Evidence map›Paper›PMID 34028200›Full record

ArticleThoracic cancer2021

Optimal radiotherapy dose in cervical esophageal squamous cell carcinoma patients treated with definitive concurrent chemoradiotherapy: A population based study.

Chia-Chin Li, Chih-Yi Chen, Ying-Hsiang Chou, Chih-Jen Huang, Hsiu-Ying Ku, Chun-Ru Chien

Open access · goldAbstract readComparative Study
In one paragraph

Article in Thoracic cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Definitive chemo-radiotherapy in cervical oesophageal cancer: a comprehensive review of literature.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2024
    Review
  4. Article
  5. 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

6 authors at 6 institutions in 2 countries.

Chia-Chin LiDepartment of Radiation Oncology, China Medical University Hsinchu Hospital, Hsinchu, Republic of China.
Chih-Yi ChenDivision of Thoracic Surgery, Department of Surgery, Chung Shan Medical University Hospital, Taichung, Republic of China.
Ying-Hsiang ChouDepartment of Medical Imaging and Radiological Sciences, Chung Shan Medical University, Taichung, Republic of China.
Chih-Jen HuangDepartment of Radiation Oncology, Kaohsiung Medical University Hospital, Kaohsiung, Republic of China.
Hsiu-Ying KuNational Institute of Cancer Research, National Health Research Institutes, Miaoli, Republic of China.
Chun-Ru ChienDepartment of Radiation Oncology, China Medical University Hsinchu Hospital, Hsinchu, Republic of China.ORCID 0000-0002-2365-7641
Asia University · TWChina Medical University · TWChina Medical University Hospital · TWChung Shan Medical University Hospital · TWKaohsiung Medical University · TWShanxi Medical University · CN

Funding

China Medical University Hsinchu Hospital CMUHCH-DMR-109-015China Medical University Hsinchu Hospital CMUHCH-DMR-110-002China Medical University Hsinchu Hospital CMUHCH-DMR-110-015Health Promotion Administration, Ministry of Health and Welfare A1081116
6 · The paper itself

Abstract

backgroundThe optimal radiotherapy dose for locally advanced cervical esophageal squamous cell carcinoma (C-ESqCC) treated with definitive concurrent chemoradiotherapy (dCCRT) is unclear. Here, we aimed to compare the survival of those treated with high dose versus standard dose via a population based approach.

methodsEligible C-ESqCC patients diagnosed between 2011 and 2017 were identified via the Taiwan Cancer Registry. We used propensity score (PS) weighting to balance observable potential confounders between groups. The hazard ratio (HR) of death and incidence of esophageal cancer mortality (IECM) were compared between high (60-70 Gy) and standard dose (50-50.4 Gy). We also evaluated the outcome in supplementary analyses via alternative approaches.

resultsOur primary analysis consisted of 141 patients in whom covariates were well balanced after PS weighting. The HR of death when high dose was compared with standard dose was 0.65 (95% confidence interval [CI]: 0.4-1.03, p = 0.07). The HR of IECM was 0.74 (p = 0.45). The HR of OS remained similarly insignificant in supplementary analyses.

conclusionsWe observed a trend in favor of high radiotherapy dose versus standard dose for C-ESqCC treated with dCCRT in this population-based nonrandomized study. Further studies are needed to confirm the findings of the study.

Indexed as

ChemoradiotherapyDisease-Free SurvivalEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaFemaleHumansMaleMiddle AgedNeckcervical esophageal squamous cell carcinomadefinitive concurrent chemoradiotherapyradiotherapy dose

Identifiers

PMID34028200
PMCPMC8287021
OpenAlexW3165199656

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.