Evidence map›Paper›PMID 29095832›Full record

ArticlePloS one2017

Multi-center study on patient selection for and the oncologic safety of intraoperative radiotherapy (IORT) with the Xoft Axxent® eBx® System for the management of early stage breast cancer in Taiwan.

Hung-Wen Lai, Liang-Chih Liu, Fu Ouyang, Chung-Chin Yao, Hsiang-Chun Jan, Ya-Herng Chang, Chi-Wen Tu, Dar-Ren Chen, Tsui-Fen Cheng, Yen-Dun Tzeng and 7 more

Abstract readMulticenter Study
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
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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

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

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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

17 authors.

Hung-Wen LaiEndoscopy & Oncoplastic Breast Surgery Center, Changhua Christian Hospital, Changhua, Taiwan.ORCID http://orcid.org/0000-0001-9541-2013
Liang-Chih LiuDepartment of Surgery, China Medical University Hospital, Taichung, Taiwan.
Fu OuyangKaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan.
Chung-Chin YaoDepartment of Surgery, Chung Shan Medical University Hospital, Taichung, Taiwan.
Hsiang-Chun JanCardinal Tien Hospital, Taipei, Taiwan.
Ya-Herng ChangCardinal Tien Hospital, Taipei, Taiwan.
Chi-Wen TuDepartment of General Surgery, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi, Taiwan.
Dar-Ren ChenComprehensive breast cancer center, Changhua Christian Hospital, Changhua, Taiwan.
Tsui-Fen ChengShin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
Yen-Dun TzengDivision of General Surgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Huan-Ming HsuDepartment of Surgery, Tri-Service General Hospital, Songshan branch, Taipei, Taiwan.
Ming-Hsin YehDepartment of Surgery, Chung Shan Medical University Hospital, Taichung, Taiwan.
Yao-Chung WuDepartment of Surgery, China Medical University Hospital, Taichung, Taiwan.
Po-Sheng YangDepartment of Surgery, Mackay Memorial Hospital, Taipei, Taiwan.
Hung-Bun LamDepartment of Surgery, Mackay Memorial Hospital, Taipei, Taiwan.
Ming-Feng HouBreast Division, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Fang-Ming ChenKaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn this multi-center study, we report the patient selection criteria for and preliminary oncologic outcomes associated with intraoperative radiotherapy (IORT) delivered by the Xoft Axxent® eBx® system for early-stage breast cancer in Taiwan.

methodsPatients with early breast cancer in Taiwan received breast conserving surgery and received IORT with Xoft Axxent® eBx® System during 2013-2015 was search from database of Taiwan IORT study cooperative group (T-IORTSCG). Patients' clinicopathologic characteristics and early post-operative results were collected and reported.

resultsDuring the study period, 26 hospitals in Taiwan performed a total of 261 Xoft IORT procedures for breast cancer. The mean age of them was 52.9 ± 9.8 years (37-72), and tumor size was 1.5 ± 0.8 cm (0.1-4.2 cm) for invasive cancer and 1.2 ± 0.8 cm (range, 0.2-3.0 cm) for ductal carcinoma in situ (DCIS) lesions. Lymph node metastasis was found in 6 (2.3%) patients. The patients received IORT in Taiwan differed markedly from those used in the ELIOT and TARGIT-A studies. Specifically, patients selected for IORT in Taiwan tended to be younger, their tumors tended to be larger and the prevalence of lymph node metastasis tended to be lower. Among these 261 patients, 8 (3.1%) patients required whole breast radiotherapy. During a mean follow up of 15.6 months, locoregional recurrence was observed in 2 (0.8%) patients.

conclusionIn real world experience, patients received IORT differed quite significantly with criteria formulated by trials. The preliminary results of IORT in Taiwan showed it is well acceptable by patients and clinicians.

Indexed as

Patient SelectionAdultBreast NeoplasmsEarly DiagnosisFemaleHumansIntraoperative CareLymphatic MetastasisMiddle AgedRadiotherapyTaiwan

Identifiers

PMID29095832
PMCPMC5667880

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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.