{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:44:02Z","timestamp":1785545042709,"version":"3.56.0"},"reference-count":50,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Cancer"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec sec-type=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Health care system\u2013wide outcomes from routine treatment with erlotinib and gefitinib are incompletely understood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      The aim of the study is to describe the effectiveness of erlotinib and gefitinib during the first decade of their routine use for treating advanced epidermal growth factor receptor (\n                      <jats:italic>EGFR<\/jats:italic>\n                      ) mutation-positive nonsquamous non\u2013small cell lung cancer in the entire cohort of patients treated in Aotearoa New Zealand.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients were identified, and data collated from national pharmaceutical dispensing, cancer registration, and mortality registration electronic databases by deterministic data linkage using National Health Index numbers. Time-to-treatment discontinuation and overall survival were measured from the date of first dispensing of erlotinib or gefitinib and analyzed by Kaplan-Meier curves. Associations of treatment outcomes with baseline factors were evaluated using univariable and multivariable Cox regressions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, 752 patients were included who started treatment with erlotinib (n=418) or gefitinib (n=334) before October 2020. Median time-to-treatment discontinuation was 11.6 (95% CI 10.8\u201012.4) months, and median overall survival was 20.1 (95% CI 18.1\u201021.6) months. Shorter time-to-treatment discontinuation was independently associated with high socioeconomic deprivation (hazard ratio [HR] 1.3, 95% CI 1.1\u20101.5 compared to the New Zealand Index of Deprivation 1\u20104 group),\n                      <jats:italic>EGFR<\/jats:italic>\n                      L858R mutations (HR 1.3, 95% CI 1.1\u20101.6 compared to exon 19 deletion), and distant disease at cancer diagnosis (HR 1.4, 95% CI 1.2\u20101.7 compared to localized or regional disease). The same factors were independently associated with shorter overall survival. Outcome estimates and predictors remained unchanged in sensitivity analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Outcomes from routine treatment with erlotinib and gefitinib in New Zealand patients with advanced\n                      <jats:italic>EGFR<\/jats:italic>\n                      -mutant nonsquamous non\u2013small cell lung cancer are comparable with those reported in randomized trials and other health care system\u2013wide retrospective cohort studies. Socioeconomic status,\n                      <jats:italic>EGFR<\/jats:italic>\n                      mutation subtype, and disease extent at cancer diagnosis were independent predictors of treatment outcomes in that setting.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/65118","type":"journal-article","created":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T12:32:16Z","timestamp":1741005136000},"page":"e65118-e65118","source":"Crossref","is-referenced-by-count":1,"title":["Treatment Outcomes From Erlotinib and Gefitinib in Advanced Epidermal Growth Factor Receptor\u2013Mutated Nonsquamous Non\u2013Small Cell Lung Cancer in Aotearoa New Zealand From 2010 to 2020: Nationwide Whole-of-Patient-Population Retrospective Cohort Study"],"prefix":"10.2196","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9356-9965","authenticated-orcid":false,"given":"Phyu 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