Evidence map›Paper›PMID 21127826›Full record

ArticleStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2010

Intraoperative radiotherapy as accelerated partial breast irradiation for early breast cancer : beware of one-stop shops?

Marie-Luise Sautter-Bihl, Felix Sedlmayer, Wilfried Budach, Jürgen Dunst, Rita Engenhart-Cabillic, Rainer Fietkau, Petra Feyer, Wulf Haase, Wolfgang Harms, Claus Rödel and 3 more

Registry-linked trialAbstract readComparative StudyEditorial
PubMed Publisher
In one paragraph

Article in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01440010 (TARGeted Intraoperative radioTherapy With the INTRABEAM-System as an Advanced Boost in Patients With Breast Cancer - A Quality Control Registry in Germany), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01440010 completednot on this mapstarted 2011, after this paper: background citation

TARGeted Intraoperative radioTherapy With the INTRABEAM-System as an Advanced Boost in Patients With Breast Cancer - A Quality Control Registry in Germany (TARGIT BQR)

TypeobservationalSponsorUniversitätsmedizin MannheimRan2011 to 2020Enrolled1,133ConditionsBreast CancerArmsIORT with 20 Gy
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. DEGRO practical guidelines: radiotherapy of breast cancer I: radiotherapy following breast conserving therapy for invasive breast cancer.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2013
    Guideline
  2. Trial
  3. Trial
  4. Intraoperative radiotherapy (IORT) as boost in breast cancer.Radiation oncology (London, England) · 2017
    Review
  5. Single dose IOERT versus whole breast irradiation : Cosmetic results in breast-conserving therapy.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2016
    Article
  6. Article
  7. Intraoperative Period and Breast Cancer: Review.The journal of breast health · 2014
    Review
  8. Breast cancer: Actual methods of treatment and future trends.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2014
    Review
  9. Boost IORT in Breast Cancer: Body of Evidence.International journal of breast cancer · 2014
    Review
  10. Review
  11. Clinical and technical characteristics of intraoperative radiotherapy. Analysis of the ISIORT-Europe database.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2013
    Article
  12. When are breast cancer patients old enough for the quitclaim of local control?Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2012
    Review
  13. [Technical and methodical developments of radiation oncology from a physician's point of view].Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2012
    Article
  14. Article
  15. [Rules and regulations applying to incidents in radiotherapy].Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2012
    Article
  16. Article
  17. Evaluation of time, attendance of medical staff, and resources during radiotherapy for breast cancer patients. The DEGRO-QUIRO trial.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2012
    Article
  18. Procedure for creating a three-dimensional (3D) model for superficial hyperthermia treatment planning.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2011
    Article
  19. Article
  20. Frequency of whole breast irradiation (WBRT) after intraoperative radiotherapy (IORT) is strongly influenced by institutional protocol qualification criteria.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 12 institutions in 3 countries.

Marie-Luise Sautter-BihlMunicipal Hospital, Karlsruhe, Germany. marie-luise.sautter-bihl@klinikum-karlsruhe.de
Felix Sedlmayer
Wilfried Budach
Jürgen Dunst
Rita Engenhart-Cabillic
Rainer Fietkau
Petra Feyer
Wulf Haase
Wolfgang Harms
Claus Rödel
Rainer Souchon
Frederik Wenz
Rolf Sauer
Universitätsklinikum Erlangen · DEDüsseldorf University Hospital · DEStädtisches Klinikum Karlsruhe · DESt. Claraspital · CHSt. Vincentius-Kliniken · DEUnfallkrankenhaus Salzburg · ATUniversitätsklinikum Gießen und Marburg · DEUniversity Children's Hospital Tübingen · DEUniversity Hospital Frankfurt · DEUniversity Hospital Heidelberg · DEUniversity Hospital Schleswig-Holstein · DEVivantes Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intraoperative radiotherapy (IORT) was originally introduced in breast cancer treatment as an "anticipated boost" during the procedure of breast conserving surgery (BCS). In addition to whole breast irradiation (WBI), it has yielded excellent long-term results [31, 38]. Under the assumption that the majority of in-breast tumor recurrences (IBTR) occur in the originally affected site, accelerated partial breast irradiation (APBI) as the sole treatment modality was initiated in several studies and with different techniques, one of which was IORT first with electrons, later also with conventional x-rays [29]. The question whether and for whom the gold standard of WBI may be replaced by APBI - especially IORT - alone has recently been one of the most controversial issues of adjuvant therapy for breast cancer. Two recently published studies by Veronesi et al. [36] and Vaidya et al. [35] presenting shortterm results of single shot IORT with electrons (ELIOT) and with an orthovoltage system (TARGIT), respectively, have further invigorated this discussion as illustrated by several letters to the editor commenting on the TARGIT study. While Vaidya et al. [35] indicate their results of IORT alone as "an alternative to WBI for selected patients" and one editorial even proclaims it as standard [6], all the authors of the respective letters [10, 16, 27, 33] strongly disagree with this conclusion. The present editorial comments on the two publications and, furthermore, provides respective statements of the breast cancer expert panel of the German Society of Radiation Oncology (DEGRO).

Indexed as

Intraoperative CareMastectomy, SegmentalParticle AcceleratorsRadiotherapy, AdjuvantBreast NeoplasmsClinical Trials, Phase III as TopicCombined Modality TherapyFemaleFollow-Up StudiesGermanyHumansKaplan-Meier EstimateMiddle AgedNeoplasm Recurrence, LocalNeoplasm StagingPatient Selection

Identifiers

PMID21127826
OpenAlexW1582175854

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.