Evidence map›Paper›PMID 28812120›Full record

ReviewStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2018

Risk-adapted robotic stereotactic body radiation therapy for inoperable early-stage non-small-cell lung cancer.

Susanne Temming, Martin Kocher, Erich Stoelben, Lars Hagmeyer, De-Hua Chang, Konrad Frank, Khosro Hekmat, Juergen Wolf, Wolfgang W Baus, Robert Semrau and 2 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

28 citing papers in PubMed.

  1. Trial
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  16. Using the Diaphragm as a Tracking Surrogate in CyberKnife Synchrony Treatment.Medical science monitor : international medical journal of experimental and clinical research · 2021
    Article
  17. Article
  18. Article
  19. Radiofrequency ablationJournal of Cancer · 2021
    Article
  20. 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

12 authors.

Susanne TemmingDepartment of Radiation Oncology, Center for Integrated Oncology, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Martin KocherDepartment of Radiation Oncology, Center for Integrated Oncology, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany. martin.kocher@uk-koeln.de.ORCID 0000-0002-5674-9227
Erich StoelbenLung Clinic Merheim, Hospital of Cologne, Cologne, Germany.
Lars HagmeyerBethanien Hospital, Institute of Pneumology, University of Cologne, Solingen, Germany.
De-Hua ChangDepartment of Diagnostic and Interventional Radiology, Center for Integrated Oncology, University of Cologne, Cologne, Germany.
Konrad FrankDepartment III of Internal Medicine, Heart Centre of the University of Cologne, Cologne, Germany.
Khosro HekmatDepartment of Cardiothoracic Surgery, Center for Integrated Oncology, University of Cologne, Cologne, Germany.
Juergen WolfFirst Department of Internal Medicine, Center for Integrated Oncology, University Hospital of Cologne, Cologne, Germany.
Wolfgang W BausDepartment of Radiation Oncology, Center for Integrated Oncology, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Robert SemrauDepartment of Radiation Oncology, Center for Integrated Oncology, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Christian BauesDepartment of Radiation Oncology, Center for Integrated Oncology, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
S MarnitzDepartment of Radiation Oncology, Center for Integrated Oncology, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate efficacy and toxicity of stereotactic body radiation therapy (SBRT) with CyberKnife® (Accuray, Sunnyvale, CA, USA) in a selected cohort of primary, medically inoperable early-stage non-small cell lung cancer (NSCLC) patients.

methodsFrom 2012 to 2016, 106 patients (median age 74 years, range 50-94 years) with primary NSCLC were treated with SBRT using CyberKnife®. Histologic confirmation was available in 87 patients (82%). For mediastinal staging, 92 patients (87%) underwent

resultsMedian follow-up was 15 months (range 0.5-46 months). Acute side effects were mild (fatigue grade 1-2 in 20% and dyspnea grade 1-2 in 17%). Late effects were observed in 4 patients (4%): 3 patients developed pneumonitis requiring therapy (grade 2) and 1 patient suffered a rib fracture (grade 3). In total, 9/106 patients (8%) experienced a local recurrence, actuarial local control rates were 88% (95% confidence interval, CI, 80-96%) at 2 years and 77% (95%CI 56-98%) at 3 years. The median disease-free survival time was 27 months (95%CI 23-31 months). Overall survival was 77% (95%CI 65-85%) at 2 years and 56% (95%CI 39-73%) at 3 years.

conclusionCyberKnife® lung SBRT which allows for real-time tumor tracking and risk-adapted fractionation achieves satisfactory local control and low toxicity rates in inoperable early-stage primary lung cancer patients.

Indexed as

Risk AdjustmentAgedAged, 80 and overCarcinoma, Non-Small-Cell LungCohort StudiesDose Fractionation, RadiationFemaleFollow-Up StudiesHumansKaplan-Meier EstimateLung NeoplasmsMaleMiddle AgedNeoplasm StagingRadiosurgeryRobotic Surgical ProceduresAdverse effectsFiducial markersRadiosurgerySurvivalToxicity

Identifiers

What OpenQuestion holds

Textmetadata
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.