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ArticleStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2017

Surveillance of anal carcinoma after radiochemotherapy : A retrospective analysis of 80 patients.

Matthias Sauter, Stephan R Vavricka, Georg Keilholz, Henriette Heinrich, Thomas Winder, Helmut Kranzbühler, Norbert Lombriser, Benjamin Misselwitz

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In one paragraph

Article in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2017. 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. Improved treatment outcome and lower skin toxicity with intensity-modulated radiotherapy vs. 3D conventional radiotherapy in anal cancer.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2020
    Article
  2. Chemoradiotherapy with and without deep regional hyperthermia for squamous cell carcinoma of the anus.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2019
    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

8 authors.

Matthias SauterDepartment of Medicine, Division of Gastroenterology, Triemli Hospital, Birmensdorferstrasse 497, 8063, Zurich, Switzerland. matthias.sauter@outlook.com.ORCID http://orcid.org/0000-0002-6921-3958
Stephan R VavrickaDepartment of Medicine, Division of Gastroenterology, Triemli Hospital, Birmensdorferstrasse 497, 8063, Zurich, Switzerland.
Georg KeilholzDivision of Radiation-Oncology, Triemli Hospital, Zurich, Switzerland.
Henriette HeinrichDivision of Gastroenterology and Hepatology, University Hospital Zurich, Zurich, Switzerland.
Thomas WinderDepartment of Oncology, University Hospital Zurich, Zurich, Switzerland.
Helmut KranzbühlerDivision of Radiation-Oncology, Triemli Hospital, Zurich, Switzerland.
Norbert LombriserDivision of Radiation-Oncology, Triemli Hospital, Zurich, Switzerland.
Benjamin MisselwitzDivision of Gastroenterology and Hepatology, University Hospital Zurich, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurveillance after radiochemotherapy of anal carcinoma (ACa) with curative intent is recommended in guidelines, but data regarding the effectiveness of follow-up are lacking. We aimed to assess the performance of an ACa surveillance program in a real-life setting.

methodsWe retrospectively summarized clinical history, physical findings, and follow-up investigations (endoanal ultrasound, endoscopy, CT scan) obtained during 42 months (±27 months) from 80 patients after radiochemotherapy of ACa.

resultsIn 7/80 cases (8.8%) an incomplete response to therapy was identified at or before the 6‑month time point after the end of treatment; 4 of the 7 cases were identified during scheduled follow-up. In 6 cases (7.5%), recurrent disease was found after the 6‑month time point. Recurrence was systemic in 5 cases and local/inguinal in 1 case. In 3 of the 6 cases (50%), recurrence was identified during scheduled follow-up. In one asymptomatic patient, a single liver metastasis was detected during scheduled follow-up and the patient remains free of disease 19 months after surgery. Surveillance resulted in a high rate of false-positive findings (70 findings in 604 investigations), of which only 14 could be confirmed.

conclusionScheduled follow-up after treatment of ACa detected recurrent disease at systemic sites, enabling potentially curative treatment in a single case. Effectiveness of abdominal imaging during follow-up after ACa treatment should be tested in a prospective trial.

Indexed as

Sentinel SurveillanceAdultAgedAnus NeoplasmsChemoradiotherapyFemaleFollow-Up StudiesHumansIncidenceLongitudinal StudiesMaleMiddle AgedNeoplasm Recurrence, LocalNeoplasm, ResidualRetrospective StudiesRisk FactorsComputed tomographyEndoscopyMetastasisSurvivalUltrasonography

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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.