Evidence map›Paper›PMID 26661111›Full record

Trial reportClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2016

Vaginal-cuff control and toxicity results of a daily HDR brachytherapy schedule in endometrial cancer patients.

I Ríos, A Rovirosa, C Ascaso, I Valduvieco, A Herreros, L Castilla, S Sabater, K Holub, J Pahisa, A Biete and 1 more

Abstract readClinical Trial
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In one paragraph

Trial report in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Adjuvant electronic brachytherapy for early-stage endometrial cancer: clinical outcomes, toxicity, and long-term local control.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  5. Review
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  10. Postoperative endometrial carcinoma treated with external beam irradiation plus vaginal-cuff brachytherapy. Is there a dose relationship with G2 vaginal complications?Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology
    Article
  11. 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.

I RíosRadiation Oncology Department, ICMHO, Functional Gynecologic Cancer Unit, Hospital Clinic Universitari, C/Villarroel no. 170, 08036, Barcelona, Spain. ivanriosh@gmail.com.
A RovirosaRadiation Oncology Department, ICMHO, Functional Gynecologic Cancer Unit, Hospital Clinic Universitari, C/Villarroel no. 170, 08036, Barcelona, Spain.
C AscasoPublic and Health Department, Medicine Faculty, Universitat de Barcelona, Barcelona, Spain.
I ValduviecoRadiation Oncology Department, ICMHO, Functional Gynecologic Cancer Unit, Hospital Clinic Universitari, C/Villarroel no. 170, 08036, Barcelona, Spain.
A HerrerosRadiation Oncology Department, ICMHO, Functional Gynecologic Cancer Unit, Hospital Clinic Universitari, C/Villarroel no. 170, 08036, Barcelona, Spain.
L CastillaRadiation Oncology Department, ICMHO, Functional Gynecologic Cancer Unit, Hospital Clinic Universitari, C/Villarroel no. 170, 08036, Barcelona, Spain.
S SabaterRadiation Oncology Department, Hospital General de Albacete, Albacete, Spain.
K HolubRadiation Oncology Department, ICMHO, Functional Gynecologic Cancer Unit, Hospital Clinic Universitari, C/Villarroel no. 170, 08036, Barcelona, Spain.
J PahisaGynecological Surgery, Functional Gynecologic Cancer Unit, Hospital Clinic I Universitari, Barcelona, Spain.
A BieteRadiation Oncology Department, ICMHO, Functional Gynecologic Cancer Unit, Hospital Clinic Universitari, C/Villarroel no. 170, 08036, Barcelona, Spain.
M ArenasRadiation Oncology Department, Hospital Sant Joan de Reus, Tarragona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo analyze the vaginal-cuff local control (VCC) and toxicity in postoperative endometrial carcinoma patients (EC) underwent high-dose-rate brachytherapy (HDR-BT) administered daily. MATERIALS AND

methods154 consecutive patients received postoperative HDR-BT for EC from January 2007 to September 2011. FIGO-staging I-IIIC2 patients were divided into two groups according to risk classification: Group 1 (94/154) included high-risk or advanced disease patients and Group 2 (60/154) included intermediate-risk EC patients. Group 1 underwent external beam irradiation (EBI) plus HDR-BT (2 fractions of 5 Gy) and Group 2 underwent HDR-BT alone (4 fractions of 5 Gy). Toxicity evaluation was done with RTOG scores for bladder and rectum, and the objective criteria of LENT-SOMA for vagina.

resultsWith a median follow-up of 46.7 months (36.6-61 months) only two patients developed vaginal-cuff recurrence in Group 1 (2.1 %) and none in group 2 (0 %). Early toxicity in Group 1 appeared 5.3 % in rectum, 7.5 % in bladder (G1-G2) and 2.1 % in vagina (G1); late toxicity was present in 7.3 % in rectum (all G1-G2 but 1 G3) and in 27.7 % in vagina (all G1-G2 but one G4). In Group 2, 6.7 % developed acute G1-G2 bladder and 6.6 % acute vaginal (G1-G2) toxicity. No late rectal or bladder toxicity was observed; 21.7 % of G1-G2 presented late problems in vagina.

conclusionsThe present HDR-BT schedule of 2 fractions of 5 Gy after EBI and 4 fractions of 5 Gy administered daily showed excellent results in terms of VCC and toxicity.

Indexed as

AdultAgedAged, 80 and overBrachytherapyEndometrial NeoplasmsFemaleHumansMiddle AgedVaginaBrachytherapy schedulesEndometrial cancerEndometrial cancer adjuvant treatmentGynecologic brachytherapy

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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.