Evidence map›Paper›PMID 27479723›Full record

SynthesisInternational journal of radiation oncology, biology, physics2016

Comparison of the Effectiveness of Radiofrequency Ablation With Stereotactic Body Radiation Therapy in Inoperable Stage I Non-Small Cell Lung Cancer: A Systemic Review and Pooled Analysis.

Nan Bi, Kerby Shedden, Xiangpeng Zheng, Feng-Ming Spring Kong

Open access · bronzeAbstract readComparative StudySystematic Review
In one paragraph

Synthesis in International journal of radiation oncology, biology, physics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
8.2field-weighted citation impact, top 2% 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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 101 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. 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

4 authors at 1 institution in 2 countries.

Nan BiDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan; Department of Radiation Oncology, Cancer Hospital and Institute, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China.
Kerby SheddenDepartment of Biostatistics, University of Michigan, Ann Arbor, Michigan.
Xiangpeng ZhengDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Feng-Ming Spring KongDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan; Department of Radiation Oncology, Indiana University, Indianapolis. Electronic address: fskong@iupui.edu.
University of Michigan–Ann Arbor · US

Funding

FUNCTIONAL IMAGE AND MOLECULAR MARKER TO INDIVIDUALIZE ADAPTIVE RADIATION DOSE ESR01CA142840 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KONG, FENG-MING P. · 2010 to 2015
$2.0M
FDG-PET and V/Q SPECT Acquired During Radiation to Predict Outcomes in Lung CanceR21CA127057 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KONG, FENG-MING P. · 2008 to 2009
$376k
NCI NIH HHS R01 CA142840NCI NIH HHS R21 CA127057
6 · The paper itself

Abstract

purposeTo performed a systematic review and pooled analysis to compare clinical outcomes of stereotactic body radiation therapy (SBRT) and radiofrequency ablation (RFA) for the treatment of medically inoperable stage I non-small cell lung cancer. METHODS AND MATERIALS: A comprehensive literature search for published trials from 2001 to 2012 was undertaken. Pooled analyses were performed to obtain overall survival (OS) and local tumor control rates (LCRs) and adverse events. Regression analysis was conducted considering each study's proportions of stage IA and age.

resultsThirty-one studies on SBRT (2767 patients) and 13 studies on RFA (328 patients) were eligible. The LCR (95% confidence interval) at 1, 2, 3, and 5 years for RFA was 77% (70%-85%), 48% (37%-58%), 55% (47%-62%), and 42% (30%-54%) respectively, which was significantly lower than that for SBRT: 97% (96%-98%), 92% (91%-94%), 88% (86%-90%), and 86% (85%-88%) (P<.001). These differences remained significant after correcting for stage IA and age (P<.001 at 1 year, 2 years, and 3 years; P=.04 at 5 years). The effect of RFA was not different from that of SBRT on OS (P>.05). The most frequent complication of RFA was pneumothorax, occurring in 31% of patients, whereas that for SBRT (grade ≥3) was radiation pneumonitis, occurring in 2% of patients.

conclusionsCompared with RFA, SBRT seems to have a higher LCR but similar OS. More studies with larger sample sizes are warranted to validate such findings.

Indexed as

AgedAged, 80 and overCarcinoma, Non-Small-Cell LungCatheter AblationFemaleHumansLongitudinal StudiesLung NeoplasmsMaleMiddle AgedPostoperative ComplicationsPrevalenceRadiation InjuriesRadiation PneumonitisRadiosurgeryRisk Factors

Identifiers

PMID27479723
PMCPMC6483384
OpenAlexW2159971806

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.