Evidence map›Paper›PMID 33924716›Full record

ArticleCancers2021

Feasibility of Proton Beam Therapy as a Rescue Therapy in Heavily Pre-Treated Retinoblastoma Eyes.

Eva Biewald, Tobias Kiefer, Dirk Geismar, Sabrina Schlüter, Anke Manthey, Henrike Westekemper, Jörg Wulff, Beate Timmermann, Petra Ketteler, Stefan Schönberger and 5 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.9field-weighted citation impact, top 16% 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, 16 citations in OpenAlex.

  1. 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

15 authors at 2 institutions in 1 country.

Eva BiewaldDepartment of Ophthalmology, University Hospital Essen, University Duisburg Essen, 45122 Essen, Germany.
Tobias KieferDepartment of Ophthalmology, University Hospital Essen, University Duisburg Essen, 45122 Essen, Germany.
Dirk GeismarDepartment of Particle Therapy, West German Proton Therapy Centre Essen (WPE), University Hospital Essen, German Cancer Consortium (DKTK), 45122 Essen, Germany.
Sabrina SchlüterDepartment of Ophthalmology, University Hospital Essen, University Duisburg Essen, 45122 Essen, Germany.
Anke MantheyDepartment of Ophthalmology, University Hospital Essen, University Duisburg Essen, 45122 Essen, Germany.
Henrike WestekemperDepartment of Ophthalmology, University Hospital Essen, University Duisburg Essen, 45122 Essen, Germany.ORCID 0000-0001-7389-9692
Jörg WulffDepartment of Particle Therapy, West German Proton Therapy Centre Essen (WPE), University Hospital Essen, German Cancer Consortium (DKTK), 45122 Essen, Germany.ORCID 0000-0001-8260-3523
Beate TimmermannDepartment of Particle Therapy, West German Proton Therapy Centre Essen (WPE), University Hospital Essen, German Cancer Consortium (DKTK), 45122 Essen, Germany.
Petra KettelerDepartment of Pediatric Hematology and Oncology, University Duisburg Essen, 45122 Essen, Germany.ORCID 0000-0002-8138-0441
Stefan SchönbergerDepartment of Pediatric Hematology and Oncology, University Duisburg Essen, 45122 Essen, Germany.ORCID 0000-0002-7222-296X
Klaus A MetzInstitute of Pathology, University Hospital Essen, University Duisburg-Essen, 45122 Essen, Germany.
Saskia TingInstitute of Pathology, University Hospital Essen, University Duisburg-Essen, 45122 Essen, Germany.ORCID 0000-0003-1415-7714
Sophia GörickeDepartment of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, University Duisburg-Essen, 45122 Essen, Germany.
Nikolaos E BechrakisDepartment of Ophthalmology, University Hospital Essen, University Duisburg Essen, 45122 Essen, Germany.
Norbert BornfeldDepartment of Ophthalmology, University Hospital Essen, University Duisburg Essen, 45122 Essen, Germany.
University of Duisburg-Essen · DEDeutschen Konsortium für Translationale Krebsforschung · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the increased risk of subsequent primary tumors (SPTs) external beam radiation (EBRT) may be the only therapeutic option to preserve a retinoblastoma eye. Due to their physical properties, proton beam therapy (PBT) offers the possibility to use the effectiveness of EBRT in tumor treatment and to decisively reduce the treatment-related morbidity. We report our experiences of PBT as rescue therapy in a retrospectively studied cohort of 15 advanced retinoblastoma eyes as final option for eye-preserving therapy. The average age at the initiation of PBT was 35 (14-97) months, mean follow-up was 22 (2-46) months. Prior to PBT, all eyes were treated with systemic chemotherapy and a mean number of 7.1 additional treatments. Indication for PBT was non-feasibility of intra-arterial chemotherapy (IAC) in 10 eyes, tumor recurrence after IAC in another 3 eyes and diffuse infiltrating retinoblastoma in 2 eyes. Six eyes (40%) were enucleated after a mean time interval of 4.8 (1-8) months. Cataract formation was the most common complication affecting 44.4% of the preserved eyes, yet 77.8% achieved a visual acuity of >20/200. Two of the 15 children treated developed metastatic disease during follow-up, resulting in a 13.3% metastasis rate. PBT is a useful treatment modality as a rescue therapy in retinoblastoma eyes with an eye-preserving rate of 60%. As patients are at lifetime risk of SPTs consistent monitoring is mandatory.

Indexed as

EBRTeye preserving therapyin-field malignanciessubsequent primary malignancies

Identifiers

PMID33924716
PMCPMC8069965
OpenAlexW3152776224

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.