Evidence map›Paper›PMID 31486096›Full record

ArticleJournal of surgical oncology2019

Role of radiation therapy for retroperitoneal sarcomas: An eight-institution study from the US Sarcoma Collaborative.

Konstantinos Chouliaras, Rebecca Senehi, Cecilia G Ethun, George Poultsides, Valerie Grignol, Callisia N Clarke, Kevin K Roggin, Ryan C Fields, Patrick B Schwartz, Sean M Ronnekleiv-Kelly and 5 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of surgical oncology, 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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  3. Adjuvant therapy for retroperitoneal sarcoma: a meta-analysis.Radiation oncology (London, England) · 2021
    Pooled it
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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

15 authors.

Konstantinos ChouliarasDivision of Surgical Oncology, Department of Surgery, Wake Forest University, Winston-Salem, North Carolina.ORCID http://orcid.org/0000-0002-6331-327X
Rebecca SenehiDivision of Surgical Oncology, Department of Surgery, Wake Forest University, Winston-Salem, North Carolina.
Cecilia G EthunDivision of Surgical Oncology, Department of Surgery, Winship Cancer Institute, Emory University, Atlanta, Georgia.
George PoultsidesDepartment of Surgery, Stanford University, Palo Alto, California.
Valerie GrignolDepartment of Surgery, The Ohio State University, Columbus, Ohio.
Callisia N ClarkeDepartment of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.
Kevin K RogginDepartment of Surgery, University of Chicago, Chicago, Illinois.
Ryan C FieldsDepartment of Surgery, Washington University, St. Louis, Missouri.
Patrick B SchwartzDepartment of Surgery, University of Wisconsin, Madison, Wisconsin.
Sean M Ronnekleiv-KellyDepartment of Surgery, University of Wisconsin, Madison, Wisconsin.
Ralph D'AgostinoDepartment of Biostatistical Sciences, Wake Forest University, Winston-Salem, North Carolina.
Emily N JohnsonDepartment of Biostatistical Sciences, Wake Forest University, Winston-Salem, North Carolina.
Edward A LevineDivision of Surgical Oncology, Department of Surgery, Wake Forest University, Winston-Salem, North Carolina.
Kenneth CardonaDivision of Surgical Oncology, Department of Surgery, Winship Cancer Institute, Emory University, Atlanta, Georgia.ORCID http://orcid.org/0000-0002-8200-3269
Konstantinos I VotanopoulosDivision of Surgical Oncology, Department of Surgery, Wake Forest University, Winston-Salem, North Carolina.

Funding

Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
NCI NIH HHS NCI CCSG P30CA012197NCI NIH HHS P30 CA012197
6 · The paper itself

Abstract

backgroundThe use of radiation therapy in the treatment of retroperitoneal sarcomas has increased in recent years. Its impact on survival and recurrence is unclear.

methodsA retrospective propensity score matched (PSM) analysis of patients with primary retroperitoneal soft tissue sarcomas, who underwent resection from 2000 to 2016 at eight institutions of the US Sarcoma Collaborative, was performed. Patients with metastatic disease, desmoid tumors, and palliative resections were excluded.

resultsTotal 425 patients were included, 56 in the neoadjuvant radiation group (neo-RT), 75 in the adjuvant radiation group (adj-RT), and 294 in the no radiotherapy group (no-RT). Median age was 59.5 years, 186 (43.8%) were male with a median follow up of 31.4 months. R0 and R1 resection was achieved in 253 (61.1%) and 143 (34.5%), respectively. Overall 1:1 match of 46 adj-RT and 59 neo-RT patients was performed using histology, sex, age, race, functional status, tumor size, grade, resection status, and chemotherapy. Unadjusted recurrence-free survival (RFS) was 35.9 months (no-RT) vs 33.5 months (neo-RT) and 27.2 months (adj-RT), P = .43 and P = .84, respectively. In the PSM, RFS was 17.6 months (no-RT) vs 33.9 months (neo-RT), P = .28 and 19 months (no-RT) vs 27.2 months (adj-RT), P = .1.

conclusionsUse of radiotherapy, both in adjuvent or neoadjuvent setting, was not associated with improved survival or reduced recurrence rate.

Indexed as

AgedFemaleFollow-Up StudiesHumansMaleMiddle AgedNeoadjuvant TherapyPrognosisPropensity ScoreProspective StudiesRadiotherapy, AdjuvantRetroperitoneal NeoplasmsRetrospective StudiesSarcomaSurvival Ratepredictorsradiation therapyrecurrenceretroperitoneal sarcomas

Identifiers

PMID31486096
PMCPMC6857791

What OpenQuestion holds

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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.