Evidence map›Paper›PMID 30383657›Full record

Observational studyMedicine2018

Concurrent versus sequential whole brain radiotherapy and TKI in EGFR-mutated NSCLC patients with brain metastasis: A single institution retrospective analysis.

Hualin Chen, Aibing Wu, Hua Tao, Donghong Yang, Yiping Luo, Shujun Li, Zhixiong Yang, Ming Chen

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
1.1field-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

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 19 citations in OpenAlex.

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  16. Complete Remission of Multiple Brain Metastases in a Patient withCase reports in oncological medicine · 2020
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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 3 institutions in 1 country.

Hualin ChenDepartment of Oncology, the Second Affiliated Hospital of Soochow University, Jiangsu Province, Suzhou.
Aibing WuCancer Center, Affiliated Hospital of Guangdong Medical University, Guangdong Province, Zhanjiang.
Hua TaoDepartment of Radiotherapy, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, Nanjing Medical University Affiliated Cancer Hospital, Jiangsu Province, Nanjing.
Donghong YangCancer Center, Affiliated Hospital of Guangdong Medical University, Guangdong Province, Zhanjiang.
Yiping LuoCancer Center, Affiliated Hospital of Guangdong Medical University, Guangdong Province, Zhanjiang.
Shujun LiCancer Center, Affiliated Hospital of Guangdong Medical University, Guangdong Province, Zhanjiang.
Zhixiong YangCancer Center, Affiliated Hospital of Guangdong Medical University, Guangdong Province, Zhanjiang.
Ming ChenDepartment of Oncology, the Second Affiliated Hospital of Soochow University, Jiangsu Province, Suzhou.
Guangdong Medical College · CNSoochow University · CNNanjing Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To examine the outcomes of concurrent versus sequential whole-brain radiotherapy (WBRT) and epidermal growth factor receptor-tyrosine kinase inhibitor (EGFR-TKI) in nonsmall cell lung cancer (NSCLC) patients with EGFR mutation.Retrospectively 105 patients with NSCLC, brain metastasis, and EGFR mutation (Affiliated Hospital of Guangdong Medical University, 01/2011 to 12/2014) were grouped as: EGFR-TKIs alone (n = 39, group A), EGFR-TKIs + concurrent radiotherapy (n = 34, group B), and radiotherapy followed by EGFR-TKIs (n = 32, group C).The intracranial objective response rates of groups A, B, and C were 66.7%, 85.3%, and 75%, respectively (P < .05). The median intracranial progression-free survival of groups A, B, and C were 6.8, 12.4, and 9.1 months, respectively (P < .05). The median extracranial progression-free survival of groups A, B, and C were 7.8, 9.4, and 8.3 months, respectively (P > .05).EGFR-TKIs and WBRT by simultaneous application improved the short- and long-term benefits to patients with NSCLC brain metastasis carrying EGFR mutation compared to concurrent application or EGFR-TKIs alone without additional adverse events.

Indexed as

AgedBrainBrain NeoplasmsCarcinoma, Non-Small-Cell LungCombined Modality TherapyCranial IrradiationErbB ReceptorsFemaleFollow-Up StudiesHumansLung NeoplasmsMaleMiddle AgedProtein Kinase InhibitorsRetrospective StudiesSurvival AnalysisEGFR protein, humanErbB ReceptorsProtein Kinase Inhibitors

Identifiers

PMID30383657
PMCPMC6221750
OpenAlexW2899107289

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.