Evidence map›Paper›PMID 29124038›Full record

ArticleFrontiers in oncology2017

Intraoperative Radiation for Breast Cancer with Intrabeam™: Factors Associated with Decreased Operative Times in Patients Having IORT for Breast Cancer.

Stephanie A Valente, Alicia Fanning, Robyn A Stewart, Sharon Grundfest, Rahul D Tendulkar, Sheen Cherian, Chirag Shah, Chao Tu, Courtney Yanda, Diane Radford and 2 more

Abstract 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

12 authors.

Stephanie A ValenteDivision of Breast Services, Department of General Surgery, Cleveland Clinic, Cleveland, OH, United States.
Alicia FanningDivision of Breast Services, Department of General Surgery, Cleveland Clinic, Cleveland, OH, United States.
Robyn A StewartDivision of Breast Services, Department of General Surgery, Cleveland Clinic, Cleveland, OH, United States.
Sharon GrundfestDivision of Breast Services, Department of General Surgery, Cleveland Clinic, Cleveland, OH, United States.
Rahul D TendulkarDepartment of Radiation Oncology, Cleveland Clinic, Cleveland, OH, United States.
Sheen CherianDepartment of Radiation Oncology, Cleveland Clinic, Cleveland, OH, United States.
Chirag ShahDepartment of Radiation Oncology, Cleveland Clinic, Cleveland, OH, United States.
Chao TuQuantitative Health Sciences, Cleveland Clinic, Cleveland, OH, United States.
Courtney YandaDivision of Breast Services, Department of General Surgery, Cleveland Clinic, Cleveland, OH, United States.
Diane RadfordDivision of Breast Services, Department of General Surgery, Cleveland Clinic, Cleveland, OH, United States.
Zahraa Al-HilliDivision of Breast Services, Department of General Surgery, Cleveland Clinic, Cleveland, OH, United States.
Stephen R GrobmyerDivision of Breast Services, Department of General Surgery, Cleveland Clinic, Cleveland, OH, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIntraoperative radiation with Intrabeam™ (IORT) for breast cancer is a newer technology recently implemented into the operating room (OR). This procedure requires time and coordination between the surgeon and radiation oncologist, who both perform their treatments in a single operative setting. We evaluated the surgeons at our center, who perform IORT and their OR times to examine changes in OR times following implementation of this new surgical procedure. We hypothesized that IORT is a technique for which timing could be improved with the increasing number of cases performed.

methodsA prospectively maintained IRB approved database was queried for OR times (incision and close) in patients who underwent breast conserving surgery (BCS), sentinel lymph node biopsy with and without IORT using the Intrabeam™ system at our institution from 2011 to 2015. The total OR times were compared for each surgeon individually and over time. Next, the OR times of each surgeon were compared to each other. Continuous variables were summarized and then a prediction model was created using IORT time, OR time, surgeon, and number of cases performed.

resultsThere were five surgeons performing IORT at our institution during this time period with a total of 96 cases performed. There was a significant difference observed in baseline surgeon-specific OR time for BSC (

conclusionSurgeon experience and applicator size are related to OR times for performing IORT for breast cancer. OR time for IORT in breast cancer treatment can be improved over time, even among experienced surgeons.

Indexed as

applicatorbreast surgeryexperienceintraoperative radiation therapyoperationradiation oncologysurgerytime

Identifiers

PMID29124038
PMCPMC5662891

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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.