Evidence map›Paper›PMID 32078120›Full record

ArticleLa Radiologia medica2020

Present clinical practice of breast cancer radiotherapy in Italy: a nationwide survey by the Italian Society of Radiotherapy and Clinical Oncology (AIRO) Breast Group.

Fabiana Gregucci, Alessandra Fozza, Sara Falivene, Daniela Smaniotto, Anna Morra, Antonino Daidone, Raffaele Barbara, Antonella Ciabattoni, Italian Society of Radiotherapy and Clinical Oncology (AIRO) Breast Group

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In one paragraph

Article in La Radiologia medica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  6. Pattern of practice of re-irradiation for ipsilateral breast tumor recurrence in Italy: a survey by the Italian Association of Radiotherapy and Clinical Oncology (AIRO).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
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  9. Moderately hypofractionated post-operative radiation therapy for breast cancer: preferences amongst radiation oncologists from countries in Latin America and the Caribbean.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2023
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  13. Addressing the problem of overtreatment in breast cancer.Expert review of anticancer therapy · 2022
    Review
  14. Breast clinical target volume: HU-based glandular CTVs and ESTRO CTVs in modern and historical radiotherapy treatment planning.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2022
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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

9 authors at 6 institutions in 1 country.

Fabiana GregucciRadiation Oncology Department, "F. Miulli" General Regional Hospital, Strada Prov 127, 70021, Acquaviva delle Fonti, Bari, Italy. fabianagregucci@gmail.com.
Alessandra FozzaSC di Radioterapia, ASO S.S. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Sara FaliveneUOC Radioterapia Oncologica, Ospedale del Mare, ASL 1 Napoli Centro, Naples, Italy.
Daniela SmaniottoPoliclinico Universitario A. Gemelli IRCCS, Istituto di Radiologia, Università Cattolica del Sacro Cuore, Rome, Italy.
Anna MorraDivisione di Radioterapia, IEO, Istituto Europeo di Oncologia, IRCCS, Milan, Italy.
Antonino DaidoneUOC Radioterapia Oncologica, P.O. Abele Ajello, Mazara del Vallo, Italy.
Raffaele BarbaraUOC Radioterapia Oncologica, AO San Giovanni Addolorata, Rome, Italy.
Antonella CiabattoniUOC Radioterapia Oncologica, Ospedale San Filippo Neri, ASL Roma 1, Rome, Italy.
Italian Society of Radiotherapy and Clinical Oncology (AIRO) Breast Group
Azienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo · ITAzienda Ospedaliera San Giovanni Addolorata · ITEuropean Institute of Oncology · ITOspedale Generale Regionale Francesco Miulli · ITOspedale San Filippo Neri · ITUniversità Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo investigate the present attitude of the Italian Radiation Oncologists in the management of breast cancer (BC) concerning hypofractionated radiotherapy (hRT), partial-breast irradiation (PBI), re-irradiation (rRT) and radiotherapy after neoadjuvant chemotherapy (post-NAC RT).

methodsA nationwide, 21-point questionnaire was distributed online via SurveyMonkey.

resultsSeventy-four Italian Radiotherapy Centers answered to the survey. In most cases, the responding centers treated more than 100 BC patients/year between January 2016 and December 2017. Almost half of responding centers (49%) treated patients with hRT, out of these, 95% as routine practice for early-stage BC. Dose prescriptions ranged between 39 and 45 Gy indicating a high use of moderate hRT. The chest wall and regional lymph nodes were irradiated with hRT by 13% and 15% of the responding centers, respectively. PBI was used by 60% of responders, with different techniques. Only 0.6% of participants perform rRT after BC recurrence. Finally, only 11% of the interviewed centers responded to their attitude toward post-NAC RT, which, however, was indicated in 97% of patients after breast-conserving surgery.

conclusionsThis survey shows a fairly good use of hRT and a moderate practice of PBI in Italy. Some practices like hRT to the chest wall and regional lymph nodes as well as rRT need further verification. Likewise, the management of post-NAC RT is very heterogeneous. Future national clinical collaborative studies are advocated in order to investigate these controversial topics about breast cancer radiotherapy.

Indexed as

Radiation OncologistsBreast NeoplasmsFemaleHumansItalyPractice Patterns, Physicians'Societies, MedicalSurveys and QuestionnairesAIROBreast cancerHypofractionated radiotherapyPartial-breast irradiationRadiotherapy and neoadjuvant therapyRe-irradiationSurvey

Identifiers

PMID32078120
OpenAlexW3008008193

What OpenQuestion holds

Textmetadata
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.