Evidence map›Paper›PMID 33889203›Full record

ReviewEcancermedicalscience2021

Post-lumpectomy radiation therapy boost in breast cancer patients: evidence revisited.

Majd Kayali, Joseph Abi Jaoude, Paul Ramia, Hazem Assi, Fady Geara, Philip Poortmans, Youssef H Zeidan

Abstract readReview
In one paragraph

Review in Ecancermedicalscience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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

7 authors.

Majd KayaliDepartment of Radiation Oncology, American University of Beirut Medical Center, Beirut, Lebanon.
Joseph Abi JaoudeFaculty of Medicine, American University of Beirut, Beirut, Lebanon.
Paul RamiaDepartment of Radiation Oncology, American University of Beirut Medical Center, Beirut, Lebanon.
Hazem AssiDepartment of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Fady GearaDepartment of Radiation Oncology, American University of Beirut Medical Center, Beirut, Lebanon.
Philip PoortmansDepartment of Radiation Oncology, Institut Curie, Paris Sciences & Lettres, PSL University, Paris, France.
Youssef H ZeidanDepartment of Radiation Oncology, American University of Beirut Medical Center, Beirut, Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRadiation therapy is an integral part in the management of breast cancer after breast conservative surgery. In selected patients at high risk for local recurrence (LR), a boost radiation dose is commonly applied to the tumour bed.

methodsWe performed a review of the English literature using PubMed, Medline and Google Scholar for published manuscripts addressing the effect of boost radiation in breast cancer patients, focusing mainly on LR and overall survival (OS).

resultsA total of seven studies were included in our review. Most studies (6/7, 85.7%) showed a significant improvement in local control independent of age (hazard ratios ranging between 0.34 and 0.73), with the largest absolute benefit in younger patients. None of the studies, however, was able to demonstrate an improvement in OS.

conclusionsWith lack of sufficient studies addressing the role of boost radiation, individualised treatment decisions are recommended, taking into account the risk factors for LR, including tumour biology. Real-life data are sorely needed to better assess the role of tumour bed boost in the contemporary era.

Indexed as

breast cancerbreast conserving therapyprimary tumour bedradiation boostradiation therapy

Identifiers

PMID33889203
PMCPMC8043677

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Registered trials

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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.