Evidence map›Paper›PMID 30919000›Full record

ReviewDer Orthopade2019

[Radiotherapy after tumour prostheses-status, indication, coordination].

M Niewald, P Melchior, Y Dzierma, S Kremp, Ch Rübe

Abstract readReview
PubMed Publisher
In one paragraph

Review in Der Orthopade, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

M NiewaldKlinik für Strahlentherapie und Radioonkologie, Universitätsklinikum des Saarlandes, 66424, Homburg/Saar, Deutschland. marcus.niewald@uks.eu.
P MelchiorKlinik für Strahlentherapie und Radioonkologie, Universitätsklinikum des Saarlandes, 66424, Homburg/Saar, Deutschland.
Y DziermaKlinik für Strahlentherapie und Radioonkologie, Universitätsklinikum des Saarlandes, 66424, Homburg/Saar, Deutschland.
S KrempKlinik für Strahlentherapie und Radioonkologie, Universitätsklinikum des Saarlandes, 66424, Homburg/Saar, Deutschland.
Ch RübeKlinik für Strahlentherapie und Radioonkologie, Universitätsklinikum des Saarlandes, 66424, Homburg/Saar, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with complex tumour prostheses often require radiotherapy or radiochemotherapy.

objectivesPossible tumour diagnoses, indications, planning and therapy procedures, and prognosis of radiotherapy in the context of an interdisciplinary treatment for bone sarcomas are reviewed, including interactions of metal prostheses with radiation and possible subsequent complications.

methodsLiterature search, summary of personal experience.

resultsComplex prosthetic procedures are usually applied to patients suffering from Ewing sarcoma or osteosarcoma. In patients with Ewing sarcoma, radiotherapy is an integral part of multimodal treatment, while in patients with osteosarcoma radiotherapy is indicated in special situations. Planning and implementation of radiotherapy treatment can be impaired by metal implants within the target volume (artefacts in the planning computerized tomography, interaction of metal with the therapeutic beam). However, it is-to our knowledge-a point of debate whether radiotherapy after implantation of a prosthesis could impair healing or prosthesis fixation to bone. The data available in the literature suggest that prostheses implanted after radiotherapy entail a higher rate of complications. Multidisciplinary treatment improves the prognosis for these patients markedly.

conclusionsPatients with sarcomas of the bone undergoing interdisciplinary treatment consisting of surgery, radiotherapy and chemotherapy have a favourable prognosis and an acceptable functionality of the limb can be expected.

Indexed as

Bone NeoplasmsOsteosarcomaSarcomaSarcoma, EwingSoft Tissue NeoplasmsHumansArtefactsDosage, radiotherapyEwing sarcomaImplants, artificialOsteosarcoma

Identifiers

What OpenQuestion holds

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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.