Evidence map›Paper›PMID 33249363›Full record

ArticleCancer epidemiology2021

Incidence of radiation induced sarcoma attributable to radiotherapy in adults: A retrospective cohort study in the SEER cancer registries across 17 primary tumor sites.

Anson Snow, Alexander Ring, Lucas Struycken, Wendy Mack, Melissa Koç, Julie E Lang

Open access · hybridAbstract read
In one paragraph

Article in Cancer epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.7field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 35 citations in OpenAlex.

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  12. Genomic Profiling of Radiation-Induced Sarcomas Reveals the Immunologic Characteristics and Its Response to Immune Checkpoint Blockade.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Article
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  20. A Case Report of Post-RadiotherapyCase reports in oncology
    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

6 authors at 2 institutions in 2 countries.

Anson SnowDivision of Medical Oncology, Department of Medicine, University of Southern California, Los Angeles, CA, USA; USC California Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA, USA.
Alexander RingDepartment of Medical Oncology and Haematology, University Hospital Zurich, and University of Zurich, Zurich, Switzerland.
Lucas StruyckenDivision of Medical Oncology, Department of Medicine, University of Southern California, Los Angeles, CA, USA; Division of Radiology, Department of Medical Imaging, University of Arizona Banner University Medical Center, Tucson, Arizona, USA.
Wendy MackDepartment of Preventive Medicine, SC Clinical Translational Science Institute, University of Southern California, Los Angeles, CA, USA.
Melissa KoçDepartment of Preventive Medicine, SC Clinical Translational Science Institute, University of Southern California, Los Angeles, CA, USA.
Julie E LangUSC California Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA, USA; Division of Surgical Oncology, Department of Surgery and University of Southern California Norris Cancer Center, University of Southern California, Los Angeles, CA, USA. Electronic address: Julie.Lang@med.usc.edu.
University of Southern California · USUniversity of Zurich · CH

Funding

USC/NORRIS COMPREHENSIVE CANCER CENTER (CORE) SUPPORTP30CA014089 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Fumito Ito · 1985 to 2026
$181.4M
Southern California Clinical and Translational Science InstituteUL1TR001855 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Thomas A Buchanan, Michele D. Kipke · 2016 to 2026
$81.3M
Southern California Clinical and Translational Science InstituteUL1TR000130 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BUCHANAN, THOMAS A · 2012 to 2015
$36.0M
NCATS NIH HHS UL1 TR000130NCATS NIH HHS UL1 TR001855NCI NIH HHS P30 CA014089
6 · The paper itself

Abstract

backgroundPrevious studies have noted the incidence of radiation-induced sarcomas (RIS) but have not investigated the relative risk (RR) of developing RIS based on primary tumor organ disease site. By examining data from the Surveillance, Epidemiology, and End Results (SEER) database, we hypothesized that breast cancer would have a higher incidence of RIS compared to seventeen other primary cancer sites.

methodsThis was a retrospective cohort study that examined patients from SEER registries between 1973 and 2013. We included patients aged 18 years or older who were diagnosed with cancer and those diagnosed with a cancer who subsequently developed a sarcoma. We excluded patients with missing information on initial radiotherapy treatment or stage. RIS was defined as those who developed a secondary sarcoma near the site of their original malignancy and after a 24-month latency period.

resultsOur patients had a mean age of 60 years and follow up time of 9.2 years. Breast cancer comprised the majority with 693,701(36.8%) patients of which 161 (0.02%) had a secondary sarcoma. Of the 359 patients with secondary sarcomas, 242 (67.4%) had RIS. Breast cancer had the highest number of RIS patients at 126 compared to all combined non-breast cancer sites at 116. The RR of RIS in breast cancer versus 19 other primary cancer sites was 1.21 (CI: 1.01-1.45, p < 0.03, adjusted for age at primary diagnosis, gender, and latency).

conclusionsOur study demonstrated that breast cancer has a higher risk of developing RIS compared to other solid cancers.

Indexed as

Cohort StudiesFemaleHumansIncidenceMaleMiddle AgedNeoplasms, Radiation-InducedRegistriesRetrospective StudiesSarcomaSEER Programand end resultsBreast cancerEpidemiologyRadiation-induced sarcomaRadiation therapyRadiotherapySecondary sarcomaSEERSurveillance

Identifiers

PMID33249363
PMCPMC7856279
OpenAlexW3110324528

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.