Evidence map›Paper›PMID 32776401›Full record

ArticleHead & neck2020

Highly conformal reirradiation in patients with prior oropharyngeal radiation: Clinical efficacy and toxicity outcomes.

Alexander F Bagley, Adam S Garden, Jay P Reddy, Amy C Moreno, Steven J Frank, David I Rosenthal, William H Morrison, Gary Brandon Gunn, Clifton D Fuller, Shalin J Shah and 4 more

Open access · greenAbstract read
In one paragraph

Article in Head & neck, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Evidence-based indications for proton therapy in adults determined using the GRADE approach.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Pooled it
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  3. FLASH proton reirradiation, with or without hypofractionation, reduces chronic toxicity in the normal murine intestine, skin, and bone.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2025
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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

14 authors at 1 institution in 1 country.

Alexander F BagleyDepartment of Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0002-0716-2569
Adam S GardenDepartment of Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0001-7926-2641
Jay P ReddyDepartment of Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
Amy C MorenoDepartment of Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0001-6762-6807
Steven J FrankDepartment of Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0001-6517-7884
David I RosenthalDepartment of Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
William H MorrisonDepartment of Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0002-9546-0805
Gary Brandon GunnDepartment of Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
Clifton D FullerDepartment of Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0002-5264-3994
Shalin J ShahDepartment of Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
Renata FerrarottoDepartment of Thoracic/Head and Neck Medical Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0002-3561-215X
Erich M SturgisDepartment of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0002-1069-4822
Neil D GrossDepartment of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0002-9427-0743
Jack PhanDepartment of Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
The University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
QuBBD: Precision E –Radiomics for Dynamic Big Head & Neck Cancer Data R01CA225190 · NCI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI CANAHUATE, GUADALUPE, FULLER, CLIFTON DAVID · 2017 to 2019
$776k
NCI NIH HHS P30 CA016672NCI NIH HHS P30CA016672NCI NIH HHS R01 CA225190
6 · The paper itself

Abstract

backgroundReirradiation of head and neck cancer is associated with high rates of locoregional failure and potentially severe treatment-related toxicity. We report our institutional experience of reirradiation using modern highly conformal radiotherapy approaches in patients with prior oropharyngeal radiation.

methodsWe reviewed patients receiving curative-intent reirradiation with intensity-modulated radiation therapy, stereotactic body radiation therapy, and proton beam radiotherapy at our institution from 1999 to 2019. Disease control, survival, and toxicity rates following reirradiation were determined.

resultsSixty-nine patients were evaluated. Local control (LC), progression-free survival, and overall survival at 2 years following reirradiation were 77%, 35%, and 51%, respectively. Grade 3 or greater (G3+) late toxicities occurred in 46% of patients and 41% required feeding tube placement during or after reirradiation.

conclusionsIn select patients with prior oropharyngeal radiation, highly conformal reirradiation offers acceptable LC, but G3+ toxicity and out-of-field failure rates remain high. These findings warrant continued evaluation of new multimodality approaches to improve oncologic outcomes.

Indexed as

Head and Neck NeoplasmsRadiotherapy, ConformalRadiotherapy, Intensity-ModulatedRe-IrradiationHumansNeoplasm Recurrence, LocalRadiotherapy DosageRetrospective StudiesTreatment Outcomehighly conformal radiotherapyoropharyngeal carcinomareirradiation

Identifiers

PMID32776401
PMCPMC7722120
OpenAlexW3047810278

What OpenQuestion holds

Textmetadata
LicenceTDM
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.