Evidence map›Paper›PMID 22312134›Full record

ReviewJournal of the National Cancer Institute2012

Second malignant neoplasms and cardiovascular disease following radiotherapy.

Lois B Travis, Andrea K Ng, James M Allan, Ching-Hon Pui, Ann R Kennedy, X George Xu, James A Purdy, Kimberly Applegate, Joachim Yahalom, Louis S Constine and 2 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of the National Cancer Institute, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 4 pooled it
14.8field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

93 citing papers in PubMed, 4 syntheses or guidelines pooled it, 224 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Long-term toxicity of cisplatin in germ-cell tumor survivors.Annals of oncology : official journal of the European Society for Medical Oncology · 2017
    Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Is Radiotherapy a Risk Factor for Melanoma?Dermatopathology (Basel, Switzerland) · 2025
    Review
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33 more citing papers are in PubMed but not listed here.

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

12 authors at 9 institutions in 2 countries.

Lois B TravisRubin Center for Cancer Survivorship and Department of Radiation Oncology, James P. Wilmot Cancer Center, University of Rochester Medical Center, 265 Crittenden Blvd, CU 420318, Rochester, NY 14642, USA. Lois_Travis@URMC.Rochester.edu
Andrea K Ng
James M Allan
Ching-Hon Pui
Ann R Kennedy
X George Xu
James A Purdy
Kimberly Applegate
Joachim Yahalom
Louis S Constine
Ethel S Gilbert
John D Boice
Memorial Sloan Kettering Cancer Center · USRensselaer Polytechnic Institute · USVanderbilt University · USDana-Farber Cancer Institute · USHarvard University · USNewcastle University · GBUniversity of California, Davis · USUniversity of Pennsylvania · USUniversity of Rochester Medical Center · US

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
NCI NIH HHS CA21765NCI NIH HHS P30 CA021765NCI NIH HHS R24 CA074206
6 · The paper itself

Abstract

Second malignant neoplasms (SMNs) and cardiovascular disease (CVD) are among the most serious and life-threatening late adverse effects experienced by the growing number of cancer survivors worldwide and are due in part to radiotherapy. The National Council on Radiation Protection and Measurements (NCRP) convened an expert scientific committee to critically and comprehensively review associations between radiotherapy and SMNs and CVD, taking into account radiobiology; genomics; treatment (ie, radiotherapy with or without chemotherapy and other therapies); type of radiation; and quantitative considerations (ie, dose-response relationships). Major conclusions of the NCRP include: 1) the relevance of older technologies for current risk assessment when organ-specific absorbed dose and the appropriate relative biological effectiveness are taken into account and 2) the identification of critical research needs with regard to newer radiation modalities, dose-response relationships, and genetic susceptibility. Recommendation for research priorities and infrastructural requirements include 1) long-term large-scale follow-up of extant cancer survivors and prospectively treated patients to characterize risks of SMNs and CVD in terms of radiation dose and type; 2) biological sample collection to integrate epidemiological studies with molecular and genetic evaluations; 3) investigation of interactions between radiotherapy and other potential confounding factors, such as age, sex, race, tobacco and alcohol use, dietary intake, energy balance, and other cofactors, as well as genetic susceptibility; 4) focusing on adolescent and young adult cancer survivors, given the sparse research in this population; and 5) construction of comprehensive risk prediction models for SMNs and CVD to permit the development of follow-up guidelines and prevention and intervention strategies.

Indexed as

AdultAge of OnsetArrhythmias, CardiacCardiovascular DiseasesChildConfounding Factors, EpidemiologicDose-Response Relationship, RadiationFemaleGenetic Predisposition to DiseaseHeart BlockHumansIncidenceMaleMyocardial InfarctionNeoplasmsNeoplasms, Radiation-Induced

Identifiers

PMID22312134
PMCPMC3295744
OpenAlexW2147498149

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.