Evidence map›Paper›PMID 29081217›Full record

ArticleCancer research and treatment2018

Patterns of Rectal Cancer Radiotherapy Adopting Evidence-Based Medicine: An Analysis of the National Database from 2005 to 2016.

Hae Jin Park, Sanghyun Cho, Yoon Kim

Abstract readComparative Study
In one paragraph

Article in Cancer research and treatment, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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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

5 citing papers in PubMed.

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4 · The record

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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

3 authors.

Hae Jin ParkDepartment of Radiation Oncology, Hanyang University Hospital, Seoul, Korea.
Sanghyun ChoDepartment of Health Policy and Management, Seoul National University College of Medicine, Seoul, Korea.
Yoon KimDepartment of Health Policy and Management, Seoul National University College of Medicine, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNot many studies have evaluated the adoption and dissemination of evidence-based medicine in rectal cancer radiotherapy (RT). We aimed to analyze the differences by institutional characteristics and geography in adopting evidence-based care for rectal cancer RT and factors affecting the adoption in Korea. MATERIALS AND

methodsKorean National Health Insurance Service claims database was used. All rectal cancer patients treated with radical surgery and adjuvant RT at the same institution in 2005-2016 were included in this study. RT within 3 months before and after surgery was regarded as preoperative and postoperative RT, respectively.

resultsA total of 16,827 patients treated in 83 institutions were included in the analysis. The use of preoperative RT has substantially increased over time, from 40.6% in 2005 to 84.2% in 2016 all over the nation. The proportion of preoperative RT (54.8%) exceeded that of postoperative RT (45.2%) in 2006. However, a wide range of institutional and regional variation was observed. Compared to high-volume institutions, low-volume institutions showed late adoption and variable dissemination patterns of preoperative RT. Busan-Ulsan-Gyeongsangnam-do and Gangwon-do showed slower adoption and less use of preoperative RT than other region.

conclusionWe demonstrated gradual and steady increase in adoption of preoperative RT in rectal cancer treatment nationally from 2005 to 2016. Institutional variations between high- and low-volume institutions were observed.

Indexed as

Evidence-Based MedicineFemaleHospitals, High-VolumeHospitals, Low-VolumeHumansInsurance Claim ReviewMaleNeoadjuvant TherapyPreoperative PeriodRadiotherapy, AdjuvantRectal NeoplasmsRepublic of KoreaTreatment OutcomeEvidence-based medicinePatterns of carePreoperative radiotherapyRectal neoplasms

Identifiers

PMID29081217
PMCPMC6056965

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