Evidence map›Paper›PMID 31496924›Full record

ReviewDose-response : a publication of International Hormesis Society

Necrotizing Fasciitis: Low-Dose Radiotherapy as a Potential Adjunct Treatment.

Gaurav Dhawan, Rachna Kapoor, Asha Dhamija, Ravinder Singh, Bharat Monga, Edward J Calabrese

Abstract readReview
In one paragraph

Review in Dose-response : a publication of International Hormesis Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. A rare case of fully recovered necrotizing fasciitis.International journal of burns and trauma · 2023
    Article
  5. Article
  6. Review
  7. Enzymatic Responses to Low-Intensity Radiation of Tritium.International journal of molecular sciences · 2020
    Article
  8. Article
  9. Low dose radiation therapy as a potential life saving treatment for COVID-19-induced acute respiratory distress syndrome (ARDS).Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2020
    Review
  10. Article
  11. Article
  12. Article
  13. Death of the ALARA Radiation Protection Principle as Used in the Medical Sector.Dose-response : a publication of International Hormesis Society
    Article
  14. Article
  15. 5 Reasons Why Scoliosis X-Rays Are Not Harmful.Dose-response : a publication of International Hormesis Society
    Article
  16. Application of Low Doses of Ionizing Radiation in Medical Therapies.Dose-response : a publication of International Hormesis Society
    Article
  17. Article
  18. Article
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

6 authors.

Gaurav DhawanHuman Research Protection Office, University of Massachusetts, Amherst, MA, USA.
Rachna KapoorSaint Francis Hospital and Medical Center, Hartford, CT, USA.
Asha DhamijaJohnson Memorial Hospital, Stafford, CT, USA.
Ravinder SinghMedSurg Urgent Care, Gilbertsville, PA, USA.
Bharat MongaDivision of Hospital Medicine, Mount Sinai St Luke's Hospital, New York, NY, USA.
Edward J CalabreseDepartment of Environmental Health Sciences, School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA, USA.ORCID https://orcid.org/0000-0002-7659-412X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Necrotizing fasciitis (NF) is a rapidly spreading bacterial infection causing extensive tissue necrosis and destruction. Despite appropriate therapy, the disease results in significant morbidity/mortality and substantial treatment costs. Several studies published in the early 1900s demonstrated the effective use of low-dose X-ray radiotherapy (RT) for the treatment of many diverse inflammatory conditions and diseases (eg, gas gangrene, sinus infections, arthritis, tendonitis, and serious inflammatory lung conditions). The mechanism by which therapeutic RT doses produce positive patient outcomes is related at least in part to its capacity to induce tissue-based anti-inflammatory responses. This action is due to the polarization of macrophages to an anti-inflammatory or M2 phenotype via optimized low-dose RT. Low-dose RT has the potential to significantly reduce debilitating surgeries and aggressive treatments required for NF, providing a 3-prong benefit in terms of patient mortality, length of hospitalization stays, and cost of health care (both short term and long term). Low cost and easy availability of low-dose RT makes it a potentially useful option for patients of every age-group. In addition, low-dose RT may be a particularly useful option in countries treating many patients who are unable to afford surgeries, antibiotics, and hyperbaric oxygen.

Indexed as

anti-inflammatory phenotypehormesislow-dose radiotherapymacrophage polarizationnecrotizing fasciitis

Identifiers

PMID31496924
PMCPMC6716184

What OpenQuestion holds

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LicenceCC BY-NC
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.