Evidence map›Paper›PMID 29771005›Full record

ArticleCancer medicine2018

Prospective analysis of different combined regimens of stereotactic body radiation therapy and chemotherapy for locally advanced pancreatic cancer.

Xiaofei Zhu, Dongchen Shi, Fuqi Li, Xiaoping Ju, Yangsen Cao, Yuxin Shen, Fei Cao, Shuiwang Qing, Fang Fang, Zhen Jia and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.0field-weighted citation impact, top 20% 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

16 citing papers in PubMed, 26 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 1 institution in 1 country.

Xiaofei ZhuDepartment of Radiation Oncology, Changhai Hospital Affiliated to Navy Medical University, Shanghai, China.ORCID http://orcid.org/0000-0001-5769-9308
Dongchen ShiDepartment of Pulmonary and Critical Care Medicine, Changhai Hospital Affiliated to Navy Medical University, Shanghai, China.
Fuqi LiDepartment of Radiation Oncology, Changhai Hospital Affiliated to Navy Medical University, Shanghai, China.
Xiaoping JuDepartment of Radiation Oncology, Changhai Hospital Affiliated to Navy Medical University, Shanghai, China.
Yangsen CaoDepartment of Radiation Oncology, Changhai Hospital Affiliated to Navy Medical University, Shanghai, China.
Yuxin ShenDepartment of Radiation Oncology, Changhai Hospital Affiliated to Navy Medical University, Shanghai, China.
Fei CaoDepartment of Radiation Oncology, Changhai Hospital Affiliated to Navy Medical University, Shanghai, China.
Shuiwang QingDepartment of Radiation Oncology, Changhai Hospital Affiliated to Navy Medical University, Shanghai, China.
Fang FangDepartment of Radiation Oncology, Changhai Hospital Affiliated to Navy Medical University, Shanghai, China.
Zhen JiaDepartment of Radiation Oncology, Changhai Hospital Affiliated to Navy Medical University, Shanghai, China.
Huojun ZhangDepartment of Radiation Oncology, Changhai Hospital Affiliated to Navy Medical University, Shanghai, China.
Second Military Medical University · CN

Funding

China Health Promotion Foundation THC2015001Youth Fund of Changhai Hospital CH201709
6 · The paper itself

Abstract

To identify impacts of different combined regimens of stereotactic body radiation therapy (SBRT) and chemotherapy on survival of patients with locally advanced pancreatic cancer (LAPC) and factors correlated with determinations of different combinations. Four hundred and nineteen patients with radiographically and biopsy-proven LAPC were prospectively enrolled. Factors associated with different strategies were analyzed with Chi-square test and contingency coefficients. Cox regression was used to identify factors predictive of survival. Prognostic values of different multimodality were further analyzed by propensity score-matched analysis. Median overall survival (OS) and progression-free survival (PFS) of all patients was 13.2 and 8.2 months, respectively. Baseline ECOG correlated with induction chemotherapy, while tumor stage, lymph node invasion, and toxicity after SBRT associated with adjuvant chemotherapy. Patients with induction chemotherapy alone (12.2 months), adjuvant chemotherapy alone (13.6 months), and induction and adjuvant chemotherapy (13.3 months) had longer OS than those without chemotherapy (11.2 months; P < .001), while adjuvant chemotherapy alone and induction and adjuvant chemotherapy increased PFS. An adjusted overall survival benefit was gained with adjuvant chemotherapy compared with induction and adjuvant chemotherapy (OS: 14.7 months [95% CI: 14.2-15.2 months] vs 13.1 months [95% CI: 12.3-13.9 months]; P < .001) (PFS: 8.8 months [95% CI: 8.4-9.2 months] vs 8.1 months [95% CI: 7.4-8.8 months]; P = .053). Induction and adjuvant chemotherapy, especially adjuvant chemotherapy, plus SBRT may improve OS and PFS. Baseline performance status, tumor stage, lymph node involvement, and toxicity after SBRT influenced determinations of upfront multimodality.

Indexed as

chemotherapylocally advanced pancreatic cancermultimodalitystereotactic body radiation therapytreatment strategy

Identifiers

PMID29771005
PMCPMC6051203
OpenAlexW2804844375

What OpenQuestion holds

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LicenceCC BY
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.