Evidence map›Paper›PMID 30637839›Full record

Trial reportEuropean journal of cancer care2019

Patient preferences for adjuvant radiotherapy in early breast cancer are strongly influenced by treatment received through random assignment.

Tammy Corica, Christobel M Saunders, Max K Bulsara, Mandy Taylor, David J Joseph, Anna K Nowak

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in European journal of cancer care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.1field-weighted citation impact, top 61% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Article
  3. 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

6 authors at 3 institutions in 1 country.

Tammy CoricaSchool of Medicine, University of Western Australia, Perth, Western Australia, Australia.ORCID https://orcid.org/0000-0002-1197-0120
Christobel M SaundersSchool of Medicine, Division of Surgery, University of Western Australia, Perth, Western Australia, Australia.
Max K BulsaraInstitute for Health Research, University of Notre Dame, Fremantle, Western Australia, Australia.
Mandy TaylorRadiation Oncology, Comprehensive Cancer Centre, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia.
David J JosephSchool of Medicine, Division of Surgery, University of Western Australia, Perth, Western Australia, Australia.
Anna K NowakRadiation Oncology Clinical Trials and Research Unit, Comprehensive Cancer Centre, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia.
The University of Western Australia · AUSir Charles Gairdner Hospital · AUThe University of Notre Dame Australia · AU

Funding

Cancer and Palliative Care Research and Evaluation Unit SG12/002Cancer Council of Western Australia APP1021376National Health and Medical Research Council 393703
6 · The paper itself

Abstract

objectiveTARGIT-A randomised women with early breast cancer to receive external beam radiotherapy (EBRT) or intraoperative radiotherapy (TARGIT-IORT). This study aimed to identify what extra risk of recurrence patients would accept for perceived benefits and risks of different radiotherapy treatments.

methodsPatient preferences were determined by self-rated trade-off questionnaires in two studies: Stage (1) 209 TARGIT-A participants (TARGIT-IORTn = 108, EBRTn = 101); Stage (2) 123 non-trial patients yet to receive radiotherapy (pre-treatment group), with 85 also surveyed post-radiotherapy. Patients traded-off risks of local recurrence in preference selection between TARGIT-IORT and EBRT.

resultsTARGIT-IORT patients were more accepting of IORT than EBRT patients with 60% accepting the highest increased risk presented (4%-6%) compared to 12% of EBRT patients, and 2% not accepting IORT at all compared to 43% of EBRT patients. Pre-treatment patients were more accepting of IORT than post-treatment patients with 23% accepting the highest increased risk presented compared to 15% of post-treatment patients, and 15% not accepting IORT at all compared to 41% of pre-treatment patients.

conclusionsBreast cancer patients yet to receive radiotherapy accept a higher recurrence risk than the actual risk found in TARGIT-A. Measured patient preferences are highly influenced by experience of treatment received. This finding challenges the validity of post-treatment preference studies.

Indexed as

Patient PreferenceAgedAged, 80 and overBreast NeoplasmsFemaleHumansIntraoperative CareMiddle AgedNeoplasm Recurrence, LocalPreoperative CareRadiotherapy, AdjuvantRisk Assessmentbreast cancerexternal beam radiotherapyintraoperative radiotherapypartial breast irradiationpatient preferencespreference questionnaire

Identifiers

PMID30637839
PMCPMC6590655
OpenAlexW2909231880

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.