Evidence map›Paper›PMID 30808911›Full record

ArticleScientific reports2019

Intensity-modulated radiation therapy with simultaneous integrated boost for locally advanced breast cancer: a prospective study on toxicity and quality of life.

David Pasquier, Florence Le Tinier, Raoudha Bennadji, Anais Jouin, Samy Horn, Alexandre Escande, Emmanuelle Tresch, Marie Pierre Chauvet, Audrey Mailliez, Frederik Crop and 2 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 31% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

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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 2 institutions in 1 country.

David PasquierAcademic Department of Radiation Oncology, Centre Oscar Lambret, 3 rue Frédéric Combemale, F-59000, Lille, France. d-pasquier@o-lambret.fr.ORCID 0000-0001-6019-7309
Florence Le TinierAcademic Department of Radiation Oncology, Centre Oscar Lambret, 3 rue Frédéric Combemale, F-59000, Lille, France.
Raoudha BennadjiAcademic Department of Radiation Oncology, Centre Oscar Lambret, 3 rue Frédéric Combemale, F-59000, Lille, France.
Anais JouinAcademic Department of Radiation Oncology, Centre Oscar Lambret, 3 rue Frédéric Combemale, F-59000, Lille, France.
Samy HornAcademic Department of Radiation Oncology, Centre Oscar Lambret, 3 rue Frédéric Combemale, F-59000, Lille, France.
Alexandre EscandeAcademic Department of Radiation Oncology, Centre Oscar Lambret, 3 rue Frédéric Combemale, F-59000, Lille, France.
Emmanuelle TreschMethodology and Biostastistics Unit, Centre Oscar Lambret, 3 rue Frédéric Combemale, F-59000, Lille, France.
Marie Pierre ChauvetDepartment of Surgery, Centre Oscar Lambret, 3 rue Frédéric Combemale, F-59000, Lille, France.
Audrey MailliezDepartment of Medical Oncology, Centre Oscar Lambret, 3 rue Frédéric Combemale, F-59000, Lille, France.
Frederik CropDepartment of Medical Physics, Centre Oscar Lambret, 3 rue Frédéric Combemale, F-59000, Lille, France.
Xavier MirabelAcademic Department of Radiation Oncology, Centre Oscar Lambret, 3 rue Frédéric Combemale, F-59000, Lille, France.
Eric LartigauAcademic Department of Radiation Oncology, Centre Oscar Lambret, 3 rue Frédéric Combemale, F-59000, Lille, France.
Centre Oscar Lambret · FRCentre National de la Recherche Scientifique · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Radiotherapy after breast conserving surgery and mastectomy with node positive disease has been shown to reduce risk of recurrence and mortality in the treatment of breast cancer. Intensity-modulated radiation therapy (IMRT) after conservative surgery offers several advantages over conventional RT including improved acute and late toxicity and quality of life (QoL). We undertook this study to prospectively evaluate acute (≤90 days after last dose of radiotherapy) and long-term (>90 days) cutaneous, esophageal, and fibrosis toxicity and QoL in breast cancer patients treated by adjuvant IMRT after breast surgery. We included patients with complex volumes for which 3D RT does not allow a good coverage of target volumes and sparing organs at risk. We report here an interim analysis with a median follow-up of 13.1 months (range, 6.5-25.9 months). Most of the acute toxicity was cutaneous (95.9%) and oesophageal (59.6%), and mostly grade 1 and 2. Medium-term cutaneous toxicity rate was 25.6%, and mostly grade 1. Medium-term esophageal toxicity was rare (1.8%). In this series acute oesophageal toxicity was found to be associated with dosimetric factors. QoL was well preserved throughout the study, and aesthetic outcomes were good. Based on these data, tomotherapy may be a favorable alternative to other techniques in patients needing a complex irradiation of the breast and lymph node volumes.

Indexed as

Quality of LifeRadiation ToleranceAdultAgedAged, 80 and overBreast NeoplasmsFemaleHumansMiddle AgedPrognosisProspective StudiesRadiotherapy DosageRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedSurvival Rate

Identifiers

PMID30808911
PMCPMC6391390
OpenAlexW2915659446

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.