Evidence map›Paper›PMID 34660318›Full record

SynthesisFrontiers in oncology2021

Comparing Hypofractionated With Conventional Fractionated Radiotherapy After Breast-Conserving Surgery for Early Breast Cancer: A Meta-Analysis of Randomized Controlled Trials.

Lihu Gu, Wei Dai, Rongrong Fu, Hongfeng Lu, Jingyi Shen, Yetan Shi, Mengting Zhang, Ke Jiang, Feng Wu

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 5 pooled it
1.8field-weighted citation impact, top 15% 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

16 citing papers in PubMed, 5 syntheses or guidelines pooled it, 32 citations in OpenAlex.

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  3. A meta-analysis of randomized controlled trials comparing breast-conserving surgery and mastectomy in terms of patient survival rate and quality of life in breast cancer.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024
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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

9 authors at 2 institutions in 1 country.

Lihu GuDepartment of General Surgery, HwaMei Hospital, University of Chinese Academy of Sciences, Ningbo, China.
Wei DaiThe Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, China.
Rongrong FuThe First Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, China.
Hongfeng LuDepartment of Breast Surgery, HwaMei Hospital, University of Chinese Academy of Sciences, Ningbo, China.
Jingyi ShenNingbo Institute of Life and Health Industry, University of Chinese Academy of Sciences, Ningbo, China.
Yetan ShiNingbo Institute of Life and Health Industry, University of Chinese Academy of Sciences, Ningbo, China.
Mengting ZhangNingbo Institute of Life and Health Industry, University of Chinese Academy of Sciences, Ningbo, China.
Ke JiangNingbo Institute of Life and Health Industry, University of Chinese Academy of Sciences, Ningbo, China.
Feng WuDepartment of General Surgery, HwaMei Hospital, University of Chinese Academy of Sciences, Ningbo, China.
University of Chinese Academy of Sciences · CNZhejiang Chinese Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this meta-analysis was to compare the safety and efficacy between hypofractionated and conventional fractionation radiotherapy in patients with early-stage breast cancer after breast-conserving surgery.

methodsWe conducted a comprehensive search of PubMed, Embase, Web of Science, and the Cochrane Library to identify relevant randomized controlled trials (RCTs) published before February 2021. At the same time, the hazard ratio (HR), risk ratio (RR), and 95% confidence interval (CI) were calculated to evaluate local recurrence (LR), relapse-free survival (RFS), overall survival (OS), adverse events, and cosmetic outcomes.

resultsA total of 14 articles were included in this meta-analysis. Four thousand eight hundred and sixty-nine patients were randomly assigned to the control group to receive conventional radiotherapy (CFRT); 6,072 patients were randomly assigned to the experimental group and treated with hypofractionated radiotherapy (HFRT). The results showed that there was no statistical difference between HFRT and CFRT in LR (HR = 0.99, 95%CI = 0.97-1.02,

conclusionOur results suggest that there is no statistical difference between HFRT and CFRT in terms of LR, RFS, OS, and cosmetic outcomes. HFRT reduces the risk of developing toxicity reactions compared to CFRT. HFRT may be a better option for patients with early breast cancer after breast-conserving surgery.

Indexed as

breast cancerbreast-conserving surgeryconventional fractionated radiotherapyhypofractionated radiotherapymeta-analysis

Identifiers

PMID34660318
PMCPMC8518530
OpenAlexW3203629985

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.