Evidence map›Paper›PMID 30464605›Full record

ArticleCancer management and research2018

Hypofractionated postoperative helical tomotherapy in prostate cancer: a mono-institutional report of toxicity and clinical outcomes.

Francesco Cuccia, Gianluca Mortellaro, Vincenzo Serretta, Vito Valenti, Antonella Tripoli, Marina Gueci, Nicoletta Luca, Antonio Lo Casto, Giuseppe Ferrera

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Cancer management and research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04831970 (POst-Prostatectomy Ablative Radiation Therapy), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.8field-weighted citation impact, top 14% 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.

NCT04831970 recruitingnot on this mapstarted 2021, after this paper: background citation

POst-Prostatectomy Ablative Radiation Therapy

TypeobservationalSponsorUniversity of Milano BicoccaRan2021 to 2026Enrolled30ConditionsRadiation Toxicity
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 24 citations in OpenAlex.

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  4. Moderate hypofractionation: long-term toxicity results of prostate bed radiotherapy (FRAME-PROSTATE).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  8. Moderate hypofractionated radiotherapy to the prostate bed with or without pelvic lymph nodes: a prospective trial.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2024
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  15. Moderate hypofractionated post-prostatectomy radiation therapy is feasible and well tolerated: experience from a single tertiary cancer centre.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
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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

9 authors at 2 institutions in 1 country.

Francesco CucciaRadiation Oncology School, University of Palermo, Palermo, Italy, f.cuccia1@virgilio.it.
Gianluca MortellaroRadiation Oncology, ARNAS-Civico Hospital, Palermo, Italy, f.cuccia1@virgilio.it.
Vincenzo SerrettaSection of Urology, Department of Surgical Oncological and Oral Science, University of Palermo, Palermo, Italy.
Vito ValentiRadiation Oncology School, University of Palermo, Palermo, Italy, f.cuccia1@virgilio.it.
Antonella TripoliRadiation Oncology School, University of Palermo, Palermo, Italy, f.cuccia1@virgilio.it.
Marina GueciRadiation Oncology School, University of Palermo, Palermo, Italy, f.cuccia1@virgilio.it.
Nicoletta LucaRadiation Oncology School, University of Palermo, Palermo, Italy, f.cuccia1@virgilio.it.
Antonio Lo CastoRadiation Oncology School, Section of Radiological Sciences, DIBIMED, Università degli Studi di Palermo, Palermo, Italy.
Giuseppe FerreraRadiation Oncology, ARNAS-Civico Hospital, Palermo, Italy, f.cuccia1@virgilio.it.
Ospedale G.F. Ingrassia · ITUniversity of Palermo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This is a mono-institutional study of acute and late toxicities and early biochemical control of a retrospective series of 75 prostate cancer patients treated with moderate postoperative hypofractionation delivered by helical tomotherapy (HT). Patients and methods: From April 2013 to June 2017, 75 patients received adjuvant (n=37) or salvage (n=38) treatment, delivering to prostate bed a total dose of 63.8 Gy (equivalent dose in 2-Gy fractions=67.4 Gy) using 2.2 Gy fractions. Whole-pelvis irradiation was performed in 63% of cases (median dose, 49.3 Gy; range, 48-55.1 Gy). Concurrent hormonal therapy was administered in 46% of cases. Common Terminology Criteria for Adverse Events (version 4.0) was adopted for acute and late genitourinary (GU) and gastrointestinal (GI) toxicity evaluations. Biochemical progression was defined as PSA level increase of ≥0.2 or more above the postoperative radiotherapy (RT) nadir. Results: Acute GU toxicities were as follows: G1 in 46% and G2 in 4%, detecting no G≥3 events. For GI toxicity, we recorded G1 in 36% and G2 in 18%. With a median follow-up of 30 months (range, 12-58 months), we found late toxicity G2 GI in 6.6% and G≥2 GU in 5.3%, including two patients who underwent surgical incontinence correction. Acute GI≥2 toxicity and diabetes were found to be predictive of late GI≥2 toxicity ( Conclusion: In our experience, moderate hypofractionated postoperative RT with HT was feasible and safe, with reports of low incidence of toxicity and promising biochemical control rates.

Indexed as

adjuvanthypofractionationprostate neoplasmradiotherapysalvage

Identifiers

PMID30464605
PMCPMC6214338
OpenAlexW2898325713

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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.