Evidence map›Paper›PMID 34110500›Full record

ReviewCurrent treatment options in oncology2021

Cardiotoxicity of Radiation Therapy: Mechanisms, Management, and Mitigation.

P Ell, J M Martin, D A Cehic, D T M Ngo, A L Sverdlov

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current treatment options in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
3.6field-weighted citation impact, top 6% 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

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Radiation Treatment Mechanisms of Cardiotoxicity: A Systematic Review.International journal of molecular sciences · 2023
    Pooled it
  4. Review
  5. Observational
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Cardio-Oncology and Multi-Imaging Modalities.Journal of clinical medicine · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

5 authors at 4 institutions in 1 country.

P EllGenesisCare, Lake Macquarie Private Hospital, Gateshead, NSW, Australia.
J M MartinGenesisCare, Lake Macquarie Private Hospital, Gateshead, NSW, Australia.
D A CehicGenesisCare, Buildings 1&11, The Mill, 41-43 Bourke Road, Alexandria, NSW, 2015, Australia.
D T M NgoCollege of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW, 2308, Australia.
A L SverdlovCollege of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW, 2308, Australia. aaron.sverdlov@newcastle.edu.au.ORCID 0000-0003-2539-8038
Lake Macquarie Private Hospital · AUAustralian and New Zealand Intensive Care Society · AUHunter Medical Research Institute · AUHunter Water · AU

Funding

Hunter Cancer Research Alliance New Strategic Initiatives GrantJohn Hunter Charitable Trust Project GrantNational Heart Foundation of Australia 101918National Heart Foundation of Australia 104814NSW Ministry of Health Cardiovascular Capacity Building ProgramNSW Ministry of Health EMCR Fellowship
6 · The paper itself

Abstract

opinion statementRadiation therapy is a key component of modern-day cancer therapy and can reduce the rates of recurrence and death from cancer. However, it can increase risk of cardiovascular (CV) events, and our understanding of the timeline associated with that risk is shorter than previously thought. Risk mitigation strategies, such as different positioning techniques, and breath hold acquisitions as well as baseline cardiovascular risk stratification that can be undertaken at the time of radiotherapy planning should be implemented, particularly for patients receiving chest radiation therapy. Primary and secondary prevention of cardiovascular disease (CVD), as appropriate, should be used before, during, and after radiation treatment in order to minimize the risks. Opportunistic screening for subclinical coronary disease provides an attractive possibility for primary/secondary CVD prevention and thus mitigation of long-term CV risk. More data on long-term clinical usefulness of this strategy and development of appropriate management pathways would further strengthen the evidence for the implementation of such screening. Clear guidelines in initial cardiovascular screening and cardiac aftercare following radiotherapy need to be formulated in order to integrate these measures into everyday clinical practice and policy and subsequently improve post-treatment morbidity and mortality for these patients.

Indexed as

CalciumCardiotoxicityCardiovascular DiseasesCoronary VesselsHeartHumansNeoplasmsRadiotherapyRadiotherapy DosageRisk FactorsCalciumCardio-oncologyCardiotoxicityCoronary calcificationPreventionRadiation therapy

Identifiers

PMID34110500
OpenAlexW3172901602

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.