Evidence map›Paper›PMID 34151033›Full record

ArticleClinical and translational radiation oncology2021

Risk factor of pneumonitis on dose-volume relationship for chemoradiotherapy with durvalumab: Multi-institutional research in Japan.

Yoshiko Oshiro, Masashi Mizumoto, Yuta Sekino, Kazushi Maruo, Toshiki Ishida, Taisuke Sumiya, Masatoshi Nakamura, Ayako Ohkawa, Daichi Takizawa, Toshiyuki Okumura and 2 more

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational radiation oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

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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

12 authors at 7 institutions in 1 country.

Yoshiko OshiroDepartment of Radiation Oncology, Tsukuba Medical Center Hospital, Ibaraki, Japan.
Masashi MizumotoDepartment of Radiation Oncology, University of Tsukuba, Ibaraki, Japan.
Yuta SekinoDepartment of Radiation Oncology, University of Tsukuba, Ibaraki, Japan.
Kazushi MaruoDepartment of Biostatistics, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan.
Toshiki IshidaDepartment of Radiation Oncology, University of Tsukuba, Ibaraki, Japan.
Taisuke SumiyaDepartment of Radiation Oncology, University of Tsukuba, Ibaraki, Japan.
Masatoshi NakamuraDepartment of Radiation Oncology, University of Tsukuba, Ibaraki, Japan.
Ayako OhkawaDepartment of Radiation Oncology, Mito Medical Center Hospital, Ibaraki, Japan.
Daichi TakizawaDepartment of Radiation Oncology, Hitachi General Hospital, Ibaraki, Japan.
Toshiyuki OkumuraDepartment of Radiation Oncology, University of Tsukuba, Ibaraki, Japan.
Yoshio TamakiDepartment of Radiation Oncology, University of Tsukuba, Ibaraki, Japan.
Hideyuki SakuraiDepartment of Radiation Oncology, University of Tsukuba, Ibaraki, Japan.
University of Tsukuba · JPHitachi General Hospital · JPIbarakihigashi National Hospital · JPIbaraki Prefectural Central Hospital · JPNational Hospital Organization Mito Medical Center · JPTsuchiura Kyodo General Hospital · JPTsukuba Medical Center Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo estimate appropriate dose-volume parameters for avoidance of pneumonitis in use of chemoradiotherapy and durvalumab for treatment of lung cancer. MATERIALS AND

methodsPatients with non-small cell lung cancer treated with concurrent chemoradiotherapy followed by durvalumab at 9 centers were enrolled in the study. Three-dimensional radiotherapy, intensity modulated radiotherapy, and proton beam therapy were used. The frequency and severity of pneumonitis and the dose-volume relationship for normal lung were evaluated. Univariable and multivariable analyses were conducted to identify risk factors. A covariate adjusted hazard ratio was then estimated for the percentages of normal lung volume irradiated at ≥ X Gy (Vx) (X = 5-40) and lung volume non-irradiated at ≥ X Gy (X = 5-40), with the covariates selected in the variable selection. Cumulative incidence functions and covariate adjusted hazard ratios were also estimated for dichotomized variables, with estimated cut-off points.

resultsA total of 91 patients were enrolled in the study. The median time from the start of radiotherapy to development of pneumonitis was 4.1 months. Pneumonitis was observed in 80 patients (88%), including grade 2 or severe pneumonitis in 31 (34%) and ≥ grade 3 pneumonitis in 11 (12%). Pneumonitis was inside the irradiation field in 73 of the 80 patients (91%). The selected factors for ≥ grade 2 pneumonitis were V

conclusionThough there are some limitation of this study, the basic concept of concurrent chemoradiotherapy with an emphasis on V

Indexed as

Dose-volume histogramDurvalumabPneumonitisProton therapyRadiotherapy

Identifiers

PMID34151033
PMCPMC8190008
OpenAlexW3168636697

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.