Evidence map›Paper›PMID 27601947›Full record

ArticleReports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology

Gender-related significance of time interval between radiotherapy and surgery in hypofractionated preoperative radiotherapy for rectal cancer patients' survival.

Anna Gasinska, Zbigniew Darasz, Agnieszka Adamczyk, Jan Skolyszewski

Abstract read
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Article in Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Anna GasinskaDepartment of Applied Radiobiology, Maria Sklodowska - Curie Memorial Cancer Centre and Institute of Oncology, Cracow Branch, Poland.
Zbigniew DaraszDepartment of Surgery, Maria Sklodowska - Curie Memorial Cancer Centre and Institute of Oncology, Cracow Branch, Poland.
Agnieszka AdamczykDepartment of Applied Radiobiology, Maria Sklodowska - Curie Memorial Cancer Centre and Institute of Oncology, Cracow Branch, Poland.
Jan SkolyszewskiDepartment of Radiation Oncology, Maria Sklodowska - Curie Memorial Cancer Centre and Institute of Oncology, Cracow Branch, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIM AND

backgroundAn optimal break between radiotherapy (RT) and surgery in short-course of RT (SCRT) for locally advanced rectal cancer is not clearly established. The aim of the study was to investigate the influence of the break in the preoperative SCRT and overall treatment time (OTT) for locally advanced rectal cancer patients (whole group and male/female subgroups) on patients overall survival (OS), recurrence-free survival (RFS), metastasis-free survival (MFS). MATERIALS AND

methods131 patients were treated with SCRT (5 Gy/5 days), followed by surgery 3-53 days later. Break was calculated as the time interval between the end of irradiation to surgery and OTT as time interval from the beginning of RT to surgery.

resultsMean break was 21.5 (range 3-53.0) days and mean OTT was 26.5 (range 7-58.0) days. In univariate analysis, a break longer than 15 days and OTT >23 days were negative prognostic factors for OS for all patients, and particularly for the male patients' subgroup. RFS was non-significantly higher (P = 0.066) for patients treated with a break ≤15 days and OTT ≤23 days (P = 0.099), irrespectively of patients' sex. Patients treated with a break longer than 15 days and OTT >23 days had non-significantly lower level of MFS than those treated with a shorter break (P = 0.269) and OTT ≤23 days (P = 0.498).

conclusionIn SCRT, a break in the treatment longer than 15 days, especially in the male patients subgroup, should be avoided, because it negatively affects patients' survival.

Indexed as

Break in the treatmentOverall treatment timePatients' survivalPreoperative radiotherapyRectal cancer

Identifiers

PMID27601947
PMCPMC5002011

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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.