Evidence map›Paper›PMID 32073955›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2020

Improvement in Patient-Reported Outcomes With Intensity-Modulated Radiotherapy (RT) Compared With Standard RT: A Report From the NRG Oncology RTOG 1203 Study.

Anamaria R Yeung, Stephanie L Pugh, Ann H Klopp, Karen M Gil, Lari Wenzel, Shannon N Westin, David K Gaffney, William Small, Spencer Thompson, Desiree E Doncals and 11 more

3 registry-linked trialsOpen access · greenAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 56 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 2 pooled it
18.6field-weighted citation impact, top 1% 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.

NCT01672892 phase3completednot on this map

A Randomized Phase III Study of Standard vs. IMRT Pelvic Radiation for Post-Operative Treatment of Endometrial and Cervical Cancer (TIME-C)

TypeinterventionalSponsorRadiation Therapy Oncology GroupRan2012 to 2022Enrolled289ConditionsCervical Cancer, Endometrial Cancer, Gastrointestinal Complications, Perioperative/Postoperative ComplicationsArmsStandard radiation therapy, intensity-modulated radiation therapy
NCT05486923 completednot on this mapstarted 2022, after this paper: background citation

Validity and Reliability Evaluation of the Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) for Adult-type Diffuse Gliomas Patients in Chinese Population

TypeobservationalSponsorHuashan HospitalRan2022 to 2025Enrolled450ConditionsGlioma, Patient Reported Outcome Measures, Self Report, Adverse Effects
NCT07435623 recruitingnot on this mapstarted 2025, after this paper: background citation

Assessment of Late Gastrointestinal and Genitourinary Toxicities in Cervical and Endometrial Cancer Requiring Postoperative IMRT and/or Brachytherapy

TypeobservationalSponsorTata Memorial HospitalRan2025 to 2026Enrolled300ConditionsEndometrial Cancer, Cervix Cancer
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 2 syntheses or guidelines pooled it, 125 citations in OpenAlex.

  1. Guideline
  2. Consensus and recommendations on vaginal-cuff Brachytherapy of the Spanish Brachytherapy Groups of SEOR and SEFM.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
    Guideline
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Morbidity of radical surgery and postoperative radiotherapy in cervical cancer.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Review
  10. Cancer of the vagina: 2025 update.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Review
  11. Article
  12. Review
  13. Observational
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 19 institutions in 5 countries.

Anamaria R YeungUniversity of Florida, Gainesville, FL.
Stephanie L PughNRG Oncology Statistics and Data Management Center, Philadelphia, PA.
Ann H KloppMD Anderson Cancer Center, Houston, TX.
Karen M GilSumma Health System, Akron, OH.
Lari WenzelUniversity of California Irvine, Irvine, CA.
Shannon N WestinMD Anderson Cancer Center, Houston, TX.
David K GaffneyHuntsman Cancer Institute, University of Utah, Salt Lake City, UT.
William SmallLoyola University Chicago, Chicago, IL.
Spencer ThompsonUniversity of Oklahoma Health Sciences Center, Oklahoma City, OK.
Desiree E DoncalsCooper Cancer Center, Summa Akron City Hospital, Akron, OH.
Guilherme H C CantuariaNorthside Hospital, Atlanta, GA.
Brian P YaremkoLondon Regional Cancer Program, London, United Kingdom.
Amy ChangPamela Youde Nethersole Eastern Hospital, Hong Kong, Special Administrative Region, People's Republic of China.
Vijayananda KundapurSaskatoon Cancer Centre, Saskatoon, Saskatchewan, Canada.
Dasarahally S MohanKaiser Permanente Cancer Treatment Center, South San Francisco, CA.
Michael L HaasReading Hospital, Reading, PA.
Yong Bae KimSeverance Hospital, Yonsei University Health System, Seoul, South Korea.
Catherine L FergusonGeorgia Regents University, Augusta, GA.
Snehal DeshmukhNRG Oncology Statistics and Data Management Center, Philadelphia, PA.
Deborah W BrunerEmory University, Atlanta, GA.
Lisa A KachnicVanderbilt University School of Medicine, Nashville, TN.
NRG Oncology · USThe University of Texas MD Anderson Cancer Center · USAugusta University · USEmory University · USKaiser Permanente South San Francisco Medical Center · USLondon Cancer · GBLoyola University Chicago · USNorthside Hospital · USPamela Youde Nethersole Eastern Hospital · CNReading Hospital · USSaskatchewan Cancer Agency · CASeverance Hospital · KRSumma Akron City Hospital · USSumma Health System · USUniversity of California, Irvine · USUniversity of Florida · USUniversity of Oklahoma Health Sciences Center · USUniversity of Utah · USVanderbilt University · US

Funding

NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
RTOG Foreign AccrualU10CA021661 · NCI · AMERICAN COLLEGE OF RADIOLOGY · PI CURRAN, WALTER J. · 1985 to 2013
$150.3M
Statistics CoreU10CA180822 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Mei-Yin C Polley · 2014 to 2026
$146.4M
NRG Oncology NCORP Research Base-BIQSFPUG1CA189867 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI Deborah Watkins Bruner, Lisa A. Kachnic · 2014 to 2026
$140.5M
IROC: Enhancing local enrolling site radiological data capture capabilities for NCTN trialsU24CA180803 · NCI · AMERICAN COLLEGE OF RADIOLOGY · PI Thomas J. FitzGerald, MICHAEL V KNOPP · 2014 to 2026
$116.2M
RTOG Foreign AccrualsU10CA037422 · NCI · AMERICAN COLLEGE OF RADIOLOGY · PI BRUNER, DEBORAH WATKINS · 1985 to 2013
$30.4M
ADVANCED TECHNOLOGY QA CENTERU24CA081647 · NCI · WASHINGTON UNIVERSITY · PI MICHALSKI, JEFF M. · 1999 to 2013
$22.8M
NCI NIH HHS U10 CA021661NCI NIH HHS U10 CA037422NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180868NCI NIH HHS U24 CA081647NCI NIH HHS U24 CA180803NCI NIH HHS UG1 CA189867
6 · The paper itself

Abstract

purposeIn oncology trials, the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) is the standard tool for reporting adverse events (AEs), but it may underreport symptoms experienced by patients. This analysis of the NRG Oncology RTOG 1203 compared symptom reporting by patients and clinicians during radiotherapy (RT). PATIENTS AND

methodsPatients with cervical or endometrial cancer requiring postoperative RT were randomly assigned to standard 4-field RT or intensity-modulated RT (IMRT). Patients completed the 6-item patient-reported outcomes version of the CTCAE (PRO-CTCAE) for GI toxicity assessing abdominal pain, diarrhea, and fecal incontinence at various time points. Patients reported symptoms on a 5-point scale. Clinicians recorded these AEs as CTCAE grades 1 to 5. Clinician- and patient-reported AEs were compared using McNemar's test for rates > 0%.

resultsOf 278 eligible patients, 234 consented and completed the PRO-CTCAE. Patients reported high-grade abdominal pain 19.1% (

conclusionPatient-reported AEs showed a reduction in symptoms with IMRT compared with standard RT, whereas clinician-reported AEs revealed no difference. Clinicians also underreported symptomatic GI AEs compared with patients. This suggests that patient-reported symptomatic AEs are important to assess in this disease setting.

Indexed as

Patient Reported Outcome MeasuresFemaleHumansMaleRadiotherapy, Intensity-Modulated

Identifiers

PMID32073955
PMCPMC7238486
OpenAlexW3008015121

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.