[The role of meta-analysis in assessing the treatment of advanced non-small cell lung cancer]

Rev Pneumol Clin. 2004 Feb;60(1):29-37. doi: 10.1016/s0761-8417(04)72080-5.
[Article in French]

Abstract

Meta-analysis is a statistical method allowing an evaluation of the direction and quantitative importance of a treatment effect observed in randomized trials which have tested the treatment but have not provided a definitive conclusion. In the present review, we discuss the methodology and the contribution of meta-analyses to the treatment of advanced-stage or metastatic non-small-cell lung cancer. In this area of cancerology, meta-analyses have provided determining information demonstrating the impact of chemotherapy on patient survival. They have also helped define a two-drug regimen based on cisplatin as the gold standard treatment for patients with a satisfactory general status. Recently, the meta-analysis method was used to measure the influence of gemcitabin in combination with platinium salts and demonstrated a small but significant benefit in survival, confirming that gemcitabin remains the gold standard treatment in combination with cisplatin.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Carcinoma, Non-Small-Cell Lung / drug therapy*
  • Cisplatin / administration & dosage
  • Deoxycytidine / administration & dosage
  • Deoxycytidine / analogs & derivatives*
  • Evidence-Based Medicine*
  • Gemcitabine
  • Humans
  • Lung Neoplasms / drug therapy*
  • Meta-Analysis as Topic*
  • Practice Guidelines as Topic*

Substances

  • Deoxycytidine
  • Cisplatin
  • Gemcitabine