Evidence map›Paper›PMID 30662479›Full record

ReviewJournal of contemporary brachytherapy2018

Vaginal toxicity after high-dose-rate endovaginal brachytherapy: 20 years of results.

Durim Delishaj, Amelia Barcellini, Romerai D'Amico, Stefano Ursino, Francesco Pasqualetti, Ilaria Costanza Fumagalli, Carlo Pietro Soatti

Open access · goldAbstract readReview
In one paragraph

Review in Journal of contemporary brachytherapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

23 citing papers in PubMed, 42 citations in OpenAlex.

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  11. Hyaluronic acid to manage radiotoxicities in gynecological cancer patients: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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  13. Pelvic floor muscle training delivered via telehealth to treat urinary and/or faecal incontinence after gynaecological cancer surgery: a single cohort feasibility study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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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

7 authors at 3 institutions in 1 country.

Durim DelishajDepartment of Radiotherapy, Alessandro Manzoni Hospital, Lecco.
Amelia BarcelliniDepartment of Radiotherapy, National Center of Oncological Hadrontherapy, Pavia.
Romerai D'AmicoDepartment of Radiotherapy, Alessandro Manzoni Hospital, Lecco.
Stefano UrsinoDepartment of Radiotherapy, University Hospital S. Chiara, Pisa, Italy.
Francesco PasqualettiDepartment of Radiotherapy, University Hospital S. Chiara, Pisa, Italy.
Ilaria Costanza FumagalliDepartment of Radiotherapy, Alessandro Manzoni Hospital, Lecco.
Carlo Pietro SoattiDepartment of Radiotherapy, Alessandro Manzoni Hospital, Lecco.
Alessandro Manzoni Hospital · ITOspedale Santa Chiara · ITNational Center for Oncological Hadrontherapy · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate vaginal toxicity (primary endpoint) and local control (secondary endpoint) in patients with endometrial cancer who underwent primary surgery and adjuvant high-dose-rate (HDR) endovaginal brachytherapy (BT). MATERIAL AND

methodsIn September 2017, the authors conducted a comprehensive literature search of the following electronic databases: PubMed, Web of Science, Scopus, and Cochrane library. In this systematic review, the authors included randomized trials, non-randomized trials, prospective studies, retrospective studies, and cases. The time period of the research included articles published from September 1997 to September 2017.

resultsAcute endovaginal toxicity occurred in less than 20.6% and all acute toxicities were G1-G2. The most common early side effects due to HDR-BT treatment were vaginal inflammation, vaginal irritation, dryness, discharge, soreness, swelling, and fungal infection. G1-G2 late toxicity occurred in less than 27.7%. Finally, G3-G4 late vaginal occurred in less than 2%. The most common late side effects consisted of vaginal discharge, dryness, itching, bleeding, fibrosis, telangiectasias, stenosis, short or narrow vagina, and dyspareunia.

conclusionsThe data suggest that HDR endovaginal brachytherapy, with or without chemotherapy, is very well tolerated with low rates of acute and late vaginal toxicities. Further prospective studies with higher numbers of patients and longer follow-up are necessary to evaluate acute and late toxicities after HDR endovaginal brachytherapy.

Indexed as

brachytherapyendometrial cancerHDR vaginal brachytherapyradiotherapy

Identifiers

PMID30662479
PMCPMC6335557
OpenAlexW2906628721

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.