Evidence map›Paper›PMID 29019001›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2017

Anaplastic thyroid cancer and hyperfractionated accelerated radiotherapy (HART) with and without surgery.

Anne-Birgitte Jacobsen, Krystyna K Grøholt, Bianca Lorntzsen, Terje A Osnes, Ragnhild Sørum Falk, Eva Sigstad

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In one paragraph

Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 19% 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, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  3. Review
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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 1 institution in 1 country.

Anne-Birgitte JacobsenDivision of Cancer Medicine, Department of Oncology, Oslo University Hospital, Box 4953, 0424, Oslo, Norway. anne_birgitte_jacobsen@hotmail.com.ORCID http://orcid.org/0000-0002-4257-1966
Krystyna K GrøholtDivision of Laboratory Medicine, Department of Pathology, Oslo University Hospital, Box 4953, 0424, Oslo, Norway.
Bianca LorntzsenDivision of Head, Neck and Reconstructive Surgery, Department of Otorhinolaryngology, Head and Neck Surgery, Oslo University Hospital, Box 4953, 0424, Oslo, Norway.ORCID http://orcid.org/0000-0003-3324-3220
Terje A OsnesDivision of Head, Neck and Reconstructive Surgery, Department of Otorhinolaryngology, Head and Neck Surgery, Oslo University Hospital, Box 4953, 0424, Oslo, Norway.
Ragnhild Sørum FalkOslo Centre for Biostatistics and Epidemiology, Oslo University Hospital, Box 4953, 0424, Oslo, Norway.ORCID http://orcid.org/0000-0001-8398-3492
Eva SigstadDivision of Laboratory Medicine, Department of Pathology, Oslo University Hospital, Box 4953, 0424, Oslo, Norway.
Oslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anaplastic carcinoma of the thyroid gland (ATC) is one of the most aggressive cancers in humans. With insufficient treatment, the disease most often leads to death in suffocation. From 2002, our treatment strategy has been hyperfractionated accelerated radiotherapy (HART) with high doses (64 Gy) to the neck, followed by surgery 4-8 weeks later if feasible, with the aim to gain control in the neck. After a pathology review, 51 patients were diagnosed with ATC in the period 2002-2014 in the south-east of Norway. Thirty-one received HART, and we present a study of these patients, with death in suffocation as the primary endpoint and survival as the second. No patients treated with HART died in suffocation. Six had a tracheostomy during their course of disease, of whom four were dependent on a tracheal cannula when they died. The best median survival, 19 months, was obtained in the 13 patients where both radiotherapy and surgery were possible as primary treatments. Only surgery came out as a prognostic factor for survival in multivariate analysis. Patients surviving more than 2 years were characterised by having surgery with R0 resection and no or small residual foci of ATC in the specimens. Stage 4C patients survived 3 months only.

Indexed as

Dose Fractionation, RadiationThyroidectomyAdultAgedCohort StudiesCombined Modality TherapyFemaleHumansMaleMiddle AgedNorwaySurvival RateThyroid Carcinoma, AnaplasticThyroid NeoplasmsAnaplastic thyroid cancerHyperfractionated accelerated radiotherapyRadiotherapyThyroid surgery

Identifiers

PMID29019001
OpenAlexW2761926952

What OpenQuestion holds

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Read underepoch 390

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.