Evidence map›Paper›PMID 32816059›Full record

ReviewStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2020

Low-dose radiotherapy for COVID-19 pneumonia treatment: case report, procedure, and literature review.

Ruben Del Castillo, David Martinez, Gustavo J Sarria, Luis Pinillos, Bertha Garcia, Luis Castillo, Alicia Carhuactocto, Frank A Giordano, Gustavo R Sarria

Abstract readCase ReportsReview
In one paragraph

Review in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Radiotherapy for non-cancer diseases: benefits and long-term risks.International journal of radiation biology · 2024
    Review
  6. Review
  7. Article
  8. Article
  9. Radiotherapy during the COVID-19: a review about management and treatment strategies.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2022
    Article
  10. Review
  11. COVID-19 and low-dose radiation therapy.Radiation medicine and protection · 2021
    Review
  12. Article
  13. Effectiveness of low-dose radiation therapy to improve mortality of COVID-19.Journal of cancer research and clinical oncology · 2021
    Review
  14. Review
  15. Article
  16. [Low dose radiotherapy for COVID-19 pneumopathy: Biological rationale and literature review].Cancer radiotherapie : journal de la Societe francaise de radiotherapie oncologique · 2021
    Review
  17. Radiotherapy and COVID-19-everything under control or just the start of a long story?Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2020
    Article
  18. Review
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.

Ruben Del CastilloDepartment of Radiation Oncology, Clinica Delgado-AUNA, Lima, Peru.
David MartinezDepartment of Radiation Oncology, Clinica Delgado-AUNA, Lima, Peru.
Gustavo J SarriaDepartment of Radiation Oncology, Clinica Delgado-AUNA, Lima, Peru.
Luis PinillosDepartment of Radiation Oncology, Clinica Delgado-AUNA, Lima, Peru.
Bertha GarciaDepartment of Radiation Oncology, Clinica Delgado-AUNA, Lima, Peru.
Luis CastilloDepartment of Critical Care, Clinica Delgado-AUNA, Lima, Peru.
Alicia CarhuactoctoDepartment of Radiation Oncology, Clinica Delgado-AUNA, Lima, Peru.
Frank A GiordanoDepartment of Radiation Oncology, University Hospital Bonn, Universitätsklinikum Bonn, Venusberg Campus 1, Building 55, 53127, Bonn, Germany.
Gustavo R SarriaDepartment of Radiation Oncology, University Hospital Bonn, Universitätsklinikum Bonn, Venusberg Campus 1, Building 55, 53127, Bonn, Germany. Gustavo.sarria@ukbonn.de.ORCID http://orcid.org/0000-0002-5929-7270

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic outbreak has set the emergency services in developing countries on major alert, as the installed response capacities are easily overwhelmed by the constantly increasing high demand. The deficit of intensive care unit beds and ventilators in countries like Peru is forcing practitioners to seek preventive or early interventional strategies to prevent saturating these chronically neglected facilities. CASE PRESENTATION: A 64-year-old patient is reported after presenting with COVID-19 pneumonia and rapidly progressing to deteriorated ventilatory function. Compassionate treatment with a single 1‑Gy dose to the bilateral whole-lung volume was administered, with gradual daily improvement of ventilatory function and decrease in serum inflammatory markers and oxygen support needs, including intubation. No treatment-related toxicity developed. Procedures of transport, disinfection, and treatment planning and delivery are described.

conclusionWhole-lung low-dose radiotherapy seems to be a promising approach for avoiding or delaying invasive respiratory support. Delivered low doses are far from meeting toxicity ranges. On-going prospective trials will elucidate the effectiveness of this approach.

Indexed as

COVID-19 Drug TreatmentAnti-Bacterial AgentsAntibodies, Monoclonal, HumanizedAnticoagulantsAntiviral AgentsCombined Modality TherapyCompassionate Use TrialsCOVID-19EnoxaparinHumansHydroxychloroquineMaleMiddle AgedOxygen Inhalation TherapyPeruRadiotherapy Planning, Computer-AssistedAnti-Bacterial AgentsAntibodies, Monoclonal, HumanizedAnticoagulantsAntiviral AgentsEnoxaparinHydroxychloroquinetocilizumabCOVID-19Cytokine stormIntensive careLow-dose radiotherapyViral pneumonia

Identifiers

PMID32816059
PMCPMC7439803

What OpenQuestion holds

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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.