Evidence map›Paper›PMID 25884958›Full record

Observational studyBMC cancer2015

Availability and outcomes of radiotherapy in Central Poland during the 2005-2012 period - an observational study.

Justyna Chalubinska-Fendler, Wojciech Fendler, Michal Spych, Jolanta Luniewska-Bury, Wojciech Mlynarski, Jacek Fijuth

Open access · goldAbstract readHistorical ArticleObservational Study
In one paragraph

Observational study in BMC cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 91% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Review
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 at 1 institution in 1 country.

Justyna Chalubinska-FendlerDepartment of Radiotherapy, Medical University of Lodz, 4 Paderewskiego Street, 93-509, Lodz, Poland. justyna.chalubinska-fendler@e.umed.lodz.pl.
Wojciech FendlerDepartment of Paediatrics, Oncology, Haematology and Diabetology, Medical University of Lodz, Lodz, Poland. wojciech.fendler@umed.lodz.pl.
Michal SpychDepartment of Radiotherapy, Medical University of Lodz, 4 Paderewskiego Street, 93-509, Lodz, Poland. michal.spych@umed.lodz.pl.
Jolanta Luniewska-BuryDepartment of Radiotherapy, Medical University of Lodz, 4 Paderewskiego Street, 93-509, Lodz, Poland. jolabury@wp.pl.
Wojciech MlynarskiDepartment of Paediatrics, Oncology, Haematology and Diabetology, Medical University of Lodz, Lodz, Poland. wojciech.mlynarski@umed.lodz.pl.
Jacek FijuthDepartment of Radiotherapy, Medical University of Lodz, 4 Paderewskiego Street, 93-509, Lodz, Poland. jacekf@coi.waw.pl.
Medical University of Lodz · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUsing a cross-database integrative approach, we performed an epidemiological analysis in a representative region of central Poland to evaluate the availability of radiotherapy (RTx) and overall survival of adult patients undergoing RTx for cancer.

methodsEpidemiological data on cancer incidence in the 2005-2012 period were obtained from the Nationwide Cancer Registry. Using data from the Ministry of Internal Affairs, we collected survival information of all patients treated in the only centre providing RTx for a region inhabited by approximately 2.6 million people.

resultsAfter filtering out individuals on the basis of exclusion criteria, the final dataset covered 17,736 patients. Availability of RTx increased marginally, from 23.5% (2005) to 24.4% (2011, R = 0.39, p = 0.38), with the highest values noted in patients with cervical (78.5%), prostate (70.6%) and breast cancer (62.7%). However, due to the decreasing population of the region, we noted increasing disparity in the likelihood of receiving RTx depending on the patient's area of residence, with rural areas becoming progressively more neglected. The best prognosis was noted among patients with breast or prostate cancer with 5-year OS rates reaching 81.2% and 83.3%, respectively. Multivariate analysis controlling for type of diagnosis and patient age showed a time-dependent improvement in outcomes (HR(95% CI): 0.96(0.94-0.98); p < 0.0001).

conclusionsAvailability of RTx in Poland is still below that reported by developed European centres. Survival of patients undergoing radical RTx has gradually improved, although it is still below that of leading RTx departments, potentially due to delayed diagnosis or organisational barriers, necessitating further investigations.

Indexed as

Health Services AccessibilityAgedDatabases, FactualFemaleHistory, 21st CenturyHumansKaplan-Meier EstimateMaleMiddle AgedNeoplasmsPolandPopulation SurveillanceProportional Hazards ModelsRegistriesTreatment Outcome

Identifiers

PMID25884958
PMCPMC4389344
OpenAlexW2083966664

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.