Evidence map›Paper›PMID 26718153›Full record

ReviewRadiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology2016

Preoperative radiotherapy for extremity soft tissue sarcoma; past, present and future perspectives on dose fractionation regimens and combined modality strategies.

Rick L M Haas, Aisha B Miah, Cécile LePechoux, Thomas F DeLaney, Elizabeth H Baldini, Kaled Alektiar, Brian O'Sullivan

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04398095 (Hyperthermia and Radiotherapy in the Treatment for In-field Recurrent and Radiation-induced Soft Tissue and Bone Sarcomas), which is not on this map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% 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.

NCT04398095 nacompletednot on this mapstarted 2019, after this paper: background citation

Hyperthermia and Radiotherapy in the Treatment for In-field Recurrent and Radiation-induced Soft Tissue and Bone Sarcomas

TypeinterventionalSponsorMaria Sklodowska-Curie National Research Institute of OncologyRan2019 to 2023Enrolled20ConditionsRadiation Induced Neoplasms, Radiation-Induced Cancer, Recurrent Sarcoma, Recurrent Soft Tissue SarcomaArmsHypofractionated radiotherapy, Hyperthermia, Hypofractionated radiotherapy with boost
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 1 synthesis or guideline pooled it, 121 citations in OpenAlex.

  1. Pooled it
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  6. A Phase II Trial of 5-Day Neoadjuvant Radiotherapy for Patients with High-Risk Primary Soft Tissue Sarcoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2020
    Trial
  7. Review
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  9. [Impact of unplanned surgery on prognosis of myxoid liposarcoma and analysis of salvage treatment strategies].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
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  20. Moderate hypofractionated radiation therapy and pathologic response for soft tissue sarcomas (STS) of limbs and trunk: experience from a tertiary cancer center.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    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

7 authors at 7 institutions in 5 countries.

Rick L M HaasDepartment of Radiotherapy, The Netherlands Cancer Institute, Amsterdam, The Netherlands. Electronic address: r.haas@nki.nl.
Aisha B MiahDepartment of Radiotherapy and Physics, Sarcoma Unit, The Royal Marsden Hospital, London, UK.
Cécile LePechouxDepartment of Radiation Oncology, Gustave Roussy, Paris, France.
Thomas F DeLaneyDepartment of Radiation Oncology, Massachusetts General Hospital, Boston, USA.
Elizabeth H BaldiniDepartment of Radiation Oncology, Dana Farber Cancer Institute and Brigham and Women's Hospital, Boston, USA.
Kaled AlektiarDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, USA.
Brian O'SullivanDepartment of Radiation Oncology, Princess Margaret Hospital, University of Toronto, Canada.
Brigham and Women's Hospital · USInstitut Gustave Roussy · FRMassachusetts General Hospital · USMemorial Sloan Kettering Cancer Center · USOncode Institute · NLRoyal Marsden Hospital · GBUniversity of Toronto · CA

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

introductionThis critical review aims to summarize published data on limb sparing surgery for extremity soft tissue sarcoma in combination with pre-operative radiotherapy (RT).

methodsThis review is based on peer-reviewed publications using a PubMed search on the MeSH headings "soft tissue sarcoma" AND "preoperative radiotherapy". Titles and abstracts screened for data including "fraction size AND/OR total dose AND/OR overall treatment time", "chemotherapy", "targeted agents AND/OR tyrosine kinase inhibitors", are collated. Reference lists from some articles have been studied to obtain other pertinent articles. Additional abstracts presented at international sarcoma meetings have been included as well as information on relevant clinical trials available at the ClinicalTrials.gov website.

resultsData are presented for the conventional regimen of 50-50.4Gy in 25-28 fractions in 5-6 of weeks preoperative external beam RT with respect to the regimen's local control probability compared to surgery alone, as well as acute and late toxicities. The rationale and outcome data for hypofractionated and/or reduced dose regimens are discussed. Finally, combination schedules with conventional chemotherapy and/or targeted agents are summarized.

conclusionOutside the setting of well-designed prospective clinical trials, the conventional 50Gy in 5-6week schedule should be considered as standard. However, current and future studies addressing alternative fraction size, total dose, overall treatment time and/or combination with chemotherapy or targeted agents may reveal regimens of equal or increased efficacy with reduced late morbidities.

Indexed as

Dose Fractionation, RadiationCombined Modality TherapyExtremitiesFemaleHumansLimb SalvageMalePreoperative CareProspective StudiesSarcomaChemotherapyCombined modality treatmentLimb Soft Tissue SarcomaPreoperative radiotherapySurgeryTargeted agents

Identifiers

PMID26718153
PMCPMC5506844
OpenAlexW2219119728

What OpenQuestion holds

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Registered trials

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.