Evidence map›Paper›PMID 28683820›Full record

ArticleEuropean journal of medical research2017

Primary radio(chemo)therapy for esophageal cancer in elderly patients: are efficiency and toxicity comparable with younger patients?

Stefan Münch, Christine Heinrich, Daniel Habermehl, Markus Oechsner, Stephanie E Combs, Marciana-Nona Duma

Open access · goldAbstract read
In one paragraph

Article in European journal of medical research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

9 citing papers in PubMed, 10 citations in OpenAlex.

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  9. CisplatinIn vivo (Athens, Greece)
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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

6 authors at 3 institutions in 1 country.

Stefan MünchDepartment of Radiation Oncology, Klinik für RadioOnkologie und Strahlentherapie, Klinikum rechts der Isar/TU München, Ismaninger Str. 22, 81675, Munich, Germany.
Christine HeinrichDepartment of Radiation Oncology, Klinik für RadioOnkologie und Strahlentherapie, Klinikum rechts der Isar/TU München, Ismaninger Str. 22, 81675, Munich, Germany.
Daniel HabermehlDepartment of Radiation Oncology, Klinik für RadioOnkologie und Strahlentherapie, Klinikum rechts der Isar/TU München, Ismaninger Str. 22, 81675, Munich, Germany.
Markus OechsnerDepartment of Radiation Oncology, Klinik für RadioOnkologie und Strahlentherapie, Klinikum rechts der Isar/TU München, Ismaninger Str. 22, 81675, Munich, Germany.
Stephanie E CombsDepartment of Radiation Oncology, Klinik für RadioOnkologie und Strahlentherapie, Klinikum rechts der Isar/TU München, Ismaninger Str. 22, 81675, Munich, Germany.
Marciana-Nona DumaDepartment of Radiation Oncology, Klinik für RadioOnkologie und Strahlentherapie, Klinikum rechts der Isar/TU München, Ismaninger Str. 22, 81675, Munich, Germany. Marciana.duma@mri.tum.de.
Klinikum rechts der Isar · DEKlinik und Poliklinik für Strahlentherapie und Radioonkologie · DEInstitute of Bioinformatics and Systems Biology · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn elderly patients with esophageal cancer (EC), esophagectomy is associated with an increased mortality, and therefore these patients are often treated with definite (chemo)radiation. The purpose of this study was to assess the toxicity and efficiency of definite radio(chemo)therapy in patients >75 years compared with definite radio(chemo)therapy in patients <75 years.

methods32 patients >75 years were treated with definite radio(chemo)therapy for EC. We compared baseline parameters, efficiency and toxicity rates of these patients to 39 patients <75 years.

resultsPatients <75 years were more likely to receive simultaneous chemotherapy, and had a lower age-adjusted Charlson comorbidity index (ACCI). 25% of elderly patients were treated in palliative intent. There was no significant difference in progression-free survival between patient groups. No significant differences were seen for overall survival (15.7 months vs. 19.9 months; p = 0.102) and progression-free survival (10.5 months vs. 9.2 months, p = 0.470) between older patients treated with curative intent and younger patients. In addition, there were no significant differences for dysphagia and hematological side effects between elderly patients and younger patients.

conclusionDefinite (chemo)radiation is a feasible therapy for elderly patients. OS and PFS in elderly patients with a curative treatment approach are comparable to younger patients and it is not associated with higher toxicity rates.

Indexed as

AgedAged, 80 and overAge FactorsChemoradiotherapyDeglutition DisordersEsophageal NeoplasmsFemaleHumansMaleMiddle Aged

Identifiers

PMID28683820
PMCPMC5501408
OpenAlexW2727502777

What OpenQuestion holds

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LicenceCC BY
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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.