Evidence map›Paper›PMID 27552809›Full record

Trial reportPractical radiation oncology

Patient-reported outcomes of a multicenter phase 2 study investigating gemcitabine and stereotactic body radiation therapy in locally advanced pancreatic cancer.

Avani D Rao, Elizabeth A Sugar, Daniel T Chang, Karyn A Goodman, Amy Hacker-Prietz, Lauren M Rosati, Laurie Columbo, Eileen O'Reilly, George A Fisher, Lei Zheng and 7 more

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Practical radiation oncology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

17 authors.

Avani D RaoDepartment of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Elizabeth A SugarDepartment of Biostatistics and Epidemiology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Daniel T ChangDepartment of Radiation Oncology, Stanford University School of Medicine, Stanford, California.
Karyn A GoodmanDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.
Amy Hacker-PrietzDepartment of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Lauren M RosatiDepartment of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Laurie ColumboDepartment of Radiation Oncology, Stanford University School of Medicine, Stanford, California.
Eileen O'ReillyDepartment of Medical Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.
George A FisherDepartment of Medical Oncology, Stanford University School of Medicine, Stanford, California.
Lei ZhengDepartment of Medical Oncology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Jonathan S PaiUniversity of California at San Francisco School of Medicine, San Francisco, California.
Mary E GriffithDepartment of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Daniel A LaheruDepartment of Medical Oncology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Christine A Iacobuzio-DonahueDepartment of Medical Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.
Christopher L WolfgangDepartment of Surgical Oncology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Albert KoongDepartment of Radiation Oncology, Stanford University School of Medicine, Stanford, California.
Joseph M HermanDepartment of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland. Electronic address: joe@jhmi.edu.

Funding

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

Abstract

purposeWe previously reported clinical outcomes and physician-reported toxicity of gemcitabine and hypofractionated stereotactic body radiation therapy (SBRT) in locally advanced pancreatic cancer (LAPC). Here we prospectively investigate the impact of gemcitabine and SBRT on patient-reported quality of life (QoL). METHODS AND MATERIALS: Forty-nine LAPC patients received 33 Gy SBRT (6.6 Gy daily fractions) upfront or after ≤3 doses of gemcitabine (1000 mg/m

resultsForty-three (88%) patients completed pre-SBRT questionnaires. Of these, 88% and 51% completed questionnaires at 1FUP and 2FUP, respectively. There was no change in global QoL from pre-SBRT to 1FUP (P = .17) or 2FUP (P > .99). Statistical and clinical improvements in pancreatic pain (P = .001) and body image (P = .007) were observed from pre-SBRT to 1FUP. Patients with 1FUP and 2FUP questionnaires reported statistically and clinically improved body image (P = .016) by 4 months. Although pancreatic pain initially demonstrated statistical and clinical improvement (P = .020), scores returned to enrollment levels by 2FUP (P = .486). A statistical and clinical decline in role functioning (P = .002) was observed in patients at 2FUP.

conclusionsGlobal QoL scores are not reduced with gemcitabine and SBRT. In this exploratory analysis, patients experience clinically relevant short-term improvements in pancreatic cancer-specific symptoms. Previously demonstrated acceptable clinical outcomes combined with these favorable QoL data indicate that SBRT can be easily integrated with other systemic therapies and may be a potential standard of care option in patients with LAPC.

Indexed as

Patient Reported Outcome MeasuresQuality of LifeAgedAntimetabolites, AntineoplasticCancer PainDeoxycytidineFemaleGemcitabineHealth StatusHumansMaleMiddle AgedPancreatic NeoplasmsRadiosurgerySurveys and QuestionnairesAntimetabolites, AntineoplasticDeoxycytidineGemcitabine

Identifiers

PMID27552809
PMCPMC5572652

What OpenQuestion holds

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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.