Evidence map›Paper›PMID 26525215›Full record

ArticleBrachytherapy

Long-term visual acuity outcomes in patients with uveal melanoma treated with 125I episcleral OSU-Nag plaque brachytherapy.

C Ellis Wisely, Mersiha Hadziahmetovic, Rachel E Reem, Erinn M Hade, Subir Nag, Frederick H Davidorf, Douglas Martin, Colleen M Cebulla

Open access · greenAbstract read
In one paragraph

Article in Brachytherapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

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  14. Preparation, cytotoxicity, and in vivo antitumor efficacy ofInternational journal of nanomedicine · 2017
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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

8 authors at 2 institutions in 1 country.

C Ellis WiselyDepartment of Ophthalmology and Visual Science, Havener Eye Institute, The Ohio State University Wexner Medical Center, Columbus, OH.
Mersiha HadziahmetovicDepartment of Radiation Oncology, The Ohio State University Wexner Medical Center, Columbus, OH.
Rachel E ReemDepartment of Ophthalmology and Visual Science, Havener Eye Institute, The Ohio State University Wexner Medical Center, Columbus, OH.
Erinn M HadeCenter for Biostatistics, Department of Bioinformatics, The Ohio State University Wexner Medical Center, Columbus, OH.
Subir NagDepartment of Radiation Oncology, Northern California Kaiser Permanente, Santa Clara, CA.
Frederick H DavidorfDepartment of Ophthalmology and Visual Science, Havener Eye Institute, The Ohio State University Wexner Medical Center, Columbus, OH.
Douglas MartinDepartment of Radiation Oncology, The Ohio State University Wexner Medical Center, Columbus, OH. Electronic address: Douglas.Martin@osumc.edu.
Colleen M CebullaDepartment of Ophthalmology and Visual Science, Havener Eye Institute, The Ohio State University Wexner Medical Center, Columbus, OH.
The Ohio State University Wexner Medical Center · USKaiser Permanente · US

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Tasleem J Padamsee · 1985 to 2026
$132.3M
Genetic polymorphisms in retinal detachment with proliferative vitreoretinopathyK08EY022672 · NEI · OHIO STATE UNIVERSITY · PI CEBULLA, COLLEEN MARIE · 2012 to 2016
$1.1M
NCI NIH HHS P30 CA016058NEI NIH HHS K08 EY022672NEI NIH HHS K08EY022672
6 · The paper itself

Abstract

purposeTo report our experience in long-term follow-up of ocular melanoma patients treated with custom OSU-Nag eye plaques using (125)I sources.

methodsA retrospective chart review was conducted for 113 consecutive ocular melanoma patients with follow-up visual acuity data who were treated with OSU-Nag plaque episcleral brachytherapy at The Ohio State University Medical Center from 1994 to 2009. Visual acuity, complication data, and recurrence rates were recorded up to 120 months after brachytherapy.

resultsMedian age at presentation was 63.0 years (range, 22-93). Median follow-up was 65.5 months (range, 2-180). Median radiation dose at the prescription point was 85.8 Gy (range, 51.8-103.7). Preservation of useful visual acuity, defined as better than 20/200, was noted in 43 of 74 (58%) of patients in the present study at 36 months compared with 50.1% of Collaborative Ocular Melanoma Study participants. By 120 months, 17 of 30 (57%; 95% confidence interval, 45-69%) progressed to visual acuity worse than 20/200, whereas 9 of 30 (30%) retained visual acuity of 20/40 or better, and 4 of 30 (13%) were 20/50-20/200. The rate of retinopathy after radiation was approximately 40% of all those observed by 60 months. Baseline visual acuity, apical tumor height, American Joint Committee on Cancer tumor category, and distance between the tumor and the fovea were all significantly associated with loss of visual acuity. The local tumor control rate by 60 months of follow-up was 93% (95% confidence interval, 85-97%).

conclusionsThe OSU-Nag custom (125)I plaque is an effective treatment for uveal melanoma, with preservation of useful visual acuity in 58% of eyes 3 years after treatment and 43% of eyes 10 years after treatment.

Indexed as

AdultAgedAged, 80 and overBrachytherapyFemaleFollow-Up StudiesHumansIodine RadioisotopesMaleMelanomaMiddle AgedRadiation InjuriesRetinal DiseasesRetrospective StudiesTime FactorsTreatment OutcomeIodine RadioisotopesBrachytherapyCollaborative ocular melanoma studyOSU-Nag plaqueUveal melanomaVisual acuity

Identifiers

PMID26525215
PMCPMC4990815
OpenAlexW2183768965

What OpenQuestion holds

Textmetadata
LicenceTDM
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.