Evidence map›Paper›PMID 28843727›Full record

SynthesisRadiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology2017

Hypofractionated radiation therapy for basal and squamous cell skin cancer: A meta-analysis.

Nicholas G Zaorsky, Charles T Lee, Eddie Zhang, Scott W Keith, Thomas J Galloway

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07347392 (The Role of Radiotherapy for the Management of Non-melanoma Skin Cancer in Denmark), which is not on this map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
–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.

NCT07347392 enrolling by invitationnot on this mapstarted 2025, after this paper: background citation

The Role of Radiotherapy for the Management of Non-melanoma Skin Cancer in Denmark

Typeobservational_patient_registrySponsorUniversity of AarhusRan2025 to 2029Enrolled2,900ConditionsNon-Melanoma Skin Cancer (NMSC), Basal Cell Carcinoma of Skin, Squamous Cell Carcinoma of the SkinArmsFollow-up visit at least two years after treatment
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Skin CanceR Brachytherapy vs External beam radiation therapy (SCRiBE) meta-analysis.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2018
    Pooled it
  3. Expert opinion: radiotherapy for basal cell carcinoma : Recommendations from the DEGRO Dermatooncology Working Group.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2026
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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

5 authors.

Nicholas G ZaorskyDepartment of Radiation Oncology, Fox Chase Cancer Center, Philadelphia, USA; Department of Radiation Oncology, Penn State Cancer Institute, Hershey, USA. Electronic address: nicholaszaorsky@gmail.com.
Charles T LeeDepartment of Radiation Oncology, Fox Chase Cancer Center, Philadelphia, USA.
Eddie ZhangDepartment of Radiation Oncology, Fox Chase Cancer Center, Philadelphia, USA.
Scott W KeithDepartment of Pharmacology and Experimental Therapeutics, Division of Biostatistics, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, USA.
Thomas J GallowayDepartment of Radiation Oncology, Fox Chase Cancer Center, Philadelphia, USA. Electronic address: thomas.galloway@fccc.edu.

Funding

WORD PROCESSING CENTER--COREP30CA006927 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI Eric Andrew Ross · 1985 to 2026
$138.8M
NCI NIH HHS P30 CA006927
6 · The paper itself

Abstract

purposeTo characterize the cosmetic outcomes and local recurrence (LR) rates of various hypofractionated radiation therapy (RT) regimens for skin basal and squamous cell cancers (BCCs/SCCs).

methodsA PICOS/PRISMA/MOOSE selection protocol was performed to identify 344 articles published between 1985-2016 evaluating patients with T1-2 N0 SCCs/BCCs treated with definitive RT. Biologically equivalent doses with α/β=3 (BED

resultsA total of 21 studies were identified detailing the treatment of 9729 skin BCC/SCC patients, across seven countries, with external beam RT (n=9255) or brachytherapy (n=474). Median follow-up was 36months (range: 12-77). Median dose was 45Gy/11 fractions (interquartile range: 37.5Gy/6-55Gy/18) at 4Gy/fraction (interquartile range: 2.5-6Gy); most hypofractionated 18.75Gy/1. There was a trend to decreased "good" cosmesis with higher total dose: -3.4% "good" cosmesis/10Gy BED

conclusionHypofractionated RT has favorable cosmesis for patients with skin BCCs/SCCs. We recommend clinicians consider these commonly-used regimens, which all have BED

Indexed as

Radiation Dose HypofractionationBasal Cell CarcinomaBrachytherapyCarcinoma, Squamous CellHumansSkin NeoplasmsCosmesisElderlyMeta-analysisRadiation therapySkin neoplasmsSystematic review

Identifiers

PMID28843727
PMCPMC7534946

What OpenQuestion holds

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Registered trials

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.