Evidence map›Paper›PMID 34759973›Full record

ArticleJournal of contemporary brachytherapy2021

Electronic brachytherapy for treatment of non-melanoma skin cancers: clinical results and toxicities.

Uma Goyal, Michael K Cheung, Justin Suszko, Brady Laughlin, Yongbok Kim, Jeanette Askam, Hina Arif-Tiwari, Benjamin Slane, John Gordon, Baldassare Stea

Open access · goldAbstract read
In one paragraph

Article in Journal of contemporary brachytherapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. 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

10 authors at 7 institutions in 1 country.

Uma Goyal *Banner MD Anderson Cancer Center and University of Arizona, Phoenix, USA.
Michael K Cheung *Veterans Affair West Los Angeles Healthcare System, Radiation Oncology, Los Angeles, USA.
Justin SuszkoRadiantCare, Lacey, USA.
Brady LaughlinDepartment of Radiation Oncology, Mayo Clinic, Phoenix, USA.
Yongbok KimDepartment of Radiation Oncology, Banner University Medical Center Tucson, USA.
Jeanette AskamDepartment of Radiation Oncology, Banner University Medical Center Tucson, USA.
Hina Arif-TiwariDepartment of Medical Imaging, Banner University Medical Center, Tucson, USA.
Benjamin SlaneLawrence Cancer Center, Radiation Oncology, Lawrence, USA.
John GordonIntermountain Healthcare, Salt Lake City, USA.
Baldassare SteaDepartment of Radiation Oncology, Banner University Medical Center Tucson, USA.
Banner - University Medical Center Tucson · USUniversity Medical Center · USIntermountain Healthcare · USRadiant Research (United States) · USRadiation Oncology Associates · USUniversity of Arizona · USWinnMed · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAlthough surgical approaches are standard for most non-melanomatous skin cancers, some patients are not candidates due to medical co-morbidities or functional or cosmetic or lesion location. High-dose-rate electronic brachytherapy (HDR-EBT) may be an alternative treatment modality. MATERIAL AND

methodsA retrospective chart review was conducted from April 2011 to April 2013. All lesions were pathologically confirmed as malignant basal cell or squamous cell carcinoma. A HDR-EBT system delivered a median biological equivalent dose of 50 Gy total to a depth of 0.1-0.5 cm using various sizes of applicators. Treatment feasibility, acute and late toxicity, cosmetic outcomes, and local recurrence were assessed.

resultsThirty-three patients with a mean age of 76 years with 50 cutaneous lesions were treated. Locations included 17 extremity lesions and 33 head and neck lesions. After treatments, acute grade 3 moist desquamation developed in 9 of the lesions (18%). Acute grade 4 ulceration developed in 3 lesions in the lower extremity (6%) and 1 upper lip lesion (2%). These toxicities were improved after a median of 20 days. Amongst the 4 lesions with grade 4 toxicities, a greater proportion were in lower extremity lesions compared to head and neck lesions (75% vs. 25%). There was no difference in the rate of grade 3 and 4 toxicities between patients aged ≤ 75 years and aged > 75 years (

conclusionsOur experience with HDR-EBT for non-melanomatous skin cancers is encouraging in terms of efficacy and convenience for patients. Our long-term follow-up shows a good response in all treated sites. Caution should be used for extremity sites, and more fractionated regimens should be considered to avoid severe acute toxicities.

Indexed as

clinicalelectronic brachytherapytoxicities

Identifiers

PMID34759973
PMCPMC8565634
OpenAlexW3206298237

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.