Evidence map›Paper›PMID 33125504›Full record

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

Radiation treatment of hemato-oncological patients in times of the COVID-19 pandemic : Expert recommendations from the radiation oncology panels of the German Hodgkin Study Group and the German Lymphoma Alliance.

M Oertel, K Elsayad, R Engenhart-Cabillic, G Reinartz, C Baues, H Schmidberger, D Vordermark, S Marnitz, P Lukas, C Ruebe and 3 more

Open access · hybridAbstract readPractice Guideline
In one paragraph

Guideline 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 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 24% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Digital transfer in radiation oncology education for medical students-single-center data and systemic review of the literature.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2022
    Pooled it
  2. Pooled it
  3. Review
  4. Efficacy and toxicity of hypofractionated radiation therapy for patients with hematologic malignancies: A COVID-era ILROG collaborative report.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2025
    Article
  5. Knowledge and competences in hematological malignancies amongst radiation oncology residents in Germany-results from a national survey.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2024
    Article
  6. Impact of the COVID-19 pandemic on training conditions and education in oncologic disciplines: a survey-based analysis.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. 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

13 authors at 8 institutions in 2 countries.

M OertelDepartment of Radiation Oncology, University Hospital Muenster, Albert-Schweitzer-Campus 1 building A1, 48149, Muenster, Germany.ORCID http://orcid.org/0000-0002-2786-7013
K ElsayadDepartment of Radiation Oncology, University Hospital Muenster, Albert-Schweitzer-Campus 1 building A1, 48149, Muenster, Germany.
R Engenhart-CabillicDepartment of Radiotherapy and Radiation Oncology, University Hospital Giessen-Marburg, Marburg, Germany.
G ReinartzDepartment of Radiation Oncology, University Hospital Muenster, Albert-Schweitzer-Campus 1 building A1, 48149, Muenster, Germany.
C BauesDepartment of Radiation Oncology and Cyberknife Center, University Hospital of Cologne, Cologne, Germany.
H SchmidbergerDepartment of Radiotherapy and Radiation Oncology, University Hospital Mainz, Mainz, Germany.
D VordermarkDepartment of Radiation Oncology, University Hospital Halle (Saale), Halle (Saale), Germany.
S MarnitzDepartment of Radiation Oncology and Cyberknife Center, University Hospital of Cologne, Cologne, Germany.
P LukasDepartment of Radiooncology, Medical University Innsbruck, Innsbruck, Austria.
C RuebeDepartment of Radiation Oncology, Saarland University Hospital, Homburg, Germany.
A EngertDepartment I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Düsseldorf, University Hospital of Cologne, Cologne, Germany.
G LenzDepartment of Medicine A, Hematology, Oncology, University Hospital Muenster, Muenster, Germany.
H T EichDepartment of Radiation Oncology, University Hospital Muenster, Albert-Schweitzer-Campus 1 building A1, 48149, Muenster, Germany. hans.eich@ukmuenster.de.
University Hospital Münster · DEUniversity Hospital Cologne · DEDüsseldorf University Hospital · DEInnsbruck Medical University · ATJohannes Gutenberg University Mainz · DESaarland University · DEUniversitätsklinikum Gießen und Marburg · DEUniversity Hospital in Halle · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe coronavirus pandemic is affecting global health systems, endangering daily patient care. Hemato-oncological patients are particularly vulnerable to infection, requiring decisive recommendations on treatment and triage. The aim of this survey amongst experts on radiation therapy (RT) for lymphoma and leukemia is to delineate typical clinical scenarios and to provide counsel for high-quality care.

methodsA multi-item questionnaire containing multiple-choice and free-text questions was developed in a peer-reviewed process and sent to members of the radiation oncology panels of the German Hodgkin Study Group and the German Lymphoma Alliance. Answers were assessed online and analyzed centrally.

resultsOmission of RT was only considered in a minority of cases if alternative treatment options were available. Hypofractionated regimens and reduced dosages may be used for indolent lymphoma and fractures due to multiple myeloma. Overall, there was a tendency to shorten RT rather than to postpone or omit it. Even in case of critical resource shortage, panelists agreed to start emergency RT for typical indications (intracranial pressure, spinal compression, superior vena cava syndrome) within 24 h. Possible criteria to consider for patient triage are the availability of (systemic) options, the underlying disease dynamic, and the treatment rationale (curative/palliative).

conclusionRT for hemato-oncological patients receives high-priority and should be maintained even in later stages of the pandemic. Hypofractionation and shortened treatment schedules are feasible options for well-defined constellations, but have to be discussed in the clinical context.

Indexed as

PandemicsAppointments and SchedulesCOVID-19COVID-19 TestingCross InfectionDiagnosis, DifferentialDose Fractionation, RadiationHumansHygieneInfection ControlLymphomaMultiple MyelomaOsteolysisPersonal Protective EquipmentRadiation OncologyRadiation PneumonitisCOVIDhematologylymphomarecommendationSARS-CoV-2

Identifiers

PMID33125504
PMCPMC7596809
OpenAlexW3094898360

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.