Evidence map›Paper›PMID 27884018›Full record

Trial reportBritish journal of cancer2017

Blood transfusion during radical chemo-radiotherapy does not reduce tumour hypoxia in squamous cell cancer of the head and neck.

Liam Welsh, Rafal Panek, Angela Riddell, Kee Wong, Martin O Leach, Mahvash Tavassoli, Durdana Rahman, Maria Schmidt, Tara Hurley, Lorna Grove and 6 more

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in British journal of cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

12 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. A predictive survival model for patients with stage IV oropharyngeal squamous cell carcinoma treated with chemoradiation.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    Article
  4. Review
  5. Nutritional status at diagnosis is prognostic for pharyngeal cancer patients: a retrospective study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. 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

16 authors at 4 institutions in 1 country.

Liam WelshThe Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
Rafal PanekThe Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
Angela RiddellThe Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
Kee WongThe Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
Martin O LeachThe Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
Mahvash TavassoliKing's College, Floor 2, Hodgkin Building, Guy's, London SE1 9RT, UK.
Durdana RahmanKing's College, Floor 2, Hodgkin Building, Guy's, London SE1 9RT, UK.
Maria SchmidtThe Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
Tara HurleyThe Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
Lorna GroveThe Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
Thomas RichardsThe Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
Dow-Mu KohThe Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
Christopher NuttingThe Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
Kevin HarringtonThe Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
Kate NewboldThe Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
Shreerang BhideThe Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
Royal Marsden Hospital · GBInstitute of Cancer Research · GBRoyal Marsden NHS Foundation Trust · GBKing's College London · GB

Funding

Cancer Research UK 13407Cancer Research UK 16464Cancer Research UK 19727Cancer Research UK C46/A10588Cancer Research UK C7224/A13407
6 · The paper itself

Abstract

backgroundPatients with head and neck squamous cell carcinoma (HNSCC) undergoing radical chemo-radiation (CRT) frequently receive transfusion with packed red cells (PRCT) during radiotherapy on the basis that PRCT increases tumour oxygenation and overcomes hypoxia-induced radio-resistance. This is likely to be a significant oversimplification given the fact that tumour hypoxia is the result of several intrinsic and extrinsic factors, including many that are not directly related to serum haemoglobin (Hb). Therefore, we have studied the effect of PRCT on tumour oxygenation in a prospective cohort of patients who developed low Hb during radical CRT for HNSCC.

methodsThis was a prospective study of 20 patients with HNSCC receiving radical CRT undergoing PRCT for Hb<11.5 g dl

resultsPRCT produced no change (11 patients) or reduced (1 patient) T

conclusionsThis study suggests that PRCT during radical CRT for HNSCC does not improve tumour oxygenation. Therefore, oncologists should consider changing practice according to NICE and American Association of Blood Banks guidelines on PRCT for anaemia.

Indexed as

Blood TransfusionChemoradiotherapyTumor HypoxiaAgedCarcinoma, Squamous CellFemaleHead and Neck NeoplasmsHumansLongitudinal StudiesLymphatic MetastasisMagnetic Resonance ImagingMaleMiddle AgedSquamous Cell Carcinoma of Head and Neck

Identifiers

PMID27884018
PMCPMC5220150
OpenAlexW2553858378

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.