Evidence map›Paper›PMID 30603854›Full record

ArticleJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2019

Radiotherapy for patients with cardiovascular implantable electronic devices: an 11-year experience.

Cynthia Yeung, Bachar Hazim, Debra Campbell, Jim Gooding, Shirley Xl Li, Ho Kit Tam, Wilma M Hopman, Sanoj Chacko, Damian P Redfearn, Christopher Simpson and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. EHRA consensus on prevention and management of interference due to medical procedures in patients with cardiac implantable electronic devices.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2022
    Article
  6. Article
  7. Article
  8. Observational
  9. 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

12 authors at 2 institutions in 1 country.

Cynthia YeungKingston Health Sciences Centre, Kingston, Ontario, K7L 2V7, Canada.
Bachar HazimKingston Health Sciences Centre, Kingston, Ontario, K7L 2V7, Canada.
Debra CampbellKingston Health Sciences Centre, Kingston, Ontario, K7L 2V7, Canada.
Jim GoodingKingston Health Sciences Centre, Kingston, Ontario, K7L 2V7, Canada.
Shirley Xl LiKingston Health Sciences Centre, Kingston, Ontario, K7L 2V7, Canada.
Ho Kit TamKingston Health Sciences Centre, Kingston, Ontario, K7L 2V7, Canada.
Wilma M HopmanKingston Health Sciences Centre, Kingston, Ontario, K7L 2V7, Canada.
Sanoj ChackoKingston Health Sciences Centre, Kingston, Ontario, K7L 2V7, Canada.
Damian P RedfearnKingston Health Sciences Centre, Kingston, Ontario, K7L 2V7, Canada.
Christopher SimpsonKingston Health Sciences Centre, Kingston, Ontario, K7L 2V7, Canada.
Hoshiar AbdollahKingston Health Sciences Centre, Kingston, Ontario, K7L 2V7, Canada.
Adrian BaranchukKingston Health Sciences Centre, Kingston, Ontario, K7L 2V7, Canada. Adrian.Baranchuk@kingstonhsc.ca.
Kingston Health Sciences Centre · CAKingston General Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAs cardiovascular implantable electronic devices (CIEDs) are increasingly indicated in older patients, and the burden of cancer is rising with the aging population, the management of patients with CIEDs who require radiotherapy (RT) is a timely concern. The objective of the study was to evaluate the management of, and malfunctions in, patients with CIEDs undergoing RT.

methodsA retrospective study of patients with CIEDs receiving RT at Kingston Health Sciences Center from March 2007-April 2018 was conducted. Data on demographics, RT, devices, and management were compared for the primary outcome of device malfunction.

resultsOf the 189 patients with CIEDs receiving a total of 297 courses of RT, 4 patients (2.1%) experienced device malfunctions. Higher beam energy was associated with a malfunction (p < 0.05). Patients with malfunctions received a lower dose of radiation per fraction (267 ± 93 cGy vs. 477 ± 282 cGy; p < 0.05) and were significantly younger (71.4 ± 2.2 years vs. 77.8 ± 9.8 years; p < 0.01) compared to patients without malfunctions.

conclusionRT-induced device malfunctions are rare, but given the potential complications, a better understanding of the potential predictors of malfunction and the development of evidence-based guidelines will help optimize patient safety.

Indexed as

Defibrillators, ImplantablePacemaker, ArtificialAgedEquipment FailureFemaleHumansMaleNeoplasmsOrgans at RiskRadiation DosageRetrospective StudiesImplantable cardioverter-defibrillatorMalfunctionPacemakerRadiationRadiotherapy

Identifiers

PMID30603854
OpenAlexW2907136755

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.