Evidence map›Paper›PMID 31974820›Full record

Observational studyClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2020

A prospective observational study of the clinical and pathological impact of stereotactic body radiotherapy (SBRT) as a neoadjuvant strategy of chemoradiation in pancreatic cancer.

X Chen-Zhao, O Hernando, M López, E Sánchez, A Montero, M García-Aranda, R Ciérvide, J Valero, R Alonso, J M Cárdenas-Rebollo and 10 more

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

15 citing papers in PubMed, 19 citations in OpenAlex.

  1. 5-year results of accelerated partial breast irradiation (APBI) with SBRT (stereotactic body radiation therapy) and exactrac adaptive gating (NovalisClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
    Trial
  2. Prospective study on stereotactic body radiotherapy for small pancreatic neuroendocrine tumors: tolerance and effectiveness analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Article
  3. Preoperative accelerated hypofractionated radiotherapy (PHYPORT): state of art and potential clinical application.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2025
    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

20 authors at 3 institutions in 1 country.

X Chen-ZhaoRadiation Oncology, University Hospital HM Sanchinarro-Puerta del Sur, Madrid, Spain. chenxin151@gmail.com.ORCID http://orcid.org/0000-0002-5118-1513
O HernandoRadiation Oncology, University Hospital HM Sanchinarro-Puerta del Sur, Madrid, Spain.
M LópezRadiation Oncology, University Hospital HM Sanchinarro-Puerta del Sur, Madrid, Spain.
E SánchezRadiation Oncology, University Hospital HM Sanchinarro-Puerta del Sur, Madrid, Spain.
A MonteroRadiation Oncology, University Hospital HM Sanchinarro-Puerta del Sur, Madrid, Spain.
M García-ArandaRadiation Oncology, University Hospital HM Sanchinarro-Puerta del Sur, Madrid, Spain.
R CiérvideRadiation Oncology, University Hospital HM Sanchinarro-Puerta del Sur, Madrid, Spain.
J ValeroRadiation Oncology, University Hospital HM Sanchinarro-Puerta del Sur, Madrid, Spain.
R AlonsoRadiation Oncology, University Hospital HM Sanchinarro-Puerta del Sur, Madrid, Spain.
J M Cárdenas-RebolloDepartment of Applied Mathematics and Statistics, CEU San Pablo University, Madrid, Spain.
E VicenteGeneral and Gastrointestinal Surgery, University Hospital HM Sanchinarro, Madrid, Spain.
Y QuijanoGeneral and Gastrointestinal Surgery, University Hospital HM Sanchinarro, Madrid, Spain.
A CubilloMedical Oncology, University Hospital HM Sanchinarro, Madrid, Spain.
R ÁlvarezMedical Oncology, University Hospital HM Sanchinarro, Madrid, Spain.
S PradosGastroenterology, University Hospital HM Sanchinarro, Madrid, Spain.
C PlazaAnatomical Pathology, University Hospital HM Sanchinarro, Madrid, Spain.
J GarcíaMedical Physics, University Hospital HM Sanchinarro-Puerta del Sur, Madrid, Spain.
D ZuccaMedical Physics, University Hospital HM Sanchinarro-Puerta del Sur, Madrid, Spain.
P Fernández-LetónMedical Physics, University Hospital HM Sanchinarro-Puerta del Sur, Madrid, Spain.
C RubioRadiation Oncology, University Hospital HM Sanchinarro-Puerta del Sur, Madrid, Spain.
Hospital Universitario HM Sanchinarro · ESUniversidad San Pablo CEU · ESUniversity Hospital HM Puerta del Sur · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

PURPOSE/OBJECTIVE(S): To improve the curative resection rates and prognoses, a variety of neoadjuvant (NA) strategies have been explored in PDAC. In our institution, non-metastatic PDACs have been treated with a NA intent with induction multiagent chemotherapy and SBRT. The primary endpoint was to increase R0 resection rate. The secondary endpoints were the analysis of the clinical tolerance, the pathological response, the local control (LC) and the OS. MATERIALS/

methodsAll consecutive patients with non-metastatic PDAC underwent SBRT as part of the NA strategy were included. A total dose of 40-62 Gy were delivered in 5-10 fractions. Surgery was performed after SBRT and restaging.

resultsSince February 2014 to December 2018, 45 patients were enrolled. Thirty-two patients underwent surgery (71.1%), 10 out of 15 were initially unresectable disease patients (66.75%). R0 resection rate was 93% (30 patients) and pN0 status was achieved in 20 patients (60.6%). Tumour regression grade (TRG): 12 patients with complete response or marked response (TRG 0-1: 37.5%), 16 patients with moderate response (TRG 2: 50%) and four patients with poor response (TRG 3: 12.5%). The median follow-up was 16.2 m (range 6.6-59.6 m) since diagnosis. The LC rate achieved was very high (95.5%). Actuarial 12 and 24 m OS was 67.4% and 35.9% respectively. No grade 3 or higher toxicity related to SBRT was observed.

conclusionThe results are encouraging, suggesting that SBRT has a significant role in the management of these patients and further studies will be necessary to prove these findings.

Indexed as

AdultAgedAged, 80 and overChemoradiotherapyFemaleHumansMaleMiddle AgedNeoadjuvant TherapyPancreatectomyPancreatic NeoplasmsPrognosisProspective StudiesRadiosurgerySurvival RateTreatment OutcomeChemoradiationNeoadjuvant strategyPancreatic cancerPancreatic SBRT

Identifiers

PMID31974820
OpenAlexW3001873964

What OpenQuestion holds

Textmetadata
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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.