Evidence map›Paper›PMID 30673295›Full record

SynthesisThe British journal of radiology2019

Stereotactic body radiation therapy in cholangiocarcinoma: a systematic review.

Rezarta Frakulli, Milly Buwenge, Gabriella Macchia, Silvia Cammelli, Francesco Deodato, Savino Cilla, Francesco Cellini, Gian C Mattiucci, Silvia Bisello, Giovanni Brandi and 2 more

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in The British journal of radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
6.0field-weighted citation impact, top 3% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  15. Non-surgical treatment of hilar cholangiocarcinoma.World journal of gastrointestinal oncology · 2021
    Review
  16. Article
  17. Review
  18. Progress toward improving outcomes in patients with cholangiocarcinoma.Current treatment options in gastroenterology · 2021
    Article
  19. Review
  20. Modern therapeutic approaches for the treatment of malignant liver tumours.Nature reviews. Gastroenterology & hepatology · 2020
    Review
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 4 institutions in 1 country.

Rezarta Frakulli1 Department of Experimental, Diagnostic and Specialty Medicine - DIMES, University of Bologna, S. Orsola-Malpighi Hospital , Bologna , Italy.
Milly Buwenge1 Department of Experimental, Diagnostic and Specialty Medicine - DIMES, University of Bologna, S. Orsola-Malpighi Hospital , Bologna , Italy.ORCID http://orcid.org/0000-0002-0779-1875
Gabriella Macchia2 Radiotherapy Unit, Fondazione "Giovanni Paolo II", Catholic University of Sacred Heart , Campobasso , Italy.
Silvia Cammelli1 Department of Experimental, Diagnostic and Specialty Medicine - DIMES, University of Bologna, S. Orsola-Malpighi Hospital , Bologna , Italy.
Francesco Deodato2 Radiotherapy Unit, Fondazione "Giovanni Paolo II", Catholic University of Sacred Heart , Campobasso , Italy.
Savino Cilla3 Medical Physic Unit, Fondazione "Giovanni Paolo II", Catholic University of Sacred Heart , Campobasso , Italy.
Francesco Cellini4 Department of Radiotherapy, Policlinico Universitario "A. Gemelli", Università Cattolica del Sacro Cuore , Rome , Italy.
Gian C Mattiucci4 Department of Radiotherapy, Policlinico Universitario "A. Gemelli", Università Cattolica del Sacro Cuore , Rome , Italy.
Silvia Bisello1 Department of Experimental, Diagnostic and Specialty Medicine - DIMES, University of Bologna, S. Orsola-Malpighi Hospital , Bologna , Italy.
Giovanni Brandi5 Department of Experimental, Diagnostic, and Specialty Medicine, S. Orsola-Malpighi University Hospital, Cancer Research, University of Bologna , Bologna , Italy.
Salvatore Parisi6 Unit of Radiotherapy, IRCCS"Casa Sollievo della Sofferenza" San Giovanni Rotondo , Italy.
Alessio G Morganti1 Department of Experimental, Diagnostic and Specialty Medicine - DIMES, University of Bologna, S. Orsola-Malpighi Hospital , Bologna , Italy.
IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITUniversità Cattolica del Sacro Cuore · ITCasa Sollievo della Sofferenza · ITUniversity of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveStereotactic body radiation therapy (SBRT) has been used in the treatment of cholangiocarcinoma (CC) but toxicity and clinical results of SBRT in CC are still limited and sparse. Therefore, the aim of this systematic review was to analyze the results of SBRT in the setting of advanced CC.

methodsA systematic literature search was conducted on PubMed, Scopus, and Cochrane library using the PRISMA methodology. Studies including at least 10 patients with diagnosis of advanced CC regardless of tumor site and other treatments were included. The primary outcome was overall survival (OS) and secondary endpoints were local control (LC) and toxicity rates. The ROBINS-I risk of bias tool was used.

results10 studies (231 patients) fulfilled the selection criteria and were included in this review. All but one study showed moderate to serious risk of bias. Median follow up was 15 months (range: 7.8-64.0 months). Pooled 1 year OS was 58.3% (

conclusionThe role of SBRT in CC is not yet supported by robust evidence in literature. However, within this limit, preliminary results seem almost comparable to the ones of standard chemotherapy or chemoradiation. ADVANCES IN KNOWLEDGE: SBRT seems effective in terms of LC with acceptable treatment-related toxicities. Therefore, SBRT can be considered a therapeutic option at least in selected patients with CC, possibly combined with adjuvant chemotherapy (CHT).

Indexed as

RadiosurgeryBile Duct NeoplasmsChemotherapy, AdjuvantCholangiocarcinomaHumansSurvival Analysis

Identifiers

PMID30673295
PMCPMC6580923
OpenAlexW2913791801

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.