Evidence map›Paper›PMID 27257417›Full record

ArticleJournal of contemporary brachytherapy2016

Survey on gynecological cancer treatment by Piedmont, Liguria, and Valle d'Aosta group of AIRO (Italian Association of Radiation Oncology).

Gabriella Cattari, Elena Delmastro, Sara Bresciani, Sergio Gribaudo, Antonella Melano, Flavio Giannelli, Maria Tessa, Renato Chiarlone, Tindaro Scolaro, Marco Krengli and 2 more

Abstract read
In one paragraph

Article in Journal of contemporary brachytherapy, 2016. 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
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.

  1. Article
  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

12 authors.

Gabriella CattariRadiotherapy Department IRCCS-FPO Candiolo (TO).
Elena DelmastroRadiotherapy Department IRCCS-FPO Candiolo (TO).
Sara BrescianiMedical Physic Department, IRCCS-FPO Candiolo (TO).
Sergio GribaudoRadiotherapy Departments of S. Anna University Hospital, Turin.
Antonella MelanoSS. Croce e Carle Hospital, Cuneo.
Flavio GiannelliIST - University Hospital, Genoa.
Maria TessaCardinal Massaia Hospital, Asti.
Renato ChiarloneS. Paolo Hospital, Savona.
Tindaro ScolaroFelettino Hospital, La Spezia.
Marco KrengliMaggiore della Carità University Hospital, Novara, Italy.
Alessandro UrgesiRadiotherapy Departments of S. Anna University Hospital, Turin.
Pietro GabrieleRadiotherapy Department IRCCS-FPO Candiolo (TO).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe focused the attention on radiation therapy practices about the gynecological malignancies in Piedmont, Liguria, and Valle d'Aosta to know the current treatment practice and to improve the quality of care. MATERIAL AND

methodsWe proposed a cognitive survey to evaluate the standard practice patterns for gynecological cancer management, adopted from 2012 to 2014 by radiotherapy (RT) centers with a large amount of gynecological cancer cases. There were three topics: 1. Taking care and multidisciplinary approach, 2. Radiotherapy treatment and brachytherapy, 3. Follow-up.

resultsNineteen centers treated gynecological malignancies and 12 of these had a multidisciplinary dedicated team. Radiotherapy option has been used in all clinical setting: definitive, adjuvant, and palliative. In general, 1978 patients were treated. There were 834 brachytherapy (BRT) treatments. The fusion between diagnostic imaging (magnetic resonance imaging - MRI, positron emission tomography - PET) and computed tomography (CT) simulation was used for contouring in all centers. Conformal RT and intensity modulated radiation therapy (IMRT) were the most frequent techniques. The image guided radiation therapy (IGRT) was used in 10/19 centers. There were 8 active BRT centers. Brachytherapy was performed both with radical intent and as boost, mostly by HDR (6/8 centers). The doses for exclusive BRT were between 20 to 30 Gy. The doses for BRT boost were between 10 and 20 Gy. Four centers used CT-MRI compatible applicators but only one used MRI for planning. The BRT plans on vaginal cuff were still performed on traditional radiographies in 2 centers. The plan sum was evaluated in only 1 center. Only 1 center performed in vivo dosimetry.

conclusionsIn the last three years, multidisciplinary approach, contouring, treatment techniques, doses, and control systems were similar in Liguria-Piedmont and Valle d'Aosta. However, the technology implementation didn't translate in a real treatment innovation so far.

Indexed as

brachytherapygynecological cancermultidisciplinaryradiotherapy

Identifiers

PMID27257417
PMCPMC4873552

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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.