Evidence map›Paper›PMID 31479748›Full record

ArticleJournal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer2020

Biologically Effective Dose in Stereotactic Body Radiotherapy and Survival for Patients With Early-Stage NSCLC.

Amy C Moreno, Bryan Fellman, Brian P Hobbs, Zhongxing Liao, Daniel R Gomez, Aileen Chen, Stephen M Hahn, Joe Y Chang, Steven H Lin

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PubMed Publisher
In one paragraph

Article in Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Amy C MorenoDepartment of Radiation Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas.
Bryan FellmanDepartment of Biostatistics, The University of Texas M.D. Anderson Cancer Center, Houston, Texas.
Brian P HobbsDepartment of Quantitative Health Sciences, Lerner Research Institute, Cleveland Clinic, Ohio.
Zhongxing LiaoDepartment of Radiation Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas.
Daniel R GomezDepartment of Radiation Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas.
Aileen ChenDepartment of Radiation Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas.
Stephen M HahnDepartment of Radiation Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas.
Joe Y ChangDepartment of Radiation Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas.
Steven H LinDepartment of Radiation Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas. Electronic address: shlin@mdanderson.org.
The University of Texas MD Anderson Cancer Center · USCleveland Clinic Lerner College of Medicine · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
6 · The paper itself

Abstract

introductionStereotactic body radiotherapy (SBRT) results in excellent local control of stage I NSCLC. Radiobiology models predict greater tumor response when higher biologically effective doses (BED

methodsThis retrospective study used the National Cancer Data Base to identify patients diagnosed with clinical stage I (cT1-2aN0M0) NSCLC from 2004 to 2014 treated with SBRT. Patients were categorized into LowBED (100-129 Gy) or HighBED (≥130 Gy) groups. A 1:1 matched analysis based on patient and tumor characteristics was used to compare OS by BED

resultsO 25,039 patients treated with LowBED (n = 14,756; 59%) or HighBED (n = 10,283; 41%) SBRT, 20,542 were matched. Shifts in HighBED to LowBED SBRT regimen use correlated with key publications in the literature. In the matched cohort, 5-year OS rates were 26% for LowBED and 34% for HighBED groups (p = 0.039). On multivariate analysis, receipt of LowBED was associated with significantly worse survival (hazard ratio = 1.046, 95% confidence interval: 1.004-1.090, p = 0.032).

conclusionsLowBED SBRT for treating stage I NSCLC is becoming more common. However, our findings suggest SBRT regimens with BED

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsRadiosurgeryHumansRetrospective StudiesSurvival RateBiologically effective doseEarly-stage lung cancerNSCLCStereotactic ablative radiation therapyStereotactic body radiation therapy

Identifiers

PMID31479748
OpenAlexW2970069172

What OpenQuestion holds

Textmetadata
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.