Evidence map›Paper›PMID 30348187›Full record

ArticleRadiation oncology (London, England)2018

Short-term outcomes and clinical efficacy of stereotactic body radiation therapy (SBRT) in treatment of adrenal gland metastases from lung cancer.

Xianzhi Zhao, Xiaofei Zhu, Jianfeng Fei, Haipeng Ren, Yangsen Cao, Xiaoping Ju, Zhiyong Yuan, Huojun Zhang

Abstract read
In one paragraph

Article in Radiation oncology (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Stereotactic radiotherapy for adrenal oligometastases.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2022
    Review
  12. Article
  13. Modeling of Tumor Control Probability in Stereotactic Body Radiation Therapy for Adrenal Tumors.International journal of radiation oncology, biology, physics · 2021
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Breath-hold versus mid-ventilation in SBRT of adrenal metastases.Technical innovations & patient support in radiation oncology · 2019
    Article
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.

Xianzhi ZhaoDepartment of Radiation Oncology, Shanghai Changhai Hospital, the Second Military Medical University, Shanghai, 200433, China.
Xiaofei ZhuDepartment of Radiation Oncology, Shanghai Changhai Hospital, the Second Military Medical University, Shanghai, 200433, China.
Jianfeng FeiDepartment of Radiology, Shanghai Changhai Hospital, the Second Military Medical University, Shanghai, 200433, China.
Haipeng RenDepartment of Oncology, Weifang People's Hospital, Weifang, 261041, China.
Yangsen CaoDepartment of Radiation Oncology, Shanghai Changhai Hospital, the Second Military Medical University, Shanghai, 200433, China.
Xiaoping JuDepartment of Radiation Oncology, Shanghai Changhai Hospital, the Second Military Medical University, Shanghai, 200433, China.
Zhiyong YuanDepartment of Radiation Oncology and CyberKnife Center, Key Laboratory of Cancer Prevention and Therapy, Tianjin's Clinical Research Center for Cancer, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin, 300060, China.
Huojun ZhangDepartment of Radiation Oncology, Shanghai Changhai Hospital, the Second Military Medical University, Shanghai, 200433, China. chyyzhj@163.com.

Funding

China Health Promotion Foundation (CN) THC2015001
6 · The paper itself

Abstract

backgroundTo assess the efficacy and safety of stereotactic body radiation therapy (SBRT) in the management of adrenal gland metastases (AGMs) from lung cancer. Moreover, it is the first two-institutional experience and the largest-to-date study to report the safety and efficacy of SBRT for inoperable AGM from lung cancer.

methodsIn this retrospective study, 30 patients (27 males, 3 females) with 32 AGMs were treated by SBRT from October 2006 to June 2016. Of these, 11 patients were treated with the intent of controlling all known metastatic sites and 19 for palliation of bulky AGMs. Follow-up was performed every 3 months for evaluations of efficacy and safety. Factors predictive of overall survival (OS) and local control (LC) were identified with univariate and then multivariate analysis.

resultsMedian follow-up time was 10.7 months (2.9-96.4 months). The complete response (CR), partial response (PR), stable disease (SD) and progressive disease (PD) rates were 23.3%, 33.3%, 33.3% and 16.7% respectively. The 6-month, 1, and 2-year LC rates were 96.9%, 96.9%, and 72.7% respectively. Additionally, the 6-month, 1, and 2-year OS rates were 85.6%, 58.1%, and 54.0% respectively while 6-month, 1, and 2-year progression free survival (PFS) rates were 39.5%, 24.6%, and 8.2%, respectively. All the patients with cancer-induced pain (8 with abdominal pain and 6 with lumbar back pain) had significant alleviations after SBRT. The treatment was well tolerated with only 1 patient reporting grade-3 diarrhoea. No predictors of OS and LC were found after multivariate analysis, while it was demonstrated that biologic equivalent dose (BED

conclusionSBRT is a safe and effective treatment modality in the management of AGMs from lung cancer with high LC rates and acceptable toxicity.

Indexed as

RadiosurgeryAdenocarcinomaAdrenal Gland NeoplasmsAdultAgedAged, 80 and overCarcinoma, Squamous CellDose Fractionation, RadiationFemaleFollow-Up StudiesHumansLung NeoplasmsMaleMiddle AgedPrognosisRetrospective StudiesAdrenal gland metastasesLocal controlLung cancerResponseStereotactic body radiotherapy (SBRT)

Identifiers

PMID30348187
PMCPMC6196411

What OpenQuestion holds

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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.