Evidence map›Paper›PMID 34821137›Full record

ArticleRadiology and oncology2021

Hypofractionated preoperative radiotherapy for high risk soft tissue sarcomas in a geriatric patient population.

Vlatko Potkrajcic, Frank Traub, Barbara Hermes, Marcus Scharpf, Jonas Kolbenschlag, Daniel Zips, Frank Paulsen, Franziska Eckert

Open access · goldAbstract read
In one paragraph

Article in Radiology and oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Myxoid liposarcoma: treatment outcomes, metastatic pattern and volumetric analysis.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2025
    Article
  3. Review
  4. Article
  5. Article
  6. Moderate hypofractionated radiation therapy and pathologic response for soft tissue sarcomas (STS) of limbs and trunk: experience from a tertiary cancer center.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    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

8 authors at 3 institutions in 1 country.

Vlatko PotkrajcicDepartment of Radiation Oncology, Eberhard-Karls-University Tuebingen, Tuebingen, Germany.
Frank TraubCentre for Soft Tissue Sarcoma, GIST and bone tumours, Eberhard-Karls-University Tuebingen, Tuebingen, Germany.
Barbara HermesCentre for Soft Tissue Sarcoma, GIST and bone tumours, Eberhard-Karls-University Tuebingen, Tuebingen, Germany.
Marcus ScharpfCentre for Soft Tissue Sarcoma, GIST and bone tumours, Eberhard-Karls-University Tuebingen, Tuebingen, Germany.
Jonas KolbenschlagCentre for Soft Tissue Sarcoma, GIST and bone tumours, Eberhard-Karls-University Tuebingen, Tuebingen, Germany.
Daniel ZipsDepartment of Radiation Oncology, Eberhard-Karls-University Tuebingen, Tuebingen, Germany.
Frank PaulsenDepartment of Radiation Oncology, Eberhard-Karls-University Tuebingen, Tuebingen, Germany.
Franziska EckertDepartment of Radiation Oncology, Eberhard-Karls-University Tuebingen, Tuebingen, Germany.
University of Tübingen · DEHeidelberg University · DEUniversity Medical Center of the Johannes Gutenberg University Mainz · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStandard therapy for localised, resectable high risk soft tissue sarcomas consists of wide excision and radiotherapy over several weeks. This treatment schedule is hardly feasible in geriatric and frail patients. In order not to withhold radiotherapy from these patients, hypofractionated radiotherapy with 25 Gy in 5 fractions was evaluated in a geriatric patient population. PATIENTS AND

methodsA retrospective analysis was performed of 18 geriatric patients with resectable high risk soft tissue sarcomas of extremities and thoracic wall. Wound healing and short term oncologic outcome were analysed. In addition, dose constraints for radiotherapy of the extremities were transferred from normofractionated to hypofractionated radiotherapy regimens.

resultsFeasibility was good with 17/18 patients completing treatment as planned. Wound healing complication rate was in the range of published data. Two patients developed local and distant recurrence, two patients isolated distant recurrences. No isolated local recurrences were observed. Keeping the constraints was possible in all cases without compromising the coverage of the target volume.

conclusionsHypofractionated radiotherapy and surgery was well tolerated even in this specific patient population. With feasibility concerning early wound healing problems and adapted constraints, which allow for the treatment of most resectable extremity tumours, the concept warrants further evaluation in patients unfit for standard radiotherapy.

Indexed as

SarcomaSoft Tissue NeoplasmsAgedFeasibility StudiesHumansRecurrenceRetrospective Studiesgeriatric patientshypofractionationpreoperativeradiotherapysarcomawound healing

Identifiers

PMID34821137
PMCPMC8647799
OpenAlexW3215860463

What OpenQuestion holds

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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.