Evidence map›Paper›PMID 31183197›Full record

ArticleJournal of gastrointestinal oncology2019

Dose escalated concurrent chemo-radiation in borderline resectable and locally advanced pancreatic cancers with tomotherapy based intensity modulated radiotherapy: a phase II study.

Shirley Lewis, Supriya Chopra Sastri, Supreeta Arya, Shaesta Mehta, Prachi Patil, Shyamkishore Shrivastava, Reena Phurailatpam, Shailesh V Shrikhande, Reena Engineer

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Article in Journal of gastrointestinal oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Shirley LewisDepartment of Radiotherapy and Oncology, Kasturba Medical College, MAHE, Manipal, India.
Supriya Chopra SastriDepartment of Radiation Oncology, Tata Memorial Centre, Mumbai, India.
Supreeta AryaDepartment of Radiology, Tata Memorial Centre, Mumbai, India.
Shaesta MehtaDepartment of Gastroenterology, Tata Memorial Centre, Mumbai, India.
Prachi PatilDepartment of Gastroenterology, Tata Memorial Centre, Mumbai, India.
Shyamkishore ShrivastavaDepartment of Radiation Oncology, Apollo Hospitals, Navi Mumbai, India.
Reena PhurailatpamDepartment of Radiation Oncology, Tata Memorial Centre, Mumbai, India.
Shailesh V ShrikhandeDepartment of Surgical Oncology, Tata Memorial Centre, Mumbai, India.
Reena EngineerDepartment of Radiation Oncology, Tata Memorial Centre, Mumbai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe report the response and outcomes of borderline resectable and locally advanced pancreatic cancer (BRPC & LAPC) patients treated with dose escalated neoadjuvant intensity modulated radiotherapy (IMRT).

methodsThirty newly diagnosed patients with BRPC (n=18) and LAPC (n=12) (NCCN criteria V 2.2.12) were accrued in this prospective study from 2008-2011. All patients received neoadjuvant chemoradiation (NACRT) using Helical Tomotherapy (dose of 57 Gy over 25 fractions to the gross tumor volume (GTV) and 45 Gy over 25 fractions to suspected microscopic extension) along with weekly gemcitabine.

resultsFifteen patients (50%) had a partial response. A complete metabolic response (CMR) on PET was seen in 9 patients (30%). Among BRPC, 9 patients (50%) were surgically explored and 7 underwent R0 resection (39%). The median follow up of surviving patients was 85 [interquartile range (IQR): 64.5-85.8] months. The median progression free survival (PFS) was 13 months for BRPC and 8.8 months for LAPC. The median overall survival (OS) was 17.3 months for BRPC and 11.8 months for LAPC. Among patients undergoing R0 resection, the median PFS and OS was 27 and 35.5 months respectively.

conclusionsDose escalated radiotherapy with concurrent chemotherapy is feasible and can downsize some tumors resulting in surgery in about 39% of the BRPC.

Indexed as

borderline resectable pancreatic cancer (BRPC)intensity modulated radiotherapy (IMRT)locally advanced pancreatic cancer (LAPC)Pancreatic cancer

Identifiers

PMID31183197
PMCPMC6534706

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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.