Evidence map›Paper›PMID 29296433›Full record

ArticleJournal of radiosurgery and SBRT2016

Local control of brain metastases after stereotactic radiosurgery: the impact of whole brain radiotherapy and treatment paradigm.

Ryan T Hughes, Paul J Black, Brandi R Page, John T Lucas, Shadi A Qasem, Kounosuke Watabe, Jimmy Ruiz, Adrian W Laxton, Stephen B Tatter, Waldemar Debinski and 1 more

Abstract read
In one paragraph

Article in Journal of radiosurgery and SBRT, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
0.5field-weighted citation impact, top 26% 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 17 citations in OpenAlex.

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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

11 authors at 2 institutions in 1 country.

Ryan T HughesDepartment of Radiation Oncology, Wake Forest Baptist Medical Center, Winston-Salem, NC 27157, USA.
Paul J BlackDepartment of Radiation Oncology, Wake Forest Baptist Medical Center, Winston-Salem, NC 27157, USA.
Brandi R PageDepartment of Radiation Oncology, Wake Forest Baptist Medical Center, Winston-Salem, NC 27157, USA.
John T LucasDepartment of Radiation Oncology, Wake Forest Baptist Medical Center, Winston-Salem, NC 27157, USA.
Shadi A QasemDepartment of Pathology, Wake Forest Baptist Medical Center, Winston-Salem, NC 27157, USA.
Kounosuke WatabeDepartment of Cancer Biology, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Jimmy RuizDepartment of Internal Medicine-Hematology/Oncology, Wake Forest Baptist Medical Center, Winston-Salem, NC 27157, USA.
Adrian W LaxtonDepartment of Neurosurgery, Wake Forest Baptist Medical Center, Winston-Salem, NC 27157, USA.
Stephen B TatterDepartment of Neurosurgery, Wake Forest Baptist Medical Center, Winston-Salem, NC 27157, USA.
Waldemar DebinskiBrain Tumor Center of Excellence, Wake Forest Baptist Medical Center, Winston-Salem, NC 27157, USA.
Michael D ChanDepartment of Radiation Oncology, Wake Forest Baptist Medical Center, Winston-Salem, NC 27157, USA.
Atrium Health Wake Forest Baptist · USWake Forest University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe investigate clinical, pathologic, and treatment paradigm-related factors affecting local control of brain metastases after stereotactic radiosurgery (SRS) with or without whole brain radiotherapy (WBRT). METHODS AND MATERIALS: Patients with brain metastases treated with SRS alone, before or after WBRT were considered to determine predictors of local failure (LF), time to failure and survival.

resultsAmong 137 patients, 411 brain metastases were analyzed. 23% of patients received SRS alone, 51% received WBRT prior to SRS, and 26% received SRS followed by WBRT. LF occurred in 125 metastases: 63% after SRS alone, 20% after WBRT then SRS, and 22% after SRS then WBRT. Median time to local failure was significantly less after SRS alone compared to WBRT then SRS (12.1 v. 22.7 months, p=0.003). Tumor volume was significantly associated with LF (HR:5.2, p<0.001, 95% CI:3.4-7.8).

conclusionsWBRT+SRS results in reduced LF. Local control was not significantly different after SRS as salvage therapy versus upfront SRS.

Indexed as

brain metastasislocal failuresalvage therapystereotactic radiosurgerytreatment paradigmwhole brain radiotherapy

Identifiers

PMID29296433
PMCPMC5658880
OpenAlexW2980941764

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.