health‐related quality of life: time to deterioration in composite endpoint (cough, dyspnoea, and chest pain) · advanced anaplastic lymphoma kinase (ALK)‐rearranged non‐small cell lung cancer

ALK inhibitor leads to lower health‐related quality of life: time to deterioration in composite… compared with any cytotoxic chemotherapy (high certainty).

1 finding from 1 review

Carboplatin vs cisplatin chemotherapy

Overall survival (baseline risks for low‐ and high‐risk groups in the control arm were estimated at 1 year) · combination with third‐generation drugs for advanced non‐small cell lung cancer

Carboplatin showed no clear difference in overall survival (baseline risks for low‐ and high‐risk groups in… compared with cisplatin chemotherapy (high certainty).

1 finding from 1 review

Carboplatin vs cisplatin chemotherapy

Adverse events: neurotoxicity (grade 3/4) ( · combination with third‐generation drugs for advanced non‐small cell lung cancer

Carboplatin probably leads to higher grade III or IV neurotoxicity compared with cisplatin chemotherapy (moderate certainty).

1 finding from 1 review

Carboplatin vs cisplatin chemotherapy

Safety (AE, adverse drug reaction): thrombocytopenia Grades 3 or 4 according to National Cancer Institute · combination with third‐generation drugs for advanced non‐small cell lung cancer

Carboplatin probably leads to higher grade III or IV thrombocytopenia compared with cisplatin chemotherapy (moderate certainty).

1 finding from 1 review

Carboplatin vs cisplatin chemotherapy

Grade III or IV renal toxicity · combination with third‐generation drugs for advanced non‐small cell lung cancer

Carboplatin showed no clear difference in grade III or IV renal toxicity compared with cisplatin chemotherapy (moderate certainty).

1 finding from 1 review

Gefitinib vs chemotherapy alone

Overall survival (OS) · People with advanced non‐small cell lung cancer

Gefitinib showed no clear difference in overall survival (OS) compared with chemotherapy (moderate certainty).

2 findings from 1 review