Evidence map›Paper›PMID 34439265›Full record

ArticleCancers2021

Neoadjuvant Modified Short-Course Radiotherapy Followed by Delayed Surgery for Locally Advanced Rectal Cancer.

Hiroshi Doi, Hiroyuki Yokoyama, Naohito Beppu, Masayuki Fujiwara, Shogo Harui, Ayako Kakuno, Hidenori Yanagi, Yoshio Hishikawa, Naoki Yamanaka, Norihiko Kamikonya

Abstract 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Hiroshi DoiDepartment of Radiation Oncology, Meiwa Cancer Clinic, 3-39 Agenaruocho, Hyogo, Nishinomiya 663-8186, Japan.ORCID 0000-0003-3237-2119
Hiroyuki YokoyamaDepartment of Radiation Oncology, Meiwa Cancer Clinic, 3-39 Agenaruocho, Hyogo, Nishinomiya 663-8186, Japan.
Naohito BeppuDepartment of Surgery, Meiwa Hospital, 4-31 Agenaruo, Hyogo, Nishinomiya 663-8186, Japan.
Masayuki FujiwaraDepartment of Radiation Oncology, Meiwa Cancer Clinic, 3-39 Agenaruocho, Hyogo, Nishinomiya 663-8186, Japan.
Shogo HaruiDepartment of Radiation Oncology, Meiwa Cancer Clinic, 3-39 Agenaruocho, Hyogo, Nishinomiya 663-8186, Japan.
Ayako KakunoDepartment of Pathology, Meiwa Hospital, 4-31 Agenaruo, Hyogo, Nishinomiya 663-8186, Japan.
Hidenori YanagiDepartment of Surgery, Meiwa Hospital, 4-31 Agenaruo, Hyogo, Nishinomiya 663-8186, Japan.
Yoshio HishikawaDepartment of Radiation Oncology, Meiwa Cancer Clinic, 3-39 Agenaruocho, Hyogo, Nishinomiya 663-8186, Japan.
Naoki YamanakaDepartment of Surgery, Meiwa Hospital, 4-31 Agenaruo, Hyogo, Nishinomiya 663-8186, Japan.
Norihiko KamikonyaDepartment of Radiation Oncology, Meiwa Cancer Clinic, 3-39 Agenaruocho, Hyogo, Nishinomiya 663-8186, Japan.

Funding

Japan Society for the Promotion of Science 20K08093
6 · The paper itself

Abstract

This study aimed to assess the clinical outcomes and predictive factors of neoadjuvant modified short-course radiotherapy (mSC-RT) for locally advanced rectal cancer (LARC). Data from 97 patients undergoing mSC-RT followed by radical surgery for LARC were retrospectively analyzed. A 2.5 Gy dose twice daily up to a total dose of 25 Gy in 10 fractions was administered through mSC-RT, and this was delivered with oral chemotherapy in 95 (97.9%) patients. Radical surgery was performed 6 (range, 3-13) weeks after mSC-RT. The median follow-up among surviving patients was 43 (8-86) months. All patients completed neoadjuvant radiotherapy with no acute toxicity grade ≥ 3. Three- and five-year local control rates were 96.3% and 96.3%, respectively. Three- and five-year overall survival (OS) rates were 92.7% and 79.8%, respectively. Univariate analyses revealed that poor OS was associated with no concurrent administration of capecitabine, C-reactive-protein-to-albumin ratio ≥ 0.053, carcinoembryonic antigen ≥ 3.4 ng/mL, and neutrophil-to-lymphocyte ratio (NLR) ≥ 1.83 (P = 0.045, 0.001, 0.041, and 0.001, respectively). Multivariate analyses indicated that NLR ≥ 1.83 was independently associated with poor OS (

Indexed as

accelerated hyperfractionated radiotherapycapecitabinechemotherapyneoadjuvant radiotherapyneutrophil-to-lymphocyte ratiopreoperative radiotherapyradiotherapyrectal cancerS-1short-course radiotherapy

Identifiers

PMID34439265
PMCPMC8394890

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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.