Evidence map›Paper›PMID 31845469›Full record

ArticleHead & neck2020

Survival advantage of chemoradiotherapy in anaplastic thyroid carcinoma: Propensity score matched analysis with multiple subgroups.

Sibo Tian, Jeffrey M Switchenko, Teng Fei, Robert H Press, Mustafa Abugideiri, Nabil F Saba, Taofeek K Owonikoko, Amy Y Chen, Jonathan J Beitler, Walter J Curran and 2 more

Abstract read
In one paragraph

Article in Head & neck, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 24% 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, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
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 at 1 institution in 1 country.

Sibo TianDepartment of Radiation Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia.ORCID 0000-0001-5018-4854
Jeffrey M SwitchenkoDepartment of Biostatistics & Bioinformatics, Rollins School of Public Heath, Emory University, Atlanta, Georgia.ORCID 0000-0002-5563-9325
Teng FeiDepartment of Biostatistics & Bioinformatics, Rollins School of Public Heath, Emory University, Atlanta, Georgia.ORCID 0000-0001-7888-1715
Robert H PressDepartment of Radiation Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia.ORCID 0000-0002-3297-3945
Mustafa AbugideiriDepartment of Radiation Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia.ORCID 0000-0003-2350-6242
Nabil F SabaDepartment of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia.ORCID 0000-0003-4972-1477
Taofeek K OwonikokoDepartment of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia.ORCID 0000-0002-7724-7728
Amy Y ChenDepartment of Otolaryngology-Head and Neck Surgery, Emory University, Atlanta, Georgia.
Jonathan J BeitlerDepartment of Radiation Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia.ORCID 0000-0002-1519-2071
Walter J CurranDepartment of Radiation Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia.ORCID 0000-0002-7552-4453
Theresa W GillespieDepartment of Surgery, Winship Cancer Institute, Emory University, Atlanta, Georgia.ORCID 0000-0001-8734-716X
Kristin A HigginsDepartment of Radiation Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia.
Emory University · US

Funding

Winship Cancer Institute Cancer Center Support GrantP30CA138292 · NCI · EMORY UNIVERSITY · PI Suresh S Ramalingam · 2009 to 2026
$47.5M
NCI NIH HHS P30 CA138292
6 · The paper itself

Abstract

backgroundWe compared overall survival (OS) between radiation therapy (RT) and chemoradiotherapy (CRT) in patients with anaplastic thyroid carcinoma (ATC) using a large database.

methodsThe National Cancer Data Base was queried for ATC patients diagnosed between 2004 and 2013 who received RT or CRT. Groups were balanced by propensity score matching (PSM) on nine relevant variables. OS was also examined in five paired subgroups given known patient heterogeneity.

resultsOf 858 total patients, 575 received CRT and 283 received RT. CRT was associated with decreased risk of death (hazard ratio [HR] 0.66, P < .001), 1-year OS 25.5% vs 14.3%. A survival advantage to CRT was seen using PSM cohorts (HR 0.75, P = .006). Those receiving definitive surgery saw the greatest benefit to CRT over RT (HR 0.65, P = .009), 1-year OS 39.6% vs 20.4%.

conclusionsCRT is associated with decreased risk of death in ATC; the magnitude of CRT vs RT benefit varied by subgroup.

Indexed as

Thyroid Carcinoma, AnaplasticThyroid NeoplasmsChemoradiotherapyHumansPropensity ScoreProportional Hazards ModelsSurvival Analysisanaplastic thyroid carcinomachemoradiationchemotherapynational cancer data baseradiation therapy

Identifiers

PMID31845469
PMCPMC7082181
OpenAlexW2995950025

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.