Evidence map›Paper›PMID 33293968›Full record

ArticleJournal of contemporary brachytherapy2020

Eye plaque brachytherapy versus enucleation for ocular melanoma: an analysis from the National Cancer Database.

Jay A Messer, Raed J Zuhour, Waqar Haque, Gary D Lewis, Amy C Schefler, Andrew Wong, Eric H Bernicker, Patricia Chevez-Barrios, Enzhuo Michelle Quan, Andrew Farach and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of contemporary brachytherapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-weighted citation impact, top 20% 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, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Evolution of dose distribution for aPrecision radiation oncology · 2024
    Article
  6. Contemporary trends in management of uveal melanoma.Journal of contemporary brachytherapy · 2022
    Article
  7. Article
  8. Article
  9. Article
  10. Article
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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

13 authors at 3 institutions in 1 country.

Jay A MesserDepartment of Radiation Oncology, The University of Texas Medical Branch, Galveston, TX, USA.
Raed J ZuhourDepartment of Radiation Oncology, The University of Texas Medical Branch, Galveston, TX, USA.
Waqar HaqueDepartment of Radiation Oncology, Houston Methodist Hospital, Houston, TX, USA.
Gary D LewisDepartment of Radiation Oncology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Amy C ScheflerDepartment of Ophthalmology, Houston Methodist Hospital, Houston, TX, USA.
Andrew WongDepartment of Radiation Oncology, The University of Texas Medical Branch, Galveston, TX, USA.
Eric H BernickerDepartment of Medical Oncology, Houston Methodist Hospital, Houston, TX, USA.
Patricia Chevez-BarriosDepartment of Pathology, Houston Methodist Hospital, Houston, TX, USA.
Enzhuo Michelle QuanDepartment of Radiation Oncology, Houston Methodist Hospital, Houston, TX, USA.
Andrew FarachDepartment of Radiation Oncology, Houston Methodist Hospital, Houston, TX, USA.
E Brian ButlerDepartment of Radiation Oncology, Houston Methodist Hospital, Houston, TX, USA.
Sandra S HatchDepartment of Radiation Oncology, The University of Texas Medical Branch, Galveston, TX, USA.
Bin S TehDepartment of Radiation Oncology, Houston Methodist Hospital, Houston, TX, USA.
Methodist Hospital · USThe University of Texas Medical Branch at Galveston · USUniversity of Arkansas for Medical Sciences · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is no current randomized data comparing the efficacy of brachytherapy and enucleation for patients with larger sized tumors. The purpose of the present study was to use a large, contemporary database to determine current practice patterns and compare survival outcomes between different management options for patients with choroidal melanoma of various sizes. MATERIAL AND

methodsThe National Cancer Database was queried (2004-2014) for histologically-confirmed choroidal melanoma for patients treated with brachytherapy versus enucleation. Chi-square test was used to compare categorized demographic and clinical variables in both arms. Kaplan-Meier analysis evaluated overall survival (OS). Cox proportional hazards assessment determined variables associated with OS. Patients were divided into cohorts representing small, medium, and large tumors. Propensity scores matching (PSM) was utilized to compare more similar cohorts.

resultsA total of 7,096 patients met the selection criteria; 5,501 (78%) patients received brachytherapy and 1,595 (22%) patients were treated with enucleation. After PSM, 5-yr OS for small tumors was 87% vs. 64%, for medium tumors was 77% vs. 57%, and for large tumors was 68% vs. 46% for brachytherapy and enucleation, respectively (

conclusionsPatients selected for brachytherapy had improved survival compared to enucleation in all size cohorts. EOE and CBI are significantly higher in the enucleation cohort and are important negative prognosticators for survival selected against patients having brachytherapy. Brachytherapy is a reasonable treatment option for certain patients with large size tumors.

Indexed as

enucleationeye plaque brachytherapylarge tumorsNational Cancer DatabaseNCDBocular melanoma

Identifiers

PMID33293968
PMCPMC7690235
OpenAlexW3086794724

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.