Evidence map›Paper›PMID 29360397›Full record

Observational studyThe British journal of radiology2018

Practice patterns for the radical treatment of nasopharyngeal cancer by head and neck oncologists in the United Kingdom.

Imran Petkar, Shreerang Bhide, Kate Newbold, Kevin Harrington, Chris Nutting

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in The British journal of radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 52% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

5 authors at 2 institutions in 1 country.

Imran Petkar1 Head and Neck Unit, The Royal Marsden NHS Foundation Trust , London , UK.ORCID https://orcid.org/0000-0002-6325-7730
Shreerang Bhide1 Head and Neck Unit, The Royal Marsden NHS Foundation Trust , London , UK.
Kate Newbold1 Head and Neck Unit, The Royal Marsden NHS Foundation Trust , London , UK.
Kevin Harrington1 Head and Neck Unit, The Royal Marsden NHS Foundation Trust , London , UK.
Chris Nutting1 Head and Neck Unit, The Royal Marsden NHS Foundation Trust , London , UK.
Royal Marsden NHS Foundation Trust · GBInstitute of Cancer Research · GB

Funding

Cancer Research UK 13407
6 · The paper itself

Abstract

objectiveAdvances in radiation delivery, imaging techniques, and chemotherapy have significantly improved treatment options for non-metastatic nasopharyngeal cancers (NPC). However, their impact on the practice in the United Kingdom (UK), where this tumour is rare, is unknown. This study examined the current attitudes of UK head and neck oncologists to the treatment of NPC.

methodsUK head and neck oncologists representing 19/23 cancer networks were sent an invitation email with a personalised link to a web-based survey designed to identify the influence of tumour and nodal staging on current NPC management practices.

results26/42 (61%) of clinicians responded. Induction chemotherapy followed by concomitant chemoradiation was the treatment of choice for Stage III (69%) and IVa/b (96%), with cisplatin and 5-fluorouracil combination being the most commonly used induction chemotherapy regimen (88%). 16 centres (61%) used a geometric approach, adding variable margins of 0-10 mm to the gross tumour volume to define their therapeutic dose clinical target volume. 54% of respondents used 3 radiotherapy (RT) prescription doses to treat NPC. Retropharyngeal nodal region irradiation policy was inconsistent, with nearly one-quarter treating the entire group to a radical dose.

conclusionSignificant heterogeneity currently exists in the RT practice of NPC in the UK. A consensus regarding the optimal curative, function-sparing treatment paradigm for NPC is necessary to ensure cancer survivors have satisfactory long-term health-related quality of life. Advances in knowledge: This is the first study to highlight the significant variation in RT practice of NPC in the UK.

Indexed as

OncologistsPractice Patterns, Physicians'HeadHumansNasopharyngeal NeoplasmsNeckNeoplasm StagingUnited Kingdom

Identifiers

PMID29360397
PMCPMC6190791
OpenAlexW2787673374

What OpenQuestion holds

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LicenceCC BY
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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.