Evidence map›Paper›PMID 30851350›Full record

Trial reportInternational journal of radiation oncology, biology, physics2019

Daily Fractionation of External Beam Accelerated Partial Breast Irradiation to 40 Gy Is Well Tolerated and Locally Effective.

Lior Z Braunstein, Maria Thor, Jessica Flynn, Zachary Cost, Molly Wilgucki, Shalom Rosenbaum, Zhigang Zhang, Erin Gillespie, Beryl McCormick, Atif Khan and 4 more

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

Trial report in International journal of radiation oncology, biology, physics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 28% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Long-term results of a randomized partial irradiation trial compared to whole breast irradiation in the early stage and low-risk breast cancer patients after conservative surgery.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
    Trial
  3. Article
  4. Article
  5. Partial-accelerated irradiation with stereotactic radiotherapy at a dose of 30 Gy in 5 fractions in early breast cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Article
  6. Accelerated Partial Breast Irradiation for HER2-Positive Early-Stage Breast Cancer.International journal of radiation oncology, biology, physics · 2024
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 1 institution in 1 country.

Lior Z BraunsteinDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.
Maria ThorDepartment of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, New York.
Jessica FlynnDepartment of Epidemiology & Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York.
Zachary CostDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.
Molly WilguckiDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.
Shalom RosenbaumDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.
Zhigang ZhangDepartment of Epidemiology & Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York.
Erin GillespieDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.
Beryl McCormickDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.
Atif KhanDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.
Alice HoDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.
Oren CahlonDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.
Joseph O DeasyDepartment of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, New York.
Simon N PowellDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York. Electronic address: powells@mskcc.org.
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeMost studies examining accelerated partial breast irradiation (APBI) have used twice-daily fractionation. Cosmesis with this approach has produced mixed results, and the optimal fractionation scheme remains unknown. We sought to evaluate the safety and efficacy of APBI with a total dose of 40 Gy in 10 daily fractions. METHODS AND MATERIALS: Between 2010 and 2014, we prospectively enrolled 106 patients to receive APBI after lumpectomy for invasive or in situ node-negative breast cancer. Radiation was administered via 3-dimensional conformal techniques.

resultsThe median age was 62 years (range, 39-85), and all patients underwent APBI per protocol. With a median follow-up of 58 months, we evaluated patient-reported local toxicity and recurrence outcomes. Of 106 patients, 16 (15%) experienced grade ≥2 skin toxicity. The most common significant toxicities were acute cutaneous changes at 4 to 9 weeks after radiation therapy, including grade 2 erythema in 2 patients (1.8%) and skin color changes in 4 patients (3.8%). Only 2 instances of grade 3 toxicity were reported, including 1 patient with acute moist desquamation after radiation therapy and another with fibrosis at 2 years. Planning target volume and breast V

conclusionsIn an appropriately selected group of patients with early stage breast cancer, APBI to a dose of 40 Gy in 10 daily fractions was well tolerated, with most patients (99%) reporting excellent/good cosmesis. Planning target volume and breast V

Indexed as

Dose Fractionation, RadiationAdultAgedAged, 80 and overBreast Carcinoma In SituBreast NeoplasmsErythemaFeasibility StudiesFemaleHumansMiddle AgedNeoplasm Recurrence, LocalProspective StudiesRadiation InjuriesSkinSkin Pigmentation

Identifiers

PMID30851350
PMCPMC7595753
OpenAlexW2921013159

What OpenQuestion holds

Textmetadata
LicenceTDM
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.