Evidence map›Paper›PMID 29235052›Full record

ArticleJournal of neuro-oncology2018

Salvage fractionated stereotactic re-irradiation (FSRT) for patients with recurrent high grade gliomas progressed after bevacizumab treatment.

Wenyin Shi, Erik S Blomain, Joshua Siglin, Joshua D Palmer, Tu Dan, Yang Wang, Maria Werner-Wasik, Jon Glass, Lyndon Kim, Voichita Bar Ad and 5 more

Erratum issuedAbstract read
PubMed Publisher
In one paragraph

Article in Journal of neuro-oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 2 countries.

Wenyin ShiDepartment of Radiation Oncology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA. Wenyin.Shi@jefferson.edu.ORCID http://orcid.org/0000-0002-6336-3912
Erik S BlomainJefferson College of Population Health, Thomas Jefferson University, Philadelphia, PA, USA.
Joshua SiglinDepartment of Radiation Oncology, University of Pittsburgh Medical Center, Altoona Cancer Center, Altoona, PA, USA.
Joshua D PalmerDepartment of Radiation Oncology, Ohio State University, Columbus, OH, USA.
Tu DanDepartment of Radiation Oncology, University of Texas Southwestern, Dallas, TX, USA.
Yang WangCyberknife Center, Huashan Hospital Pudong, Fudan University, Shanghai, China.
Maria Werner-WasikDepartment of Radiation Oncology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
Jon GlassDepartment of Neurological Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
Lyndon KimDepartment of Neurological Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
Voichita Bar AdDepartment of Radiation Oncology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
Deepak BhamidipatiSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
James J EvansDepartment of Neurological Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
Kevin JudyDepartment of Neurological Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
Christopher J FarrellDepartment of Neurological Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
David W AndrewsDepartment of Neurological Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
Thomas Jefferson University · USFudan University · CNThe Ohio State University · USThe University of Texas Southwestern Medical Center · USUPMC Altoona · US

Funding

Ruth Kirschstein MD-PhD Fellowship Award CA180500
6 · The paper itself

Abstract

Bevacizumab failure is a major clinical problem in the management of high grade gliomas (HGG), with a median overall survival (OS) of < 4 months. This study evaluated the feasibility and efficacy of fractionated stereotactic re-irradiation (FSRT) for patients progressed after Bevacizumab treatment. Retrospective review was conducted of 36 patients treated with FSRT after progression on bevacizumab. FSRT was most commonly delivered in 3.5 Gy fractions to a total dose of 35 Gy. Survival from initial diagnosis, as well as from recurrence and re-irradiation, were utilized as study endpoints. Univariate and multivariate analysis was performed. The median time from initial bevacizumab treatment to FSRT was 8.5 months. The median plan target volume for FSRT was 27.5 cc. The median OS from FSRT was 4.8 months. FSRT treatment was well tolerated with no grade 3 or higher toxicity. Favorable outcomes were observed in patients with recurrent HGG who received salvage FSRT after bevacizumab failure. The treatment was well tolerated. Prospective study is warranted to further evaluate the efficacy of salvage FSRT for selected patients with recurrent HGG amenable to FSRT, who had failed bevacizumab treatment.

Indexed as

Dose Fractionation, RadiationAdultAgedAntineoplastic Agents, ImmunologicalBevacizumabBrain NeoplasmsDisease ProgressionFemaleGliomaHumansKaplan-Meier EstimateMaleMiddle AgedNeoplasm Recurrence, LocalRetrospective StudiesSalvage TherapyAntineoplastic Agents, ImmunologicalBevacizumabBevacizumabGlioblastomaHigh grade gliomaRe-irradiationStereotactic radiation

Identifiers

PMID29235052
OpenAlexW2772208412

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.