Evidence map›Paper›PMID 32185088›Full record

ArticleJournal of radiosurgery and SBRT2020

Secondary malignancy following stereotactic radiosurgery for benign neurologic disease: A cohort study and review of the literature.

Alexander D Sherry, Brian Bingham, Ellen Kim, Meredith Monsour, Guozhen Luo, Albert Attia, Lola B Chambless, Anthony J Cmelak

Open access · greenAbstract read
In one paragraph

Article in Journal of radiosurgery and SBRT, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Noninvasive Thalamotomy for Refractory Tremor by Frameless Radiosurgery.International journal of radiation oncology, biology, physics · 2022
    Observational
  9. Article
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

8 authors at 2 institutions in 1 country.

Alexander D SherryVanderbilt University School of Medicine, Nashville, TN, USA.
Brian BinghamDepartment of Radiation Oncology, Vanderbilt University Medical Center, Nashville, TN, USA.
Ellen KimDepartment of Radiation Oncology, Vanderbilt University Medical Center, Nashville, TN, USA.
Meredith MonsourVanderbilt University School of Medicine, Nashville, TN, USA.
Guozhen LuoDepartment of Radiation Oncology, Vanderbilt University Medical Center, Nashville, TN, USA.
Albert AttiaDepartment of Radiation Oncology, Vanderbilt University Medical Center, Nashville, TN, USA.
Lola B ChamblessDepartment of Neurological Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Anthony J CmelakDepartment of Radiation Oncology, Vanderbilt University Medical Center, Nashville, TN, USA.
Vanderbilt University Medical Center · USVanderbilt University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Radiation-associated malignancy and malignant transformation are risks associated with stereotactic radiosurgery (SRS); however, incidence is uncertain. The purpose of our study is to present the rate of radiation-associated malignancy and malignant transformation at our institution. After IRB approval, we undertook a retrospective cohort study evaluating patients treated with Gamma Knife® or linac-based SRS between 1990 and 2014 for benign CNS pathology with at least 5 years of clinical follow-up. Risk of transformation was calculated using the Kaplan-Meier method. A total of 273 patients met selection criteria. Median clinical follow-up after SRS was 11 years (range 5-27). Over 3,216 patient-years following SRS, we found zero cases of radiation-associated malignancy and two cases of radiation-associated malignant transformation for a crude rate of 0.73% or case rate of 0.62 per 1,000 patient-years. The Kaplan-Meier risk of malignant transformation at 5, 10, and 15 years was 0.4% (95% CI 0.05% 2.6%). These data support the continued use of SRS for benign intracranial pathology without significant concern for secondary malignancy.

Indexed as

Malignant transformationradiation-associated mutagenesisradiation-induced malignancyradiation sequelaesecondary malignant neoplasm

Identifiers

PMID32185088
PMCPMC7065897
OpenAlexW3011838168

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.