Evidence map›Paper›PMID 34466667›Full record

ReviewClinical and translational radiation oncology2021

A practical approach to bladder preservation with hypofractionated radiotherapy for localised muscle-invasive bladder cancer.

R Portner, A Bajaj, T Elumalai, R Huddart, V Murthy, H Nightingale, K Patel, P Sargos, Y Song, P Hoskin and 1 more

Open access · goldAbstract readReview
In one paragraph

Review 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.1field-weighted citation impact, top 13% 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, 13 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Review
  6. 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

11 authors at 6 institutions in 4 countries.

R PortnerThe Christie NHS Foundation Trust, Manchester, UK.
A BajajDepartment of Radiation Oncology, Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
T ElumalaiThe Christie NHS Foundation Trust, Manchester, UK.
R HuddartRoyal Marsden NHS Foundation Trust, London, UK.
V MurthyDepartment of Radiation Oncology, ACTREC and Tata Memorial Hospital, Homi Bhabha National University, Mumbai, India.
H NightingaleThe Christie NHS Foundation Trust, Manchester, UK.
K PatelThe Christie NHS Foundation Trust, Manchester, UK.
P SargosDepartment of Radiation Oncology, Institut Bergonié, F-33076 Bordeaux Cedex, France.
Y SongThe Christie NHS Foundation Trust, Manchester, UK.
P HoskinMount Vernon Cancer Centre, Northwood, UK.
A ChoudhuryThe Christie NHS Foundation Trust, Manchester, UK.
The Christie NHS Foundation Trust · GBUniversity of Manchester · GBHomi Bhabha National Institute · INInstitut Bergonié · FRNorthwestern University · USRoyal Marsden NHS Foundation Trust · GB

Funding

Cancer Research UK 17533Cancer Research UK 28284
6 · The paper itself

Abstract

Bladder preservation with trimodality treatment (TMT) is an alternative strategy to radical cystectomy (RC) for the management of localised muscle invasive bladder cancer (MIBC). TMT comprises of transurethral resection of the bladder tumour (TURBT) followed by radiotherapy with concurrent radiosensitisation. TMT studies have shown neo-adjuvant chemotherapy with cisplatin-based regimens is often given to further improve survival outcomes. A hypofractionated radiotherapy regimen is preferable due to its non-inferiority in local control and late toxicities. Radiosensitisation can comprise concurrent chemotherapy (with gemcitabine, cisplatin or combination fluorouracil and mitomycin), CON (carbogen and nicotinomide) or hyperthermic treatment. Radiotherapy techniques are continuously improving and becoming more personalised. As the bladder is a mobile structure subject to volumetric changes from filling, an adaptive approach can optimise bladder coverage and reduce dose to normal tissue. Adaptive radiotherapy (ART) is an evolving field that aims to overcome this. Improved knowledge of tumour biology and advances in imaging techniques aims to further optimise and personalise treatment.

Indexed as

Adaptive radiotherapyAssociated-muscle-invasive bladder cancerBladder preservationRadiosensitisationRadiotherapy

Identifiers

PMID34466667
PMCPMC8385113
OpenAlexW3193623107

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.