Evidence map›Paper›PMID 28727379›Full record

ArticleInternational braz j urol : official journal of the Brazilian Society of Urology

Adjuvant radiotherapy for the primary treatment of adrenocortical carcinoma: Are we offering the best?

Victor Srougi, Jose de Bessa, Fabio Y Tanno, Amanda M Ferreira, Ana O Hoff, João E Bezerra, Cristiane M Almeida, Madson Q Almeida, Berenice B Mendonça, William C Nahas and 3 more

Open access · diamondAbstract readEvaluation Study
In one paragraph

Article in International braz j urol : official journal of the Brazilian Society of Urology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 8% 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, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Current Evidence on Local Therapies in Advanced Adrenocortical Carcinoma.Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Management of Adrenocortical Carcinoma.Current oncology reports · 2019
    Review
  11. Primary malignant tumors of the adrenal glands.Clinics (Sao Paulo, Brazil) · 2018
    Review
  12. Clinicopathological features and outcomes of adrenocortical carcinoma: A single institution experience.Indian journal of urology : IJU : journal of the Urological Society of India
    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

13 authors at 5 institutions in 1 country.

Victor SrougiDivisão de Urologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brasil.
Jose de BessaDivisão de Urologia, Universidade de Feira de Santana, BA, Brasil.
Fabio Y TannoDivisão de Urologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brasil.
Amanda M FerreiraUnidade de Suprerrenal da Divisão de Endocrinologia da Faculdade de Medicina da Universidade de São Paulo, Brasil.
Ana O HoffDivisão de Endocrinologia do Instituto do Câncer do Estado de São Paulo, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brasil.
João E BezerraDivisão de Endocrinologia do Instituto do Câncer do Estado de São Paulo, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brasil.
Cristiane M AlmeidaDivisão de Radioterapia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brasil.
Madson Q AlmeidaUnidade de Suprerrenal da Divisão de Endocrinologia da Faculdade de Medicina da Universidade de São Paulo, Brasil.
Berenice B MendonçaUnidade de Suprerrenal da Divisão de Endocrinologia da Faculdade de Medicina da Universidade de São Paulo, Brasil.
William C NahasDivisão de Urologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brasil.
Jose L ChambôDivisão de Urologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brasil.
Miguel SrougiDivisão de Urologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brasil.
Maria C B V FragosoUnidade de Suprerrenal da Divisão de Endocrinologia da Faculdade de Medicina da Universidade de São Paulo, Brasil.
Universidade de São Paulo · BRHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRUniversidade Brasil · BRInstituto do Câncer do Estado de São Paulo · BRUniversidade Estadual de Feira de Santana · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the role of ARDT after surgical resection of ACC. MATERIALS AND

methodsRecords of patients from our institutional ACC database were retrospectively assessed. A paired comparison analysis was used to evaluate the oncological outcomes between patients treated with surgery followed by ARDT or surgery only (control). The endpoints were LRFS, RFS, and OS. A systematic review of the literature and meta-analysis was also performed to evaluate local recurrence of ACC when ARDT was used.

resultsTen patients were included in each Group. The median follow-up times were 32 months and 35 months for the ARDT and control Groups, respectively. The results for LRFS (p=0.11), RFS (p=0.92), and OS (p=0.47) were similar among subsets. The mean time to present with local recurrence was significantly longer in the ARDT group compared with the control Group (419±206 days vs. 181±86 days, respectively; p=0.03). ARDT was well tolerated by the patients; there were no reports of late toxicity. The meta-analysis, which included four retrospective series, revealed that ARDT had a protective effect on LRFS (HR=0.4; CI=0.17-0.94).

conclusionsARDT may reduce the chance and prolong the time to ACC local recurrence. However, there were no benefits for disease recurrence control or overall survival for patients who underwent this complementary therapy.

Indexed as

Adrenal Cortex NeoplasmsAdrenalectomyAdrenocortical CarcinomaAdultAgedAged, 80 and overCase-Control StudiesDisease-Free SurvivalFemaleFollow-Up StudiesHumansMaleMiddle AgedRadiotherapy, AdjuvantRetrospective StudiesYoung AdultAdrenocortical CarcinomaRadiotherapy, Adjuvant

Identifiers

PMID28727379
PMCPMC5678514
OpenAlexW2770128445

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.