Evidence map›Paper›PMID 34852776›Full record

Trial reportBMC cancer2021

Hypofractionated radiotherapy in ten fractions for postmastectomy patients: a phase II study compared with another hypofractionation schedule with sixteen fractions.

Huayong Jiang, Lingling Meng, Huijuan Zhang, Xiangkun Dai, Qian Zhang, Zhongjian Ju, Wei Yu, Lin Ma

Abstract readClinical Trial, Phase IIComparative Study
In one paragraph

Trial report in BMC cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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.

Huayong Jiang *Medical School of Chinese PLA, 28 Fuxing Road, Beijing, 100853, China.
Lingling Meng *Department of Radiation Oncology, Senior Department of Oncology, the Fifth Medical Center of PLA General Hospital, 100 West Fourth Ring Middle Road, Beijing, 100859, China.
Huijuan Zhang *Department of Radiation Oncology, Senior Department of Oncology, the Fifth Medical Center of PLA General Hospital, 100 West Fourth Ring Middle Road, Beijing, 100859, China.
Xiangkun DaiDepartment of Radiation Oncology, Senior Department of Oncology, the Fifth Medical Center of PLA General Hospital, 100 West Fourth Ring Middle Road, Beijing, 100859, China.
Qian ZhangDepartment of Radiation Oncology, Senior Department of Oncology, the Fifth Medical Center of PLA General Hospital, 100 West Fourth Ring Middle Road, Beijing, 100859, China.
Zhongjian JuDepartment of Radiation Oncology, Senior Department of Oncology, the Fifth Medical Center of PLA General Hospital, 100 West Fourth Ring Middle Road, Beijing, 100859, China.
Wei YuDepartment of Radiation Oncology, Senior Department of Oncology, the Fifth Medical Center of PLA General Hospital, 100 West Fourth Ring Middle Road, Beijing, 100859, China. yuwei@126.com.
Lin MaMedical School of Chinese PLA, 28 Fuxing Road, Beijing, 100853, China. malinpharm@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this phase II study was to evaluate the feasibility of hypofractionated radiotherapy (HFRT) with a dose of 36.5 Gy in 10 fractions in postmastectomy patients.

methodsFrom March 2014 to December 2015, 85 patients with locally advanced breast cancer were eligible to participate in this study with a schedule of 36.5 Gy in 10 fractions. Intensity-modulated radiation therapy (IMRT) was delivered to the chest wall with or without the supraclavicular region. The primary endpoint was radiation-related toxicities. The secondary endpoints were locoregional failure-free survival (LRFFS), disease-free survival (DFS) and overall survival (OS). And the outcomes were compared with our retrospective study of 72 patients with 42.5 Gy in 16 fractions.

resultsThe median follow-up was 69.0 (range 66.5-71.5) months in the 36.5 Gy group and 93.0 (range 91.9-94.1) months in the 42.5 Gy group, respectively. Radiation-related toxicities were mainly grade 1, although a few patients had grade 2 plexopathy (1.2%) and acute skin toxicity (1.2%) in the 36.5 Gy group, and grade 2 acute skin toxicity (5.6%) and lymphedema (4.2%) in the 42.5 Gy group. There were no significant differences between the groups in acute and late toxicities. For all the patients, the 5-year LRFFS, DFS and OS were 97.7 and 100.0%, 93.1 and 90.3%, 98.8 and 97.2%, respectively, without significant differences between the groups.

conclusionPostmastectomy HFRT with a schedule of 36.5 Gy in 10 fractions was feasible, with mild toxicities and excellent 5-year clinical outcome.

trial registrationTrial registration number: ChiCTR-ONRC-14004391 . Date of registration: 9/3/2014.

Indexed as

Radiation Dose HypofractionationDisease-Free SurvivalFeasibility StudiesFemaleFollow-Up StudiesHeartHumansKaplan-Meier EstimateLungLymphedemaMastectomyMiddle AgedOrgans at RiskProspective StudiesRadiation InjuriesRetrospective StudiesBreast cancerHypofractionated radiotherapyPostmastectomy

Identifiers

PMID34852776
PMCPMC8638138

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Registered trials

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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.