Evidence map›Paper›PMID 25472662›Full record

ArticleRadiation oncology (London, England)2014

Quality assurance in radiotherapy: analysis of the causes of not starting or early radiotherapy withdrawal.

Meritxell Arenas, Sebastià Sabater, Marina Gascón, Ivan Henríquez, M José Bueno, Àngels Rius, Àngels Rovirosa, David Gómez, Anna Lafuerza, Albert Biete and 1 more

Abstract read
In one paragraph

Article in Radiation oncology (London, England), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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

17 citing papers in PubMed.

  1. Trial
  2. The landscape of definitive radiotherapy discontinuation: a 5-year institutional audit and clinical profiling.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  3. Article
  4. Article
  5. Brachytherapy and 3D printing for skin cancer: A review paper.Journal of contemporary brachytherapy · 2024
    Review
  6. Article
  7. Radiotherapy is safe in patients with implantable cardiac devices. Analysis of a systematic interrogation follow-up.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2020
    Article
  8. Are there enough radiation oncologists to lead the new Spanish radiotherapy?Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2019
    Article
  9. Quality indicators in radiation oncology: proposal of the Spanish Society of Radiation Oncology (SEOR) for a continuous improvement of the quality of care in oncology.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2019
    Article
  10. Management of patients with implanted cardiac devices during radiotherapy: results of a Spanish survey in radiation oncology departments.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2018
    Article
  11. Do Patients Feel Well Informed in a Radiation Oncology Service?Journal of cancer education : the official journal of the American Association for Cancer Education · 2018
    Article
  12. Article
  13. Review
  14. Patients' view of the differences in topical creams for radiation dermatitis prevention. A pilot study of cosmetic properties.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology
    Article
  15. Provider delay in treatment initiation and its influence on survival outcomes in women with operable breast cancer.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology
    Article
  16. Article
  17. 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

11 authors.

Meritxell ArenasDepartment of Radiation Oncology, Hospital Universitari Sant Joan de Reus, Institut d'Investigacions Sanitàries Pere Virgili (IISPV), Universitat Rovira i Virgili (URV), Tarragona, Spain. meritxell.arenas@gmail.com.
Sebastià SabaterDepartment of Radiation Oncology, Complejo Hospitalario Universitario de Albacete, Albacete, Spain. ssabaterm@gmail.com.
Marina GascónDepartment of Radiation Oncology, Hospital Universitari Sant Joan de Reus, Institut d'Investigacions Sanitàries Pere Virgili (IISPV), Universitat Rovira i Virgili (URV), Tarragona, Spain. mgasconf@gmail.com.
Ivan HenríquezDepartment of Radiation Oncology, Hospital Universitari Sant Joan de Reus, Institut d'Investigacions Sanitàries Pere Virgili (IISPV), Universitat Rovira i Virgili (URV), Tarragona, Spain. ohenriquez@grupsagessa.com.
M José BuenoDepartment of Quality, Hospital Universitari Sant Joan de Reus, Tarragona, Spain. mjbueno@grupsagessa.com.
Àngels RiusDepartment of Statistics, Hospital Universitari Sant Joan de Reus, Tarragona, Spain. arius@grupsagessa.com.
Àngels RovirosaDepartment of Radiation Oncology, Hospital Universitari Clínic de Barcelona, Barcelona, Spain. rovirosa@clinic.ub.es.
David GómezDepartment of Radiation Oncology, Hospital Universitari Sant Joan de Reus, Institut d'Investigacions Sanitàries Pere Virgili (IISPV), Universitat Rovira i Virgili (URV), Tarragona, Spain. dgomez@grupsagessa.com.
Anna LafuerzaDepartment of Radiation Oncology, Hospital Universitari Sant Joan de Reus, Institut d'Investigacions Sanitàries Pere Virgili (IISPV), Universitat Rovira i Virgili (URV), Tarragona, Spain. alafuerza@grupsagessa.com.
Albert BieteDepartment of Radiation Oncology, Hospital Universitari Clínic de Barcelona, Barcelona, Spain. abiete@clinic.ub.es.
Jordi ColomerHospital Universitari Sant Joan de Reus and Group SAGESSA (Assistència Sanitària i Social), Tarragona, Spain. jcolomer@grupsagessa.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to analyse the reasons for not starting or for early of radiotherapy at the Radiation Oncology Department.

methodsAll radiotherapy treatments from March 2010 to February 2012 were included. Early withdrawals from treatment those that never started recorded. Clinical, demographic and dosimetric variables were also noted.

resultsFrom a total of 3250 patients treated and reviewed, 121 (4%) did not start or complete the planned treatment. Of those, 63 (52%) did not receive any radiotherapy fraction and 58 (48%) did not complete the course, 74% were male and 26% were female. The mean age was 67 ± 13 years. The most common primary tumour was lung (28%), followed by rectum (16%). The aim of treatment was 62% radical and 38% palliative, 44% of patients had metastases; the most common metastatic site was bone, followed by brain. In 38% of cases (46 patients) radiotherapy was administered concomitantly with chemotherapy (10 cases (22%) were rectal cancers). The most common reason for not beginning or for early withdrawal of treatment was clinical progression (58/121, 48%). Of those, 43% died (52/121), 35 of them because of the progression of the disease and 17 from other causes. Incomplete treatment regimens were due to toxicity (12/121 (10%), of which 10 patients underwent concomitant chemotherapy for rectal cancer).

conclusionsThe number of patients who did not complete their course of treatment is low, which shows good judgement in indications and patient selection. The most common reason for incomplete treatments was clinical progression. Rectal cancer treated with concomitant chemotherapy was the most frequent reason of the interruption of radiotherapy for toxicity.

Indexed as

Quality Assurance, Health CareRadiotherapyFemaleHumansMaleNeoplasmsTreatment Refusal

Identifiers

PMID25472662
PMCPMC4263009

What OpenQuestion holds

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Registered trials

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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.