Evidence map›Paper›PMID 29030654›Full record

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

Predictive and prognostic value of tumor volume and its changes during radical radiotherapy of stage III non-small cell lung cancer : A systematic review.

Lukas Käsmann, Maximilian Niyazi, Oliver Blanck, Christian Baues, René Baumann, Sophie Dobiasch, Chukwuka Eze, Daniel Fleischmann, Tobias Gauer, Frank A Giordano and 19 more

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis 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 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed.

  1. Trial
  2. Observational
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  5. Review
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  9. Observational
  10. Review
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  16. Provider decision regret-a useful method for analysis of palliative thoracic re-irradiation for lung cancer?Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2020
    Article
  17. Article
  18. Tumor regression during radiotherapy for non-small cell lung cancer patients using cone-beam computed tomography images.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2020
    Article
  19. 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

29 authors.

Lukas KäsmannDepartment of Radiation Oncology, University of Lübeck, Lübeck, Germany.
Maximilian NiyaziDepartment of Radiation Oncology, LMU Munich, Munich, Germany.
Oliver BlanckDepartment of Radiation Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Christian BauesDepartment of Radiotherapy, University Hospital of Cologne, Cologne, Germany.
René BaumannDepartment of Radiation Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Sophie DobiaschDepartment of Radiation Oncology, Technische Universität München, Munich, Germany.
Chukwuka EzeDepartment of Radiation Oncology, LMU Munich, Munich, Germany.
Daniel FleischmannDepartment of Radiation Oncology, LMU Munich, Munich, Germany.
Tobias GauerDepartment of Radiotherapy and Radio-Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Frank A GiordanoDepartment of Radiation Oncology, University Medical Center Mannheim, Mannheim, Germany.
Yvonne GoyDepartment of Radiotherapy and Radio-Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Jan HausmannDepartment of Radiation Oncology, University Medical Center Düsseldorf, Düsseldorf, Germany.
Christoph HenkenberensDepartment of Radiation and Special Oncology, Hannover Medical School, Hannover, Germany.
David KaulDepartment of Radiation Oncology, Charité School of Medicine and University Hospital, Campus Virchow-Klinikum, Berlin, Germany.
Lisa KlookDepartment of Radiotherapy, University Hospital of Cologne, Cologne, Germany.
David KrugDepartment of Radiation Oncology, University Hospital Heidelberg and National Center for Radiation Research in Oncology (NCRO) and Heidelberg Institute for Radiation Oncology (HIRO), Heidelberg, Germany.
Matthias MäurerDepartment of Radiation Oncology, University Medical Center Jena, Jena, Germany.
Cédric M PanjeDepartment of Radiation Oncology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
Johannes RosenbrockDepartment of Radiotherapy, University Hospital of Cologne, Cologne, Germany.
Lisa SautterDepartment of Radiation Oncology, University Medical Center Mannheim, Mannheim, Germany.
Daniela SchmittDepartment of Radiation Oncology, University Hospital Heidelberg and National Center for Radiation Research in Oncology (NCRO) and Heidelberg Institute for Radiation Oncology (HIRO), Heidelberg, Germany.
Christoph SüßDepartment of Radiation Oncology, University Medical Center Regensburg, Regensburg, Germany.
Alexander H ThiemeDepartment of Radiation Oncology, Charité School of Medicine and University Hospital, Campus Virchow-Klinikum, Berlin, Germany.
Maike Trommer-NestlerDepartment of Radiotherapy, University Hospital of Cologne, Cologne, Germany.
Sonia ZieglerDepartment of Radiation Oncology, University Medical Center Erlangen, Erlangen, Germany.
Nadja EbertDepartment of Radiation Oncology, University Medical Center Dresden, Dresden, Germany.
Daniel MedenwaldDepartment of Radiation Oncology, Faculty of Medicine, Martin Luther University Halle-Wittenberg, Halle, Germany.
Christian OstheimerDepartment of Radiation Oncology, Faculty of Medicine, Martin Luther University Halle-Wittenberg, Halle, Germany. christian.ostheimer@uk-halle.de.
Young DEGRO Trial Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLung cancer remains the leading cause of cancer-related mortality worldwide. Stage III non-small cell lung cancer (NSCLC) includes heterogeneous presentation of the disease including lymph node involvement and large tumour volumes with infiltration of the mediastinum, heart or spine. In the treatment of stage III NSCLC an interdisciplinary approach including radiotherapy is considered standard of care with acceptable toxicity and improved clinical outcome concerning local control. Furthermore, gross tumour volume (GTV) changes during definitive radiotherapy would allow for adaptive replanning which offers normal tissue sparing and dose escalation.

methodsA literature review was conducted to describe the predictive value of GTV changes during definitive radiotherapy especially focussing on overall survival. The literature search was conducted in a two-step review process using PubMed®/Medline® with the key words "stage III non-small cell lung cancer" and "radiotherapy" and "tumour volume" and "prognostic factors".

resultsAfter final consideration 17, 14 and 9 studies with a total of 2516, 784 and 639 patients on predictive impact of GTV, GTV changes and its impact on overall survival, respectively, for definitive radiotherapy for stage III NSCLC were included in this review. Initial GTV is an important prognostic factor for overall survival in several studies, but the time of evaluation and the value of histology need to be further investigated. GTV changes during RT differ widely, optimal timing for re-evaluation of GTV and their predictive value for prognosis needs to be clarified. The prognostic value of GTV changes is unclear due to varying study qualities, re-evaluation time and conflicting results.

conclusionThe main findings were that the clinical impact of GTV changes during definitive radiotherapy is still unclear due to heterogeneous study designs with varying quality. Several potential confounding variables were found and need to be considered for future studies to evaluate GTV changes during definitive radiotherapy with respect to treatment outcome.

Indexed as

Carcinoma, Non-Small-Cell LungCombined Modality TherapyHumansInterdisciplinary CommunicationIntersectoral CollaborationLung NeoplasmsLymphatic MetastasisNeoplasm InvasivenessNeoplasm StagingPrognosisTumor BurdenClinical multicenter trialDefinitive radiotherapyLiterature reviewStage III lung cancerTumor volume changes

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.