Evidence map›Paper›PMID 30803368›Full record

Trial reportTechnology in cancer research & treatment2019

Preoperative Volumetric Modulated Arc Therapy With Simultaneous Integrated Boost for Locally Advanced Distal Rectal Cancer.

Yongqiang Yang, Qiteng Liu, Baoqing Jia, Xiaohui Du, Guanghai Dai, Hongyi Liu, Jing Chen, Mingyue Zeng, Ke Wen, Yaqun Zhu and 2 more

Open access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Technology in cancer research & treatment, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

8 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
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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

12 authors at 4 institutions in 1 country.

Yongqiang Yang1 Department of Radiotherapy & Oncology, the Second Affiliated Hospital of Soochow University, Suzhou, China.ORCID 0000-0002-6981-4833
Qiteng Liu2 Department of Radiation Oncology, Beijing Luhe Hospital, Affiliated to Capital Medical University, Beijing, China.
Baoqing Jia3 Department of Surgical Oncology, Chinese PLA General Hospital, Beijing, China.
Xiaohui Du4 Department of General Surgery, Chinese PLA General Hospital, Beijing, China.
Guanghai Dai5 Department of Medical Oncology, Chinese PLA General Hospital, Beijing, China.
Hongyi Liu3 Department of Surgical Oncology, Chinese PLA General Hospital, Beijing, China.
Jing Chen6 Department of Radiation Oncology, Chinese PLA General Hospital, Beijing, China.
Mingyue Zeng6 Department of Radiation Oncology, Chinese PLA General Hospital, Beijing, China.
Ke Wen7 Department of Radiation Oncology, Chinese PLA 302 Hospital, Beijing, China.
Yaqun Zhu1 Department of Radiotherapy & Oncology, the Second Affiliated Hospital of Soochow University, Suzhou, China.
Yunlai Wang6 Department of Radiation Oncology, Chinese PLA General Hospital, Beijing, China.
Linchun Feng6 Department of Radiation Oncology, Chinese PLA General Hospital, Beijing, China.
Chinese PLA General Hospital · CNSoochow University · CN302 Military Hospital of China · CNBeijing Luhe Hospital Affiliated to Capital Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to evaluate the safety and clinical efficacy of a combined preoperative regimen consisting of volumetric modulated arc therapy-simultaneous integrated boost and capecitabine chemotherapy for distal rectal cancer. A total of 26 patients with locally advanced distal rectal cancer were enrolled from March 2015 to May 2016. The radiation dose fractionation was 58.75 Gy/25 fractions (2.35 Gy/fraction) for rectal tumor and pelvic lymph node metastasis and 50 Gy/25 fractions for pelvic lymph node stations, accompanied with simultaneous capecitabine chemotherapy. Completion of the simultaneous chemotherapy was ensued by 1 week of rest and then another cycle of induction chemotherapy with capecitabine. A radical rectal cancer surgery was performed 6 to 8 weeks after the simultaneous chemoradiotherapy. The primary end points were the complete pathological response rate and the postoperative sphincter preservation rate. All 26 patients completed the neoadjuvant chemoradiotherapy, among which 25 received surgical treatment. The postoperative complete pathological response rate was as high as 32% (8/25), while the sphincter preservation rate was 60% (15/25), the overall tumor/node (T/N) downstaging rate was 92% (23/25), and the R0 resection rate was 100%. During the chemoradiation, the most common adverse events were grade 1 and 2; grade 3 radiodermatitis occurred in 2 cases but no occurrence of acute adverse events occurred that were grade 4 and above. After the surgery, there was one case of ureteral injury and one case of intestinal obstruction, but no perioperative deaths occurred. In conclusion, the chemoradiation regimen of preoperative volumetric modulated arc therapy-simultaneous integrated boost (VMAT-SIB

Indexed as

ChemoradiotherapyNeoadjuvant TherapyAdenocarcinomaAdolescentAdultAgedAntineoplastic Combined Chemotherapy ProtocolsCapecitabineDeoxycytidineFemaleFluorouracilFollow-Up StudiesHumansLymphatic MetastasisMaleMiddle AgedCapecitabineDeoxycytidineFluorouracildistal rectal cancerneoadjuvant chemoradiationsimultaneous integrated boostsphincter-preserving surgeryvolumetric modulated arc therapy

Identifiers

PMID30803368
PMCPMC6373990
OpenAlexW2914194034

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Registered trials

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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.