Evidence map›Paper›PMID 33452954›Full record

SynthesisClinical & experimental metastasis2021

Systematic review of stereotactic body radiotherapy for nodal metastases.

Francesco Deodato, Gabriella Macchia, Milly Buwenge, Mattia Bonetti, Savino Cilla, Alice Zamagni, Alessia Re, Donato Pezzulla, Francesco Cellini, Lidia Strigari and 2 more

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical & experimental metastasis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Stereotactic radiotherapy for oligometastases in the lymph nodes.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2022
    Review
  6. 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

12 authors at 5 institutions in 1 country.

Francesco Deodato *Radiotherapy Unit, Gemelli Molise Hospital, Campobasso, Italy.
Gabriella Macchia *Radiotherapy Unit, Gemelli Molise Hospital, Campobasso, Italy.
Milly BuwengeRadiotherapy Department, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, via Giuseppe Massarenti 9, 40138, Bologna, Italy. mbuwenge@gmail.com.ORCID 0000-0002-0779-1875
Mattia BonettiDepartment of Experimental, Diagnostic and Specialty Medicine (DIMES), University of Bologna, Bologna, Italy.
Savino CillaMedical Physic Unit, Gemelli Molise Hospital, Campobasso, Italy.
Alice ZamagniRadiotherapy Department, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, via Giuseppe Massarenti 9, 40138, Bologna, Italy.
Alessia ReRadiotherapy Unit, Gemelli Molise Hospital, Campobasso, Italy.
Donato PezzullaRadiotherapy Unit, Gemelli Molise Hospital, Campobasso, Italy.
Francesco CelliniDipartimento Di Diagnostica Per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario "A. Gemelli", IRCCS, UOC Di Radioterapia Oncologica, Roma, Italy.
Lidia StrigariMedical Physic Unit, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy.
Vincenzo ValentiniDipartimento Di Diagnostica Per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario "A. Gemelli", IRCCS, UOC Di Radioterapia Oncologica, Roma, Italy.
Alessio G MorgantiRadiotherapy Department, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, via Giuseppe Massarenti 9, 40138, Bologna, Italy.
University of Molise · ITAzienda USL di Bologna · ITAgostino Gemelli University Polyclinic · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this analysis was to assess the efficacy of stereotactic body radiotherapy (SBRT) in terms of local control (LC) and progression-free survival (PFS) in patients with lymph node metastases (NMs) from solid tumors. A systematic literature search from the earliest date to July 25th, 2019 was performed following PRISMA guidelines. Papers reporting LC and/or PFS of NMs using SBRT (< 10 fractions) were selected. The clinical outcomes rates were pooled by means of a random or fixed-effect model. Twenty-nine studies were eligible (969 patients: 938 (LC) and 698 (PFS)). LC and PFS results were reported in 28 and 18 papers, respectively. Heterogeneity was observed in terms of patient and treatment characteristics. Pooled 2-year LC reported in 11 studies was 79.3% (95%CI, 72.8%-85.7%) with substantial heterogeneity between studies (Q2 test: p = 0.0083; I2 = 57.9%), while pooled 2-year PFS reported in 8 studies was 35.9% (95%CI, 22.1%-49.7%) with very high heterogeneity between studies (Q2 test: p < 0.0001; I2 = 86.1%). Grade ≥ 3 and Grade 5 toxicity rates were 2.0% and 0.2%, respectively. SBRT of NMs seems to be safe and effective in terms of LC. However, due to the marked heterogeneity of the included series, prospective studies are required.

Indexed as

HumansLymphatic MetastasisNeoplasmsRadiosurgeryTreatment OutcomeLymph nodesMetastasisSBRTStereotactic body radiotherapySystematic review

Identifiers

PMID33452954
OpenAlexW3121500308

What OpenQuestion holds

Textmetadata
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.