Evidence map›Paper›PMID 34843375›Full record

ArticleJCO global oncology2021

Point-Based Brachytherapy in Cervical Cancer With Limited Residual Disease: A Low- and Middle-Income Country Experience in the Era of Magnetic Resonance-Guided Adaptive Brachytherapy.

Ankita Gupta, Treshita Dey, Bhavana Rai, Arun S Oinam, Srinivasa Gy, Sushmita Ghoshal

Open access · goldAbstract read
In one paragraph

Article in JCO global oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.5field-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, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Point-A vs. volume-based brachytherapy for the treatment of cervix cancer: A meta-analysis.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2022
    Pooled it
  2. Article
  3. Article
  4. 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

6 authors at 1 institution in 1 country.

Ankita GuptaDepartment of Radiotherapy, Regional Cancer Center, Post Graduate Institute of Medical Education and Research, Chandigarh, India.ORCID 0000-0002-1117-6007
Treshita DeyDepartment of Radiotherapy, Regional Cancer Center, Post Graduate Institute of Medical Education and Research, Chandigarh, India.ORCID 0000-0001-7795-3596
Bhavana RaiDepartment of Radiotherapy, Regional Cancer Center, Post Graduate Institute of Medical Education and Research, Chandigarh, India.ORCID 0000-0001-7797-4696
Arun S OinamDepartment of Radiotherapy, Regional Cancer Center, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Srinivasa GyDepartment of Radiotherapy, Regional Cancer Center, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Sushmita GhoshalDepartment of Radiotherapy, Regional Cancer Center, Post Graduate Institute of Medical Education and Research, Chandigarh, India.ORCID 0000-0003-0430-7838
Post Graduate Institute of Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the clinical outcomes in patients with cervical cancer with limited residual disease at brachytherapy (BT) treated with point-based dose prescription.

methodsPatients with locally advanced squamous cell carcinoma of the cervix treated with computed tomography (CT)-based intracavitary BT were considered for analysis. Patients with good response to external beam radiotherapy and limited residual disease suitable for intracavitary BT alone were included. Postapplication CT scans were performed before each fraction and individual plans were made for each session. The dose per fraction was 9Gy high dose rate, prescribed to point-A. Two sessions were planned, 1 week apart. The organs at risk were contoured, and cumulative dose-volume histograms were computed. Local control, pelvic control, disease-free survival, and overall survival were evaluated and late toxicities were documented.

resultsFour hundred ninety patients were included. Overall, 79.8% had International Federation of Gynecology and Obstetrics (FIGO) stage IB2 to IIB disease and 20.2% had stage III to IVA disease. Median dose at point A (EQD2

conclusionIn patients with limited residual disease at BT, point-based dose prescription with CT planning results in good local control and acceptable toxicity. In a resource-constrained setting, patients may be triaged to receive point-based BT or magnetic resonance imaging-guided adaptive BT depending on the extent of residual disease.

Indexed as

BrachytherapyUterine Cervical NeoplasmsFemaleHumansMagnetic Resonance ImagingMagnetic Resonance SpectroscopyRadiotherapy Dosage

Identifiers

PMID34843375
PMCPMC8624033
OpenAlexW3215333644

What OpenQuestion holds

Textmetadata
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.