Evidence map›Paper›PMID 31749849›Full record

ArticleJournal of contemporary brachytherapy2019

Results from chemoradiotherapy for squamous cell cervical cancer with or without intracavitary brachytherapy.

Diogo Delgado, André Figueiredo, Vera Mendonça, Marília Jorge, Miriam Abdulrehman, Maria Filomena de Pina

Abstract read
In one paragraph

Article in Journal of contemporary brachytherapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
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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

6 authors.

Diogo DelgadoDepartment of Radiation Oncology, Centro Hospitalar Universitário Lisboa Norte, Lisbon, Portugal.
André FigueiredoDepartment of Radiation Oncology, Centro Hospitalar Universitário Lisboa Norte, Lisbon, Portugal.
Vera MendonçaDepartment of Radiation Oncology, Centro Hospitalar Universitário Lisboa Norte, Lisbon, Portugal.
Marília JorgeDepartment of Radiation Oncology, Centro Hospitalar Universitário Lisboa Norte, Lisbon, Portugal.
Miriam AbdulrehmanDepartment of Radiation Oncology, Centro Hospitalar Universitário Lisboa Norte, Lisbon, Portugal.
Maria Filomena de PinaDepartment of Radiation Oncology, Centro Hospitalar Universitário Lisboa Norte, Lisbon, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study is to compare the outcomes of intracavitary high-dose-rate brachytherapy (BT-IC) boost and external beam radiotherapy (EBRT) boost in patients treated with concomitant chemoradiotherapy for squamous cell carcinoma of the cervix. MATERIAL AND

methodsIt is a retrospective review of 92 patients with stage IB1-IVA cervical cancer treated with concomitant chemoradiotherapy between 2008 and 2013. All patients received pelvic 3D conformal EBRT (range, 45-50.4 Gy) concomitant with weekly cisplatin (40 mg/m

resultsThe 5-year overall survival and recurrence-free survival rates for both groups were 68% and 55%, respectively. The 5-year overall survival and recurrence-free survival were better and statistically significant in the BT-IC group with 82% and 79%, respectively, as compared to the EBRT group with 58% and 38%, respectively. In multivariate analysis controlling for maximum tumor dimension, lymph node status, and FIGO stage, EBRT boost was associated with a statistical significant increase in the risk of recurrence (HR: 3.56; 95% CI: 1.27-10.02;

conclusionsBT-IC boost was associated with a lower recurrence rate and better overall survival and recurrence-free survival. EBRT boost patients had a three-fold increase in the risk of recurrence. Brachytherapy is essential in the treatment of cervical cancer and improved alternatives are needed for patients who are not candidates for standard brachytherapy applicators.

Indexed as

cervical cancergynecological cancerhigh-dose-rate brachytherapyradiotherapy

Identifiers

PMID31749849
PMCPMC6854858

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