Evidence map›Paper›PMID 31641931›Full record

ArticleLa Radiologia medica2020

Acute and late toxicity and preliminary outcomes report of moderately hypofractionated helical tomotherapy for localized prostate cancer: a mono-institutional analysis.

Francesco Cuccia, Gianluca Mortellaro, Giovanna Trapani, Vito Valenti, Lucia Ognibene, Giorgia De Gregorio, Emanuele Quartuccio, Nicoletta Luca, Antonella Tripoli, Vincenzo Serretta and 2 more

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Article in La Radiologia medica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Trial
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  5. Article
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  8. Review
  9. Tomotherapy-based moderate hypofractionation for localized prostate cancer: a mono-institutional analysis.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2022
    Article
  10. Article
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  12. Review
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  16. The effect of rectal gas on dose distribution during prostate cancer treatment using full arc and partial arc Volumetric Modulated Arc Therapy (VMAT) treatment plans.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology
    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

12 authors.

Francesco CucciaDepartment of Radiation Oncology, ARNAS Civico Hospital, Radiation Oncology School, University of Palermo, Palermo, Italy.
Gianluca MortellaroDepartment of Radiation Oncology, ARNAS Civico Hospital, Palermo, Italy.
Giovanna TrapaniDepartment of Radiation Oncology, ARNAS Civico Hospital, Radiation Oncology School, University of Palermo, Palermo, Italy. giovannatrapani91@gmail.com.
Vito ValentiDepartment of Radiation Oncology, ARNAS Civico Hospital, Radiation Oncology School, University of Palermo, Palermo, Italy.
Lucia OgnibeneDepartment of Radiation Oncology, San Gaetano Radiotherapy and Nuclear Medicine Center, Bagheria, Palermo, Italy.
Giorgia De GregorioDepartment of Radiation Oncology, ARNAS Civico Hospital, Radiation Oncology School, University of Palermo, Palermo, Italy.
Emanuele QuartuccioDepartment of Radiation Oncology, ARNAS Civico Hospital, Radiation Oncology School, University of Palermo, Palermo, Italy.
Nicoletta LucaDepartment of Radiation Oncology, ARNAS Civico Hospital, Radiation Oncology School, University of Palermo, Palermo, Italy.
Antonella TripoliDepartment of Radiation Oncology, ARNAS Civico Hospital, Radiation Oncology School, University of Palermo, Palermo, Italy.
Vincenzo SerrettaDepartment of Surgical Oncological and Oral Sciences, Section of Urology, University of Palermo, Palermo, Italy.
Antonio Lo CastoRadiation Oncology School, Section of Radiology - Di.Bi.Med, University of Palermo, Palermo, Italy.
Giuseppe FerreraDepartment of Radiation Oncology, ARNAS Civico Hospital, Palermo, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo assess toxicity and clinical outcomes of moderately hypofractionated helical tomotherapy (HT) for the curative treatment of localized prostate cancer (PC).

methodsFrom December 2012 to May 2018, 170 patients were treated with definitive intent for PC. Thirty-four percent were low risk, 30% intermediate risk (IR) and 36% high risk (HR). All patients received 70 Gy in 28 fractions to the prostate; 61.6 Gy were delivered to the seminal vesicles for IR; pelvic lymph nodes irradiation for a total dose of 50.4 Gy was added in the HR subgroup. Toxicity was assessed using CTCAE V4.0, and biochemical failure was defined following Phoenix criteria. Time-to-event data were analyzed using the Kaplan-Meier method and log-rank test.

resultsThe median follow-up was 36 months (range 12-78); acute toxicity was as follows: G1 and G2 in 27.6% and 19.4% for GI; 53% and 24% for GU. No G ≥ 3 event was observed. For late toxicity, G ≥ 3 GI and GU rates were, respectively, 3% and 2.4% at 3 years and 3% and 4.8% at 4 years; no G4 occurred. A statistical correlation between acute or late G3 incidence and clinical or dosimetric parameters was not found. At the time of analysis, 2- and 3-year biochemical relapse-free survival rates were 90% and 87.5% and 2- and 3-year overall survival rates were 96.4% and 90%, respectively. The log-rank test revealed no difference between the risk groups in terms of biochemical control (p = 0.16).

conclusionsModerately hypofractionated RT with HT for localized prostate cancer reported excellent outcomes with mild acute and late toxicity incidence, with promising biochemical control rates.

Indexed as

Radiation Dose HypofractionationAdenocarcinomaAgedAged, 80 and overHumansKaplan-Meier EstimateMaleMiddle AgedOrgans at RiskProstatic NeoplasmsQuality of LifeRadiotherapy, Intensity-ModulatedRetrospective StudiesHypofractionationProstate cancerRadiotherapy

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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.