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Docetaxel with prednisone or prednisolone for the treatment of ...

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Quantity <strong>of</strong> research available<br />

A total <strong>of</strong> 1065 titles and abstracts were screened<br />

f<strong>or</strong> inclusion in <strong>the</strong> review <strong>of</strong> clinical and costeffectiveness.<br />

Of <strong>the</strong> titles and abstracts screened,<br />

267 rec<strong>or</strong>ds were <strong>or</strong>dered as full papers. Seventeen<br />

rec<strong>or</strong>ds were not received/unavailable at <strong>the</strong> time<br />

<strong>of</strong> <strong>the</strong> assessment: five were not received in<br />

time/unavailable, three were not published because<br />

<strong>the</strong> trial was stopped prematurely (one rec<strong>or</strong>d) <strong>or</strong><br />

<strong>the</strong> study had negative results (two rec<strong>or</strong>ds relating<br />

to one trial), f<strong>or</strong> two rec<strong>or</strong>ds <strong>the</strong> trialist did not<br />

recognise <strong>the</strong> trial, three rec<strong>or</strong>ds were available<br />

only in abstract f<strong>or</strong>m and four rec<strong>or</strong>ds related to<br />

Excluded<br />

N = 220<br />

Background<br />

N = 65<br />

Overview<br />

N = 52<br />

Wrong patient group<br />

N = 15<br />

Wrong intervention<br />

N = 12<br />

Not an RCT<br />

N = 74<br />

Duplicate<br />

N = 2<br />

Cost-effectiveness<br />

studies<br />

N = 1<br />

Chapter 4<br />

Results<br />

SEARCH: Clinical effectiveness and cost-effectiveness<br />

Titles and abstracts<br />

identified and screened<br />

N = 1065<br />

Full copies <strong>or</strong>dered<br />

N = 267<br />

Publications meeting<br />

inclusion criteria<br />

N = 30<br />

Studies meeting<br />

inclusion criteria<br />

N = 7<br />

(22 related publications)<br />

FIGURE 1 Process <strong>of</strong> study selection f<strong>or</strong> clinical and cost-effectiveness<br />

© Queen’s Printer and Controller <strong>of</strong> HMSO 2007. All rights reserved.<br />

Health Technology Assessment 2007; Vol. 11: No. 2<br />

ongoing trials. A total <strong>of</strong> 250 full papers were<br />

assessed in detail. The process <strong>of</strong> study selection is<br />

shown in Figure 1.<br />

F<strong>or</strong> <strong>the</strong> assessment <strong>of</strong> <strong>the</strong> clinical effectiveness <strong>of</strong><br />

docetaxel in combination <strong>with</strong><br />

<strong>prednisone</strong>/<strong>prednisolone</strong> <strong>or</strong> mitoxantrone in<br />

combination <strong>with</strong> a c<strong>or</strong>ticosteroid f<strong>or</strong> <strong>the</strong><br />

<strong>treatment</strong> <strong>of</strong> mHRPC, seven RCTs were identified.<br />

One <strong>of</strong> <strong>the</strong>se RCTs used two schedules <strong>of</strong><br />

docetaxel in combination <strong>with</strong> <strong>prednisone</strong>; one at<br />

<strong>the</strong> recommended dosage <strong>with</strong>in its license<br />

(75 mg/m 2 every 3 weeks):<br />

Unavailable/not received<br />

N = 5<br />

No such trial/no data/<br />

trial stopped<br />

N = 5<br />

Abstract only<br />

N = 3<br />

Ongoing trial<br />

N = 4<br />

11

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