Evidence map›Paper›PMID 34807401›Full record

ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2022

Analgesic effects of low-dose radiotherapy in greater trochanteric pain syndrome: results in a clinical series of 155 patients with recurrent or refractory symptoms.

Albert Biete, Izaskun Valduvieco, Carla Cases, Jenaro Fernández-Valencia, Luis Alfonso Moreno, Montserrat Del Amo, Ángeles Rovirosa, Gabriela Oses, Joel Mases, Meritxell Mollà

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In one paragraph

Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2022. 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
0.2field-weighted citation impact, top 43% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  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 at 3 institutions in 1 country.

Albert BieteRadiation Oncology Department, Institut d'Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Hospital Clínic, University of Barcelona, C/ Villarroel 170, 08036, Barcelona, Spain.
Izaskun ValduviecoRadiation Oncology Department, Hospital Clínic, Barcelona, Spain. ivalduvi@clinic.cat.ORCID http://orcid.org/0000-0002-1675-7281
Carla CasesRadiation Oncology Department, Hospital Clínic, Barcelona, Spain.
Jenaro Fernández-ValenciaOrthopaedic Surgery Department, Hospital Clínic, University of Barcelona, Barcelona, Spain.
Luis Alfonso MorenoAnesthesiology Department, Pain Clinic, Hospital Clínic, University of Barcelona, Barcelona, Spain.
Montserrat Del AmoRadiology Department, Hospital Clínic, University of Barcelona, Barcelona, Spain.
Ángeles RovirosaRadiation Oncology Department, Hospital Clínic, Barcelona, Spain.
Gabriela OsesRadiation Oncology Department, Hospital Clínic, Barcelona, Spain.
Joel MasesRadiation Oncology Department, Hospital Clínic, Barcelona, Spain.
Meritxell MollàRadiation Oncology Department, Hospital Clínic, Barcelona, Spain.
Hospital Clínic de Barcelona · ESUniversitat de Barcelona · ESConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis prospective study assessed the effects of low-dose radiotherapy in patients diagnosed with greater trochanteric pain syndrome (GTPS) with recurrent symptoms or refractory to previous conservative measures.

methodsWe evaluated a total of 155 patients (90.3% women, mean age 69 years). Most patients (n = 136) received 10 Gy (1 Gy/day/3 fractions per week on alternate days), but after recommendations of DEGRO guidelines published in 2015, the remaining 19 patients (12.2%) received 6 Gy (1 Gy/day/3 fractions per week on alternate days).

resultsAt the pre-treatment visit, the mean (standard deviation, SD) visual analog scale (VAS) score was 8), which decreased to 5 (SD 2.2) after 1 month of the end of treatment and to 4 (SD 2.3) after 4 months. An objective symptom response with increased mobility, better sleep quality, and reduction of analgesic medication was found in 56% of patients at 1 month. In 129 patients (83.2%), there was a decrease of at least 1 point in the VAS score, and in 49 patients (29.0%), the VAS score was lower than 3. The mean length of follow-up was 45 months. The probability of maintaining the analgesic response estimated by the Kaplan-Meier method was 53% at 5 years.

conclusionLow dose radiotherapy effectively improved pain in the trochanteric area in most patients with recurrent or refractory GTPS, allowing a reduction in the need for analgesic medications and, more, importantly, better functioning and mobility. Further randomized studies in selected populations of GTPS are needed to define the treatment position of low-dose radiotherapy in this clinical setting.

Indexed as

BursitisAgedFemaleFemurHumansMalePainPain MeasurementProspective StudiesGreater trochanteric pain syndromeLateral hip painLow-dose radiotherapyNon-cancer diseases radiation

Identifiers

PMID34807401
OpenAlexW3214876715

What OpenQuestion holds

Textmetadata
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.