Evidence map›Paper›PMID 31586232›Full record

SynthesisStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2020

Role of upper abdominal reirradiation for gastrointestinal malignancies: a systematic review of cumulative dose, toxicity, and outcomes on behalf of the Re-Irradiation Working Group of the Italian Association of Radiotherapy and Clinical Oncology (AIRO).

Luciana Caravatta, Francesco Fiorica, Consuelo Rosa, Luca Boldrini, Anna Rita Alitto, Alessia Nardangeli, Francesco Dionisi, Lavinia Bianco, Fernando Munoz, Marco Lupattelli and 4 more

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Reirradiation - still navigating uncharted waters?Clinical and translational radiation oncology · 2024
    Review
  5. Article
  6. Article
  7. New clinical data on human spinal cord re-irradiation tolerance.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2021
    Article
  8. 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

14 authors at 6 institutions in 1 country.

Luciana CaravattaRadiation Oncology Unit, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy. lcaravatta@hotmail.com.ORCID http://orcid.org/0000-0002-1308-0113
Francesco FioricaDepartment of Radiation Oncology and Nuclear Medicine, State Hospital Mater Salutis AULSS 9, 37045, Legnago (VR), Italy.ORCID https://orcid.org/0000-0002-9404-3655
Consuelo RosaRadiation Oncology Unit, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy.ORCID https://orcid.org/0000-0002-9680-776X
Luca BoldriniUOC Radioterapia Oncologica, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Roma, Italy.ORCID https://orcid.org/0000-0002-5631-1575
Anna Rita AlittoUOC Radioterapia Oncologica, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Roma, Italy.ORCID https://orcid.org/0000-0001-6718-4404
Alessia NardangeliUOC Radioterapia Oncologica, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Roma, Italy.ORCID https://orcid.org/0000-0003-3420-9534
Francesco DionisiProton Therapy Unit, Department of Oncology, Azienda Provinciale per i Servizi Sanitari, APSS, 38123, Trento, Italy.ORCID https://orcid.org/0000-0001-9462-572X
Lavinia BiancoDepartment of Radiotherapy, Azienda U. S. L. della Valle d'Aosta, 11100, Aosta, Italy.ORCID https://orcid.org/0000-0002-1265-8059
Fernando MunozDepartment of Radiotherapy, Azienda U. S. L. della Valle d'Aosta, 11100, Aosta, Italy.ORCID https://orcid.org/0000-0002-0255-8986
Marco LupattelliRadiation Oncology Section, University of Perugia and Perugia General Hospital, 06156, Perugia, Italy.ORCID https://orcid.org/0000-0002-5786-5959
Giovanna MantelloDepartment of Oncology and Radiotherapy, Azienda Ospedaliero Universitaria Ospedali Riuniti, Ancona, Italy.ORCID https://orcid.org/0000-0001-9314-6006
Domenico GenovesiRadiation Oncology Unit, "SS Annunziata" Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100, Chieti, Italy.ORCID https://orcid.org/0000-0002-4099-0534
Mariangela MassaccesiUOC Radioterapia Oncologica, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Roma, Italy.ORCID https://orcid.org/0000-0002-7740-747X
Re-Irradiation Working Group of the Italian Association of Radiotherapy and Clinical Oncology (AIRO)
Agostino Gemelli University Polyclinic · ITAzienda USL della Valle d’Aosta · ITOspedale SS. Annunziata · ITAzienda Ospedaliero Universitaria Ospedali Riuniti · ITUniversity of Chieti-Pescara · ITUniversity of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAbdominal recurrences of gastrointestinal malignancies are common. Evidence in clinical studies has shown that re-irradiation (Re-I) is tolerable and efficient in different tumor locations. In contrast, little clinical data are available on normal long-term Re‑I tolerance doses. A systematic review of upper abdominal Re‑I was performed with the aim of exploring the cumulative dose, toxicity, and outcomes.

methodsA computerized search was undertaken in MEDLINE, EMBASE, OVID, and the Cochrane database. Only studies reporting toxicity and/or outcomes were taken into consideration. To improve the comparability of the different Re‑I regimens and assess the relationship between Radiotherapy (RT) dose and toxicity, the equivalent dose in 2‑Gy fractions was calculated according to the linear quadratic model.

resultsSixteen studies met the inclusion criteria, with the total patients numbering 408. Median follow-up Re‑I ranged from 5.9 to 45 months. The median time elapsed since previous RT treatment was 15 months (2-162 months). Re‑I prescription doses were variable (22.5 Gy in 3 fractions to 126.5 Gy with

conclusionDue to limited evidence as a result of the retrospective design of the majority of the studies, our review suggests that upper abdominal Re‑I is effective in terms of local control and palliation, with a moderate rate of severe toxicities.

Indexed as

Dose Fractionation, RadiationDose-Response Relationship, RadiationFollow-Up StudiesGastrointestinal NeoplasmsHumansNeoplasm Recurrence, LocalPain MeasurementPalliative CareRadiation InjuriesRe-IrradiationSurvival AnalysisTreatment OutcomeAbdomenCumulative doseGastrointestinal malignanciesRe-irradiationToxicity

Identifiers

PMID31586232
OpenAlexW2977663516

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.