Evidence map›Paper›PMID 25379320›Full record

ArticleJournal of thyroid research2014

Short course high dose radiotherapy in the treatment of anaplastic thyroid carcinoma.

Mark J Stavas, Eric T Shinohara, Albert Attia, Matthew S Ning, Jeffrey M Friedman, Anthony J Cmelak

Abstract read
In one paragraph

Article in Journal of thyroid research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. 2021 American Thyroid Association Guidelines for Management of Patients with Anaplastic Thyroid Cancer.Thyroid : official journal of the American Thyroid Association · 2021
    Guideline
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Practice recommendations for risk-adapted head and neck cancer radiotherapy during the COVID-19 pandemic: An ASTRO-ESTRO consensus statement.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2020
    Article
  9. Article
  10. Article
  11. Pembrolizumab for anaplastic thyroid cancer: a case study.Cancer immunology, immunotherapy : CII · 2019
    Article
  12. Article
  13. Article
  14. Treatment Outcomes in Anaplastic Thyroid Cancer.Journal of thyroid research · 2019
    Article
  15. Article
  16. 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

6 authors.

Mark J StavasDepartment of Radiation Oncology, Vanderbilt University Medical Center, Nashville, TN 37232, USA ; Department of Radiation Oncology, Vanderbilt University School of Medicine, 1301 Medical Center Drive, B913/TVC, Nashville, TN 37232, USA.
Eric T ShinoharaDepartment of Radiation Oncology, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Albert AttiaDepartment of Radiation Oncology, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Matthew S NingDepartment of Radiation Oncology, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Jeffrey M FriedmanDepartment of Radiation Oncology, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Anthony J CmelakDepartment of Radiation Oncology, Vanderbilt University Medical Center, Nashville, TN 37232, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose. Anaplastic thyroid carcinoma (ATC) is a rare but aggressive tumor with limited survival. To date, the ideal radiation treatment schedule, one that balances limited survival with treatment efficacy, remains undefined. In this retrospective series we investigate the effectiveness and tolerability of hypofractionated radiation therapy in the treatment of ATC. Methods. 17 patients with biopsy proven ATC treated between 2004 and 2012 were reviewed for outcomes and toxicity. All patients received short course radiation. Results. The most commonly prescribed dose was 54 Gy in 18 fractions. Median survival was 9.3 months. 47% of patients were metastatic at diagnosis and the majority of patients (88%) went on to develop metastasis. Death from local progression was seen in 3 patients (18%), 41% experienced grade 3 toxicity, and there were no grade 4 toxicities. Conclusions. Here we demonstrated the safety and feasibility of hypofractionated radiotherapy in the treatment of ATC. This approach offers shorter treatment courses (3-4 weeks) compared to traditional fractionation schedules (6-7 weeks), comparable toxicity, local control, and the ability to transition to palliative care sooner. Local control was dependent on the degree of surgical debulking, even in the metastatic setting.

Identifiers

PMID25379320
PMCPMC4213987

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.