Evidence map›Paper›PMID 29961756›Full record

ArticleBritish journal of cancer2018

Isolated limb perfusion for unresectable extremity cutaneous squamous cell carcinoma; an effective limb saving strategy.

Eva A Huis In 't Veld, Dirk J Grünhagen, Jan P Deroose, Tamar E C Nijsten, Michel W J M Wouters, Cornelis Verhoef, Winan J van Houdt, Andrew J Hayes

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-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

4 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
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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

8 authors at 4 institutions in 2 countries.

Eva A Huis In 't VeldSarcoma and Skin Units, Department of Academic Surgery, Royal Marsden NHS Trust, London, UK. e.huisintveld@nki.nl.
Dirk J GrünhagenDepartment of Surgical Oncology, Erasmus MC - Cancer Institute, Rotterdam, The Netherlands.
Jan P DerooseDepartment of Surgical Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Tamar E C NijstenDepartment of Dermatology, Erasmus MC, Rotterdam, The Netherlands.
Michel W J M WoutersDepartment of Surgical Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Cornelis VerhoefDepartment of Surgical Oncology, Erasmus MC - Cancer Institute, Rotterdam, The Netherlands.
Winan J van HoudtSarcoma and Skin Units, Department of Academic Surgery, Royal Marsden NHS Trust, London, UK.
Andrew J HayesSarcoma and Skin Units, Department of Academic Surgery, Royal Marsden NHS Trust, London, UK.
Royal Marsden NHS Foundation Trust · GBErasmus MC Cancer Institute · NLThe Netherlands Cancer Institute · NLErasmus University Rotterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA small minority of patients present with locally advanced cutaneous Squamous Cell Carcinoma (cSCC). The aim of this study was to evaluate the effectiveness of Tumour necrosis factor α (TNF) and melphalan based isolated limb perfusion (TM-ILP) as a limb saving strategy for locally advanced extremity cSCC.

methodsA retrospective search from prospectively maintained databases, at two tertiary referral centers, was performed to identify patients treated with TM-ILP for locally advanced cSSC of an extremity between 2000 and 2015.

resultsA total of 30 patients treated with TM-ILP for cSCC were identified, with a median age of 71 years (36-92) and 50% female. Response could not be evaluated in 3 patients. After a median follow up of 25 months, the overall response rate was 81% (n = 22), with 16 patients having a complete response (CR, 59%). A total of 7 patients developed local recurrence, with a median time to recurrence of 9 months (Interquartile Range 7-10). Progressive disease was observed in 5 patients (19%). Limb salvage rate was 80%. The overall 2-year survival was 67%.

conclusionsTM-ILP should be considered as an option in patients with locally advanced cSCC in specialised centers, resulting in a high limb salvage rate.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Squamous CellFemaleHumansLimb SalvageLower ExtremityMaleMelphalanMiddle AgedPerfusionRetrospective StudiesSkin NeoplasmsSurvival AnalysisMelphalanTumor Necrosis Factor-alpha

Identifiers

PMID29961756
PMCPMC6133945
OpenAlexW2811010572

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Registered trials

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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.