Evidence map›Paper›PMID 33665488›Full record

ArticleAdvances in radiation oncology

Radiation-Induced Brachial Plexopathy in Patients With Breast Cancer Treated With Comprehensive Adjuvant Radiation Therapy.

Soumon Rudra, Amit Roy, Randall Brenneman, Prashant Gabani, Michael C Roach, Laura Ochoa, Heidi Prather, Catherine Appleton, Julie Margenthaler, Lindsay L Peterson and 5 more

Open access · goldAbstract read
In one paragraph

Article in Advances in radiation oncology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

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

12 citing papers in PubMed, 24 citations in OpenAlex.

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  11. A comparison of acute patient-reported outcomes in breast cancer patients with and without regional nodal irradiation using the ESAS and PRFS tool.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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  12. Advances in radiation oncology
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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

15 authors at 1 institution in 1 country.

Soumon RudraDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri.
Amit RoyDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri.
Randall BrennemanDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri.
Prashant GabaniDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri.
Michael C RoachDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri.
Laura OchoaDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri.
Heidi PratherDepartment of Neurology, Washington University School of Medicine, St. Louis, Missouri.
Catherine AppletonDepartment of Radiology, Washington University School of Medicine, St. Louis, Missouri.
Julie MargenthalerDepartment of Surgery, Washington University School of Medicine, St. Louis, Missouri.
Lindsay L PetersonDivision of Oncology, Washington University School of Medicine, St. Louis, Missouri.
Nusayba A BagegniDivision of Oncology, Washington University School of Medicine, St. Louis, Missouri.
Jacqueline E ZoberiDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri.
Jose Garcia-RamirezDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri.
Maria A ThomasDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri.
Imran ZoberiDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, Missouri.
Washington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOur purpose was to describe the risk of radiation-induced brachial plexopathy (RIBP) in patients with breast cancer who received comprehensive adjuvant radiation therapy (RT). METHODS AND MATERIALS: Records for 498 patients who received comprehensive adjuvant RT (treatment of any residual breast tissue, the underlying chest wall, and regional nodes) between 2004 and 2012 were retrospectively reviewed. All patients were treated with conventional 3 to 5 field technique (CRT) until 2008, after which intensity modulated RT (IMRT) was introduced. RIBP events were determined by reviewing follow-up documentation from oncologic care providers. Patients with RIBP were matched (1:2) with a control group of patients who received CRT and a group of patients who received IMRT. Dosimetric analyses were performed in these patients to determine whether there were differences in ipsilateral brachial plexus dose distribution between RIBP and control groups.

resultsMedian study follow-up was 88 months for the overall cohort and 92 months for the IMRT cohort. RIBP occurred in 4 CRT patients (1.6%) and 1 IMRT patient (0.4%) (

conclusionsRIBP remains a rare complication of comprehensive adjuvant breast radiation and no clear dosimetric predictors for RIBP were identified in this study. The IMRT technique does not appear to adversely affect the development of this late toxicity.

Identifiers

PMID33665488
PMCPMC7897772
OpenAlexW3095016373

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.