Visualizing Oncology Data: Best Practices for Waterfall Plots and Swimmer Plots

Visualizing Oncology Data: Best Practices for Waterfall Plots and Swimmer Plots

In oncology presentations, data density is often the enemy of clarity. When presenting to oncologists and researchers, explaining the nuances of RECIST criteria (Response Evaluation Criteria in Solid Tumors) or Duration of Response (DoR) requires more than standard spreadsheets. You must translate complex trial results into intuitive visual narratives.

Drawing from the expert data visualization principles found in the RxSlides medical library, here are the best practices for structuring oncology data visualizations.

1. Differentiate Response Comparison with Color Logic

The primary goal of a Waterfall plot is to show the magnitude of tumor size change for each patient. A common mistake is using low-contrast colors that make it difficult to distinguish between partial response (PR), stable disease (SD), and progressive disease (PD).

  • The RxSlides Approach: When comparing efficacy, avoid monochrome. The Ustekinumab PowerPoint Template demonstrates this principle perfectly in its "Comparative Study" slide. It contrasts the performance of three different monoclonal antibodies using "distinct color-coded bars (yellow, green, and purple)" to show results at Week 1 versus Week 4.
  • Application: Apply this same logic to your Waterfall plots. Assign a distinct color to each response category (e.g., Green for Partial Response, Red for Progression) to allow the audience to instantly gauge the trial's success rate.

2. Visualize Patient Status with Iconography (Swimmer Plots)

Swimmer plots track the duration of treatment and response over time. The challenge is indicating what happened to the patient at the end of the bar (e.g., ongoing response, death, or discontinuation) without cluttering the chart with text.

  • Use Icons, Not Text: Instead of writing "Deceased" or "Ongoing," use standardized icons. The Brain Tumor PowerPoint Template utilizes "icon arrays" (such as stick figures) to communicate patient ratios visually. For example, it represents gender distribution statistics using large male and female figures with percentage placeholders, allowing for instant demographic recognition.
  • Application: In a Swimmer plot, place a small "arrow" icon at the end of a bar to signify an ongoing response, or a distinct shape (like the "check mark" used in the Brain Tumor survival statistics slide) to indicate a completed endpoint.

3. Simplify Head-to-Head Comparisons

When presenting head-to-head trial data (e.g., Investigational Drug vs. Standard of Care), clarity is paramount.

  • Split-Screen Data: Avoid overcrowding a single chart. The Exenatide PowerPoint Template presents clinical study results using a high-contrast bar chart that highlights a clear difference—"75% versus 25%"—to immediately communicate the significant positive findings of the treatment against a control.
  • Outcome Grouping: In the Liver Cancer Template, survival rates and epidemiology are separated into specific data-driven slides, allowing the audience to focus on "global and regional incidence, prevalence, and survival rates" without distraction.

4. Structuring "Take Home" Messages

Data visualization should always lead to a conclusion. Do not leave the interpretation up to the audience.

  • The Summary Slide: After presenting your Waterfall or Swimmer plots, use a summary layout. The Exenatide Template uses large speech bubbles with checkmarks to summarize the "Take home message" of the clinical study, ensuring the core efficacy data is reinforced before the Q&A session.

Comparison: Traditional Data Tables vs. Visual Plots

The following table outlines the shift from traditional data reporting to the high-impact visual strategies found in RxSlides templates.

Feature Traditional Method (Tables) RxSlides Visual Method
Response Magnitude Rows of numbers listing % change in tumor size. Color-coded bars using distinct palettes (Yellow/Green/Purple) to visualize reduction vs. growth instantly.
Patient Status Text footnotes explaining patient outcomes (e.g., "died," "censored"). Icon integration: arrows, figures, or markers placed directly on the chart to indicate status.
Head-to-Head Data Dense columns of p-values and confidence intervals. High-contrast bar charts showing side-by-side comparison emphasizing the key difference (e.g., 75% vs 25%).
Survival Data Kaplan-Meier curves with small, crowded legends. Data-driven infographics with dedicated slides focusing on individual survival rates and incidence maps.

Summary

To visualize oncology data effectively, you must move beyond the spreadsheet. Apply the color-coding principles seen in the Ustekinumab templates for response magnitude, utilize the icon arrays from the Brain Tumor templates for patient status, and employ split-screen comparisons from the Exenatide templates for head-to-head results.

For high-stakes oncology presentations where data accuracy and visual clarity are critical, professional medical presentation design is essential. Explore the RxSlides library for medically accurate, fully editable templates designed to make your clinical data stand out.