Evidence map›Paper›PMID 33320286›Full record

Trial reportStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2021

Impact of guideline changes on adoption of hypofractionation and breast cancer patient characteristics in the randomized controlled HYPOSIB trial.

David Krug, Reinhard Vonthein, Andreas Schreiber, Alexander D Boicev, Jörg Zimmer, Reinhold Laubach, Nicola Weidner, Stefan Dinges, Matthias Hipp, Ralf Schneider and 9 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02474641 (Adjuvant Radiotherapy After Breast-conserving Surgery in Early Breast Cancer), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.1field-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.

NCT02474641 naactive not recruitingnot on this map

Adjuvant Radiotherapy After Breast-conserving Surgery in Early Breast Cancer: Hypofractionation With Simultaneous Integrated Boost vs. Standard Fractionation

TypeinterventionalSponsorUniversity Hospital Schleswig-HolsteinRan2015 to 2028Enrolled2,324ConditionsEarly-Stage Breast CarcinomaArmsStandard Radiation, Hypofractionation with SIB
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Sustainability in radiation oncology: opportunities for enhancing patient care and reducing COStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2025
    Article
  3. Article
  4. Article
  5. Article
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  7. [Moderate hypofractionated adjuvant radiotherapy with simultaneous integrated boost for breast cancer].Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2023
    Article
  8. [Adjuvant radiation therapy for breast cancer].Radiologie (Heidelberg, Germany) · 2023
    Article
  9. Breast clinical target volume: HU-based glandular CTVs and ESTRO CTVs in modern and historical radiotherapy treatment planning.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2022
    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

19 authors at 9 institutions in 1 country.

David KrugKlinik für Strahlentherapie, Universitätsklinikum Schleswig-Holstein Campus Kiel, Arnold-Heller-Str. 3, 24105, Kiel, Germany. david.krug@uksh.de.ORCID 0000-0001-8811-5416
Reinhard VontheinInstitut für Medizinische Biometrie und Statistik, Universität zu Lübeck, Universitätsklinikum Schleswig-Holstein, Lübeck, Germany.
Andreas SchreiberPraxis für Strahlentherapie Dr. med. Andreas Schreiber, Dresden, Germany.
Alexander D BoicevKlinik für Strahlentherapie und Radioonkologie, Heinrich-Braun-Klinikum Zwickau, Zwickau, Germany.
Jörg ZimmerPraxis für Strahlentherapie Dr. med. Andreas Schreiber, Dresden, Germany.
Reinhold LaubachKlinik für Radio-Onkologie, St. Marien-Krankenhaus Siegen, Siegen, Germany.
Nicola WeidnerKlinik für Strahlentherapie, Universitätsklinikum Tübingen, Tübingen, Germany.
Stefan DingesKlinik für Strahlentherapie & Radioonkologie, Klinikum Lüneburg, Lüneburg, Germany.
Matthias HippKlinik für Strahlentherapie, Klinikum Amberg, Amberg, Germany.
Ralf SchneiderKlinik für Strahlentherapie, Helios-Kliniken Schwerin, Schwerin, Germany.
Evelyn WeinstrauchPraxis für Radioonkologie, Johanniter-Zentren für Medizinische Versorgung Stendal, Stendal, Germany.
Thomas MartinMedizinisches Versorgungszentrum Fachbereich RadioOnkologie, Klinikum Bremen-Mitte, Bremen, Germany.
Juliane Hörner-RieberRadioOnkologie und Strahlentherapie, UniversitätsKlinikum Heidelberg, Heidelberg, Germany.
Denise OlbrichZKS Lübeck (Zentrum für klinische Studien Lübeck), Universität zu Lübeck, Lübeck, Germany.
Alicia IllenZKS Lübeck (Zentrum für klinische Studien Lübeck), Universität zu Lübeck, Lübeck, Germany.
Nicole HeßlerInstitut für Medizinische Biometrie und Statistik, Universität zu Lübeck, Universitätsklinikum Schleswig-Holstein, Lübeck, Germany.
Inke R KönigInstitut für Medizinische Biometrie und Statistik, Universität zu Lübeck, Universitätsklinikum Schleswig-Holstein, Lübeck, Germany.
Kathrin DellasKlinik für Strahlentherapie, Universitätsklinikum Schleswig-Holstein Campus Kiel, Arnold-Heller-Str. 3, 24105, Kiel, Germany.
Jürgen DunstKlinik für Strahlentherapie, Universitätsklinikum Schleswig-Holstein Campus Kiel, Arnold-Heller-Str. 3, 24105, Kiel, Germany.
University Hospital Schleswig-Holstein · DEUniversity of Lübeck · DECenter for HIV and Hepatogastroenterology · DEHeidelberg University · DEHelios Hospital Schwerin · DEKlinikum Lüneburg · DEKlinikum St. Marien Amberg · DEUniversitätsklinikum Tübingen · DEVogtland-Klinik · DE

Funding

Deutsche Krebshilfe 110897
6 · The paper itself

Abstract

purposeHypofractionated radiotherapy is the standard of care for adjuvant whole breast radiotherapy (RT). However, adoption has been slow. The indication for regional nodal irradiation has been expanded to include patients with 0-3 involved lymph nodes. We investigated the impact of the publication of the updated German S3 guidelines in 2017 on adoption of hypofractionation and enrollment of patients with lymph node involvement within a randomized controlled phase III trial.

methodsIn the experimental arm of the HYPOSIB trial (NCT02474641), hypofractionated RT with simultaneous integrated boost (SIB) was used. In the standard arm, RT could be given as hypofractionated RT with sequential boost (HF

resultsEnrollment of patients with involved lymph nodes was low throughout the trial. Adoption of HF

conclusionThe use of HF

Indexed as

Breast NeoplasmsRadiation Dose HypofractionationDose Fractionation, RadiationFemaleHumansLogistic ModelsRadiotherapy, AdjuvantBreast cancerGuideline implementationHypofractionationRadiotherapy

Identifiers

PMID33320286
PMCPMC8397631
OpenAlexW3111004693

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.