Evidence map›Paper›PMID 30911304›Full record

ArticleJournal of contemporary brachytherapy2019

Improving rectal dosimetry for patients with intermediate and high-risk prostate cancer undergoing combined high-dose-rate brachytherapy and external beam radiotherapy with hydrogel space.

Michael Chao, Darren Ow, Huong Ho, Yee Chan, Daryl Lim Joon, Sandra Spencer, Nathan Lawrentschuk, Mario Guerrieri, Trung Pham, Kevin McMillan and 8 more

Abstract read
In one paragraph

Article in Journal of contemporary brachytherapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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.

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

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

  1. Pooled it
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  12. Quality of life more than 10 years after radiotherapy for localized prostate cancer-impact of time after treatment and prescription dose.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
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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

18 authors.

Michael ChaoGenesis Cancer Care Victoria, Ringwood East, Australia.
Darren OwThe Austin Hospital, Heidelberg, Australia.
Huong HoGenesis Cancer Care Victoria, Ringwood East, Australia.
Yee ChanThe Austin Hospital, Heidelberg, Australia.
Daryl Lim JoonThe Austin Hospital, Heidelberg, Australia.
Sandra SpencerGenesis Cancer Care Victoria, Ringwood East, Australia.
Nathan LawrentschukThe Austin Hospital, Heidelberg, Australia.
Mario GuerrieriGenesis Cancer Care Victoria, Ringwood East, Australia.
Trung PhamGenesis Cancer Care Victoria, Ringwood East, Australia.
Kevin McMillanRingwood Private Hospital, Ringwood East, Australia.
Alwin TanThe Bays Hospital, Mornington, Australia.
Farshad ForoudiThe Austin Hospital, Heidelberg, Australia.
Johann TangNational University Hospital, Singapore.
Jason WasiakThe Austin Hospital, Heidelberg, Australia.
Madalena LiuRingwood Private Hospital, Ringwood East, Australia.
George KoufogiannisRingwood Private Hospital, Ringwood East, Australia.
Chee Wee ChamThe Bays Hospital, Mornington, Australia.
Damien BoltonThe Austin Hospital, Heidelberg, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo report on rectal dosimetric and toxicity outcomes of intermediate and high-risk prostate cancer patients undergoing combined high-dose-rate (HDR) brachytherapy and external beam radiotherapy (EBRT) with or without hydrogel spacer (HS) insertion. MATERIAL AND

methodsA total of 97 patients were analyzed in this study, with 32 patients (33%) who had HS insertion compared with a preceding group of 65 patients (67%) without HS. HS safety, the dosimetric effects on organs at risk (rectal, urethral, penile bulb, and bladder) as well as gastrointestinal (GI) and genitourinary toxicity were evaluated and compared between the two groups.

resultsThe median prostate-rectal separation achieved with HS was 10 mm (range, 5-14 mm). There were no post-operative complications following HS insertion. Patients with HS had significantly lower radiation dose to the rectum across all rectal dose volumes from rV

conclusionsInsertion of HS in prostate cancer patients receiving combined HDR and EBRT is safe and has resulted in a significant radiation dose reduction to the rectum, resulting in significantly less acute GI toxicity and a trend towards less late GI toxicity.

Indexed as

brachytherapyhigh-dose-ratehydrogel spacerprostate cancerrectal protection

Identifiers

PMID30911304
PMCPMC6431099

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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.