Evidence map›Paper›PMID 28979889›Full record

ArticleFrontiers in oncology2017

Comparative Analysis of Efficacy, Toxicity, and Patient-Reported Outcomes in Rectal Cancer Patients Undergoing Preoperative 3D Conformal Radiotherapy or VMAT.

Antonia Regnier, Jana Ulbrich, Stefan Münch, Markus Oechsner, Dirk Wilhelm, Stephanie E Combs, Daniel Habermehl

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

11 citing papers in PubMed, 21 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Antonia RegnierDepartment of Radiation Oncology, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Jana UlbrichDepartment of Radiation Oncology, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Stefan MünchDepartment of Radiation Oncology, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Markus OechsnerDepartment of Radiation Oncology, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Dirk WilhelmDepartment of Surgery, Klinikum rechts der Isar, TU München, München, Germany.
Stephanie E CombsDepartment of Radiation Oncology, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Daniel HabermehlDepartment of Radiation Oncology, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Klinikum rechts der Isar · DEHelmholtz Zentrum München · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLocally advanced rectal cancer (LARC) patients are usually treated within a multimodal therapy regime, in which the tumor resection plays the major role. This treatment ideally includes 5-fluorouracile (5FU)-based chemoradiation (CRT) leading to significantly improved local control rates. Local therapy as radiotherapy (RT) is required to be adapted referring to side effects and efficacy. Purpose of this study is the comparison of dosimetric parameters, acute and late toxicity, and quality of life in terms of patient-reported outcome (PRO) in patients treated with VMAT or 3D conformal radiotherapy (3DCRT) for LARC.

methodsPelvic RT for LARC was performed with a prescription dose of 45 Gy in 1.8 Gy per fraction, 50.4 Gy in 1.8 Gy per fraction, or 50 Gy in 2 Gy per fraction. Chemotherapy included 5FU or 5FU/Oxaliplatin or Capecitabine-based RT. Acute and late toxicity were evaluated

resultsAfter a median follow-up of 38 months (VMAT) and 78 months (3DCRT) there was no significant difference in progression-free survival (

conclusionVMAT treatment of LARC in preoperative CRT revealed a reduction of dose to organs at risk (OARs) as bladder and femoral heads. However, no changes in acute and long-term toxicity profiles were detectable. For late toxicity and quality of life data longer follow-up times are required.

Indexed as

3D conformal radiotherapyneoadjuvant chemoradiationpatient reported outcomesrectal cancerVMAT

Identifiers

PMID28979889
PMCPMC5611394
OpenAlexW2754798215

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Registered trials

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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.