Evidence map›Paper›PMID 30808323›Full record

ArticleBMC cancer2019

The impact of local control on overall survival after stereotactic body radiotherapy for liver and lung metastases from colorectal cancer: a combined analysis of 388 patients with 500 metastases.

Rainer J Klement, N Abbasi-Senger, S Adebahr, H Alheid, M Allgaeuer, G Becker, O Blanck, J Boda-Heggemann, T Brunner, M Duma and 24 more

Registry-linked trialAbstract read
In one paragraph

Article in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06168292 (Intraductal Radiofrequency Thermoablation and Radiotherapy Combined Treatment for Extrahepatic Cholangiocarcinoma), which is not on this map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT06168292 narecruitingnot on this mapstarted 2024, after this paper: background citation

Intraductal Radiofrequency Thermoablation and Radiotherapy Combined Treatment for Extrahepatic Cholangiocarcinoma: A Prospective, Single-arm, Multicenter Study

TypeinterventionalSponsorNational Cancer Center, KoreaRan2024 to 2030Enrolled53ConditionsBiliary Tract Carcinoma, Radiotherapy, Radio-frequency AblationArmsID-RFA and Radiotherapy
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  20. Role of palliative SBRT in barcelona clinic liver cancer-stage C hepatocellular carcinoma patients.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2023
    Observational
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

34 authors.

Rainer J KlementDepartment of Radiation Oncology, Leopoldina Hospital Schweinfurt, Schweinfurt, Germany.ORCID http://orcid.org/0000-0003-1401-4270
N Abbasi-SengerDepartment of Radiation Oncology, University Hospital Jena, Jena, Germany.
S AdebahrDepartment of Radiation Oncology, University Hospital Freiburg, Freiburg, Germany.
H AlheidStrahlentherapie Bautzen, Bautzen, Germany.
M AllgaeuerDepartment of Radiation Oncology, Hospital Barmherzige Brueder, Regensburg, Germany.
G BeckerRadioChirurgicum CyberKnife Suedwest, Goeppingen, Germany.
O BlanckDepartment of Radiation Oncology Universitaetsklinikum Schleswig-Holstein, Luebeck, Germany.
J Boda-HeggemannDepartment of Radiation Oncology, University Medical Center Mannheim, University of Heidelberg, Mannheim, Germany.
T BrunnerDepartment of Radiation Oncology, University Hospital Freiburg, Freiburg, Germany.
M DumaDepartment of Radiation Oncology, Klinikum rechts der Isar- Technische Universitaet Muenchen, Munich, Germany.
M J EbleDepartment of Radiation Oncology, University Hospital Aachen, Aachen, Germany.
I ErnstDepartment of Radiation Oncology, University Hospital Muenster, Muenster, Germany.
S GerumDepartment of Radiation Oncology, Ludwig Maximilians University Munich, Munich, Germany.
D HabermehlDepartment of Radiation Oncology, Klinikum rechts der Isar- Technische Universitaet Muenchen, Munich, Germany.
P HassDepartment of Radiation Oncology, University Hospital Magdeburg, Magdeburg, Germany.
C HenkenberensDepartment of Radiotherapy and Special Oncology, Medical School Hannover, Hanover, Germany.
G HildebrandtDepartment of Radiation Oncology, University of Rostock, Rostock, Germany.
D ImhoffDepartment of Radiation Oncology, University Hospital Frankfurt, Frankfurt, Germany.
H KahlDepartment of Radiation Oncology, Hospital Augsburg, Augsburg, Germany.
N D KlassDepartment of Radiation Oncology, University Hospital Bern, Bern, Switzerland.
R KrempienDepartment of Radiation Oncology, Helios Klinikum Berlin Buch, Berlin, Germany.
V LewitzkiDepartment of Radiation Oncology, University Hospital Wuerzburg, Wuerzburg, Germany.
F LohausDepartment of Radiation Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
C OstheimerDepartment of Radiation Oncology, University Hospital Halle, Halle, Germany.
A PapachristofilouDepartment of Radiation Oncology, University Hospital Hamburg, Hamburg, Germany.
C PetersenDepartment of Radiation Oncology, University Hospital Basel, Basel, Switzerland.
J RieberDepartment of Radiation Oncology, University Hospital Heidelberg, Heidelberg, Germany.
T SchneiderStrahlenzentrum Hamburg, Hamburg, Germany.
E SchradeDepartment of Radiation Oncology, Hospital Heidenheim, Heidenheim, Germany.
R SemrauDepartment of Radiation Oncology, University Hospital of Cologne, Cologne, Germany.
S WachterDepartment of Radiation Oncology, Klinikum Passau, Passau, Germany.
A WittigDepartment of Radiation Oncology, University Hospital Jena, Jena, Germany.
M GuckenbergerDepartment of Radiation Oncology, University Hospital Zurich, University of Zurich, Rämistrasse 100, 8091, Zurich, Switzerland.
N AndratschkeDepartment of Radiation Oncology, University Hospital Zurich, University of Zurich, Rämistrasse 100, 8091, Zurich, Switzerland. Nicolaus.Andratschke@usz.ch.ORCID http://orcid.org/0000-0003-3647-5916

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this analysis was to model the effect of local control (LC) on overall survival (OS) in patients treated with stereotactic body radiotherapy (SBRT) for liver or lung metastases from colorectal cancer.

methodsThe analysis is based on pooled data from two retrospective SBRT databases for pulmonary and hepatic metastases from 27 centers from Germany and Switzerland. Only patients with metastases from colorectal cancer were considered to avoid histology as a confounding factor. An illness-death model was employed to model the relationship between LC and OS.

resultsThree hundred eighty-eight patients with 500 metastatic lesions (lung n = 209, liver n = 291) were included and analyzed. Median follow-up time for local recurrence assessment was 12.1 months. Ninety-nine patients with 112 lesions experienced local failure. Seventy-one of these patients died after local failure. Median survival time was 27.9 months in all patients and 25.4 months versus 30.6 months in patients with and without local failure after SBRT. The baseline risk of death after local failure exceeds the baseline risk of death without local failure at 10 months indicating better survival with LC.

conclusionIn CRC patients with lung or liver metastases, our findings suggest improved long-term OS by achieving metastatic disease control using SBRT in patients with a projected OS estimate of > 12 months.

Indexed as

RadiosurgeryAdultAgedAged, 80 and overColorectal NeoplasmsDatabases, FactualFemaleFollow-Up StudiesGermanyHumansLiver NeoplasmsLung NeoplasmsMaleMiddle AgedNeoplasm Recurrence, LocalRetrospective StudiesColorectal cancerIllness-death modelLiver metastasesLung metastasesStereotactic body radiation therapyTumor control probability

Identifiers

PMID30808323
PMCPMC6390357

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Registered trials

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