Evidence map›Paper›PMID 32404167›Full record

ArticleRadiation oncology (London, England)2020

Stereotactic body radiation therapy in the treatment of ovarian cancer.

Roman O Kowalchuk, Michael R Waters, K Martin Richardson, Kelly Spencer, James M Larner, William P Irvin, Charles R Kersh

Open access · goldAbstract read
In one paragraph

Article in Radiation oncology (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Roman O KowalchukUniversity of Virginia / Riverside, Radiosurgery Center, Newport News, VA, USA. Roman.Kowalchuk@rivhs.com.ORCID https://orcid.org/0000-0001-6142-6310
Michael R WatersUniversity of Virginia / Riverside, Radiosurgery Center, Newport News, VA, USA.ORCID https://orcid.org/0000-0003-2660-3355
K Martin RichardsonUniversity of Virginia / Riverside, Radiosurgery Center, Newport News, VA, USA.ORCID https://orcid.org/0000-0002-6049-5944
Kelly SpencerUniversity of Virginia / Riverside, Radiosurgery Center, Newport News, VA, USA.ORCID https://orcid.org/0000-0002-4532-0660
James M LarnerDepartment of Radiation Oncology, University of Virginia, Charlottesville, VA, USA.ORCID https://orcid.org/0000-0002-8679-7772
William P IrvinDepartment of Gynecologic Oncology, Riverside Regional Medical Center, Newport News, USA.ORCID https://orcid.org/0000-0002-7402-5783
Charles R KershUniversity of Virginia / Riverside, Radiosurgery Center, Newport News, VA, USA.ORCID https://orcid.org/0000-0003-2505-2846
Riverside Regional Medical Center · USUniversity of Virginia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study evaluates the outcomes and toxicity of stereotactic body radiation therapy (SBRT) in ovarian cancer.

methodsThis retrospective analysis considered all patients treated with SBRT from 2009 to 2018 with a primary ovarian tumor. Follow-up included PET-CT and CT scans at 2-3 month intervals. Statistical analysis primarily consisted of univariate analysis, Cox proportional hazards analysis, and the Kaplan-Meier method.

resultsThe study included 35 patients with 98 treatments for lymph nodes (51), local recurrence (21), and de novo solid metastases (26). Median biologically effective dose (BED), gross tumor volume, and planning target volume were 38.40 Gy, 10.41 cc, and 25.21 cc, respectively. 52 lesions showed complete radiographic response, and two-year local control was 80%. Median overall survival (OS) was 35.2 months, and two-year progression-free survival (PFS) was 12%. On univariate analysis, Eastern Cooperative Oncology Group performance status > 0 was predictive of decreased OS (p = 0.0024) and PFS (p = 0.044). Factors predictive of local failure included lower BED (p = 0.016), treatment for recurrence (p = 0.029), and higher pre-treatment SUV (p = 0.026). Kaplan-Meier analysis showed BED ≤35 Gy (p < 0.005) and treatment for recurrence (p = 0.01) to be predictive of local failure. On Cox proportional hazards analysis, treatment of lymph nodes was predictive of complete radiographic response (hazard ratio (HR) = 4.95), as was higher BED (HR = 1.03). Toxicity included 27 cases of grade < 3 toxicity, and one grade 5 late toxicity of GI bleed from a radiation therapy-induced duodenal ulcer.

conclusionsSBRT provides durable local control with minimal toxicity in ovarian cancer, especially with BED > 35 Gy and treatment for lymph nodes.

Indexed as

AdultAgedAged, 80 and overFemaleHumansMiddle AgedNeoplasm Recurrence, LocalOvarian NeoplasmsProgression-Free SurvivalRadiosurgeryRetrospective StudiesTreatment OutcomeOvarian cancerRadiation oncologySABRSBRT

Identifiers

PMID32404167
PMCPMC7222303
OpenAlexW3025544464

What OpenQuestion holds

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LicenceCC BY
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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.