Evidence map›Paper›PMID 31712134›Full record

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

Salvage Therapy for Locoregional Recurrence After Stereotactic Ablative Radiotherapy for Early-Stage NSCLC.

Eric D Brooks, Vivek Verma, Suresh Senan, Thierry De Baere, Shun Lu, Alessandro Brunelli, Joe Y Chang, International Association for the Study of Lung Cancer Advanced Radiation Technology Committee

Open access · greenAbstract readReview
In one paragraph

Review 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 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
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

22 citing papers in PubMed, 45 citations in OpenAlex.

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  17. Developments in radiation techniques for thoracic malignancies.European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
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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

8 authors at 6 institutions in 5 countries.

Eric D BrooksDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Vivek VermaDepartment of Radiation Oncology, Allegheny General Hospital, Pittsburgh, Pennsylvania.
Suresh SenanDepartment of Radiation Oncology, Amsterdam University Medical Center, Amsterdam, Netherlands.
Thierry De BaereDépartement d'imagerie, Institut de Cancérologie Gustave Roussy, Villejuif, France.
Shun LuDepartment of Medical Oncology, Shanghai Chest Hospital, Shanghai Jiao University, Shanghai, China.
Alessandro BrunelliDepartment of Thoracic Surgery, St. James's University Hospital, Leeds, United Kingdom.
Joe Y ChangDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas. Electronic address: jychang@mdanderson.org.
International Association for the Study of Lung Cancer Advanced Radiation Technology Committee
The University of Texas MD Anderson Cancer Center · USAllegheny General Hospital · USAmsterdam University Medical Centers · NLInstitut Gustave Roussy · FRShanghai Chest Hospital · CNSt James's University Hospital · GB

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

Although isolated local (LRs) and regional recurrences (RRs) constitute a minority of post-stereotactic ablative radiotherapy (SABR) relapses, their management is becoming increasingly important as the use of SABR continues to expand. However, few evidence-based strategies are available to guide treatment of these potentially curable recurrences. On behalf of the Advanced Radiation Technology Committee of the International Association for the Study of Lung Cancer, this article was written to address management of recurrent disease. Topics discussed include diagnosis and workup, including the roles of volumetric and functional imaging as well as histopathologic methods; clinical outcomes after salvage therapy; patterns of recurrence after salvage therapy; and management options. Our main conclusions are that survival for patients with adequately salvaged LRs is similar to that for patients after primary SABR without recurrence, and survival for those with salvaged RRs (regardless of nodal burden or location) is similar to that of patients with de novo stage III disease. Although more than half of patients who undergo salvage do not develop a second relapse, the predominant pattern of second failure is distant, especially for RRs. Management requires rigorous multidisciplinary coordination. Isolated LRs can be managed with resection and nodal dissection, repeat SABR, thermal ablation, or systemic therapies. RRs can be treated with combined chemoradiotherapy, radiation or chemotherapy alone, or supportive services. Finally, regular and structured follow-up is recommended after post-SABR salvage therapy.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsRadiosurgeryHumansNeoplasm Recurrence, LocalNeoplasm StagingSalvage TherapyNSCLCRecurrenceSalvageStereotactic ablative radiotherapyStereotactic body radiation therapy

Identifiers

PMID31712134
PMCPMC7058490
OpenAlexW2988914828

What OpenQuestion holds

Textmetadata
LicenceTDM
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.