Evidence map›Paper›PMID 34545760›Full record

ArticleThe British journal of radiology2021

Low-dose radiation therapy for COVID-19 pneumonia: a pilot study.

Daya Nand Sharma, Randeep Guleria, Naveet Wig, Anant Mohan, Goura Rath, Vellaiyan Subramani, Sushma Bhatnagar, Supriya Mallick, Aman Sharma, Pritee Patil and 5 more

Open access · greenAbstract read
In one paragraph

Article in The British journal of radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 3% 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Low-dose Radiation Therapy in the Management of COVID-19 Pneumonia (LOWRAD-Cov19). Final results of a prospective phase I-II trial.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2022
    Trial
  6. Trial
  7. Whole lung irradiation as a novel treatment for COVID-19: Interim results of an ongoing phase 2 trial in India.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2021
    Trial
  8. Article
  9. Article
  10. Article
  11. Radiotherapy for non-cancer diseases: benefits and long-term risks.International journal of radiation biology · 2024
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. The immunology and immunotherapy for COVID-19.Expert reviews in molecular medicine · 2021
    Review
  20. COVID-19 and low-dose radiation therapy.Radiation medicine and protection · 2021
    Review
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

15 authors at 1 institution in 1 country.

Daya Nand SharmaDepartment of Radiation Oncology, All India Institute of Medical Sciences, New Delhi, India.
Randeep GuleriaDepartment of Pulmonary Medicine, All India Institute of Medical Sciences, New Delhi, India.
Naveet WigDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Anant MohanDepartment of Pulmonary Medicine, All India Institute of Medical Sciences, New Delhi, India.
Goura RathDepartment of Radiation Oncology, All India Institute of Medical Sciences, New Delhi, India.
Vellaiyan SubramaniDepartment of Radiation Oncology, All India Institute of Medical Sciences, New Delhi, India.
Sushma BhatnagarDepartment of Onco-anesthesia and Palliative Medicine, All India Institute of Medical Sciences, New Delhi, India.
Supriya MallickDepartment of Radiation Oncology, All India Institute of Medical Sciences, New Delhi, India.
Aman SharmaDepartment of Radiation Oncology, All India Institute of Medical Sciences, New Delhi, India.
Pritee PatilDepartment of Radiation Oncology, All India Institute of Medical Sciences, New Delhi, India.
Karan MadanDepartment of Pulmonary Medicine, All India Institute of Medical Sciences, New Delhi, India.
Manish SonejaDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Sanjay ThulkarDepartment of Radiology, All India Institute of Medical Sciences, New Delhi, India.
Angel SinghDepartment of Hospital Administration, All India Institute of Medical Sciences, New Delhi, India.
Sheetal SinghDepartment of Hospital Administration, All India Institute of Medical Sciences, New Delhi, India.
All India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe World Health Organization (WHO) has declared coronavirus disease 2019 (COVID-19) as pandemic in March 2020. Currently there is no specific effective treatment for COVID-19. The major cause of death in COVID-19 is severe pneumonia leading to respiratory failure. Radiation in low doses (<100 cGy) has been known for its anti-inflammatory effect and therefore, low dose radiation therapy (LDRT) to lungs can potentially mitigate the severity of pneumonia and reduce mortality. We conducted a pilot trial to study the feasibility and clinical efficacy of LDRT to lungs in the management of patients with COVID-19.

methodsFrom June to Aug 2020, we enrolled 10 patients with COVID-19 having moderate to severe risk disease [National Early Warning Score (NEWS) of ≥5]. Patients were treated as per the standard COVID-19 management guidelines along with LDRT to both lungs with a dose of 70cGy in single fraction. Response assessment was done based on the clinical parameters using the NEWS.

resultsAll patients completed the prescribed treatment. Nine patients had complete clinical recovery mostly within a period ranging from 3 to 7 days. One patient, who was a known hypertensive, showed clinical deterioration and died 24 days after LDRT. No patients showed the signs of acute radiation toxicity.

conclusionThe results of our pilot study suggest that LDRT is feasible in COVID-19 patients having moderate to severe disease. Its clinical efficacy may be tested by conducting randomized controlled trials. ADVANCES IN KNOWLEDGE: LDRT has shown promising results in COVID-19 pneumonia and should be researched further through randomized controlled trials.

Indexed as

AdultAgedCOVID-19Early Warning ScoreFeasibility StudiesFemaleHumansMaleMiddle AgedPandemicsPilot ProjectsPneumonia, ViralRadiotherapy DosageSARS-CoV-2

Identifiers

PMID34545760
PMCPMC9328067
OpenAlexW3200486353

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.