Evidence map›Paper›PMID 30506131›Full record

Trial reportClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2019

Outcome and toxicity of intensity-modulated radiotherapy with simultaneous integrated boost in patients with pharyngo-laryngeal cancer.

A Fondevilla Soler, J L López-Guerra, A García Fernández, M A Samaniego Conde, M J Belmonte González, J M Praena-Fernandez, E Rivin Del Campo, M Alcaraz, I Azinovic

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2019. 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
0.4field-weighted citation impact, top 37% 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, 4 citations in OpenAlex.

  1. Prevention of radiation induced dermatitis in head and neck cancer patients using cryptomphalus aspersa secretion.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Article
  2. Radiochemotheraphy-induced oral mucositis: Ectoin solution as a new treatment.Journal of clinical and experimental dentistry · 2022
    Article
  3. Article
  4. 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

9 authors at 4 institutions in 2 countries.

A Fondevilla SolerDepartment of Radiation Oncology, GenesisCare, Murcia, Spain.
J L López-GuerraDepartment of Radiation Oncology, University Hospital Virgen del Rocio, Manuel Siurot Avenue, s/n, 41013, Seville, Spain. chanodetriana@yahoo.es.ORCID http://orcid.org/0000-0001-6646-3751
A García FernándezRadiation Physics, GenesisCare, Murcia, Spain.
M A Samaniego CondeDepartment of Radiation Oncology, GenesisCare, Murcia, Spain.
M J Belmonte GonzálezDepartment of Radiation Oncology, GenesisCare, Murcia, Spain.
J M Praena-FernandezMethodology Unit, University Hospital Virgen del Rocio, Seville, Spain.
E Rivin Del CampoDepartment of Radiation Oncology, Tenon University Hospital, Paris, France.
M AlcarazRadiology and Physical Medicine Department, Faculty of Medicine/Dentistry, University of Murcia, Murcia, Spain.
I AzinovicDepartment of Radiation Oncology, GenesisCare, Madrid, Spain.
Hospital Universitario Virgen del Rocío · ESNephroCare · ESSorbonne Université · FRUniversidad de Murcia · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe present work aims at evaluating intensity-modulated radiation therapy with simultaneous integrated boost (IMRT-SIB) in squamous cell carcinomas (SCC) of the larynx and hypopharynx. METHODS/PATIENTS: We performed a single institutional retrospective analysis on 116 pharyngo (29%)-laryngeal (71%) SCC patients (93% male) treated with IMRT-SIB to 66-69.96 Gy in 33 fractions between 2008 and 2016. Those who underwent surgery (54%) received adjuvant radiation of 66 Gy at 2 Gy/fraction to the surgical bed. 16 patients (14%) were treated for a local recurrence after prior surgery. High-risk lymph node regions received 59.4 Gy at 1.8 Gy/fraction and low risk regions 54.12 Gy at 1.64 Gy/fraction. The median age was 60 years and 95% of patients had an ECOG performance status 0-2. Most had advanced stage disease (III 22%, IV 74%). Chemotherapy was delivered in 74% of cases.

resultsMedian follow-up was 32 months. Two and three-year overall survival for all patients was 87% and 82%, respectively. There were 28 (24%) locoregional recurrences and 19 (16%) distant failures. Grade 3 mucositis, dermatitis, and xerostomy were observed in 12%, 10%, and 3%, respectively. A longer IMRT-SIB overall treatment time was associated with a higher risk of mortality (HR 1.09, CI 1.01-1.17, P = 0.02). Postoperative IMRT-SIB associated with a significantly lower risk of any recurrence (HR 0.34, CI 0.18-0.64, P = 0.001) and higher local control (HR 0.06, CI 0.01-0.24, P < 0.01). Additionally, it associated with a lower risk of mucositis (P = 0.029) compared with definitive radio (chemo) therapy.

conclusionsIMRT-SIB is a safe and feasible radiation treatment technique for pharyngo-laryngeal SCC patients with a tolerable acute toxicity profile.

Indexed as

AdultAgedAged, 80 and overCarcinoma, Squamous CellFemaleHumansLaryngeal NeoplasmsMaleMiddle AgedNeoplasm Recurrence, LocalPharyngeal NeoplasmsRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedRetrospective StudiesSurvival RateToxicity TestsIntensity-modulated radiotherapyPharyngo-laryngeal cancerSimultaneous integrated boostToxicity

Identifiers

PMID30506131
OpenAlexW2902082162

What OpenQuestion holds

Textmetadata
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.