Evidence map›Paper›PMID 34900741›Full record

ArticleFrontiers in oncology2021

Multi-Institutional Study Validates Safety of Intraoperative Cesium-131 Brachytherapy for Treatment of Recurrent Head and Neck Cancer.

Adam Luginbuhl, Alyssa Calder, David Kutler, Chad Zender, Trisha Wise-Draper, Jena Patel, Michael Cheng, Vidhya Karivedu, Tingting Zhan, Bhupesh Parashar and 10 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 19% 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.

NCT02467738 early_phase1completednot on this map

A Pilot Study Using Surgical Resection and Intraoperative Cesium-131 Permanent Interstitial Brachytherapy Implant in Resectable Recurrent Head and Neck Cancer

TypeinterventionalSponsorSidney Kimmel Comprehensive Cancer Center at Thomas Jefferson UniversityRan2015 to 2020Enrolled30ConditionsRecurrent Head and Neck CarcinomaArmsBrachytherapy, Cesium-131, Conventional surgery
NCT02794675 early_phase1completednot on this map

A Pilot Study Using Intraoperative Placement of Cesium-131 Permanent Interstitial Brachytherapy in Resectable High Risk Recurrent Head and Neck Cancer

TypeinterventionalSponsorCase Comprehensive Cancer CenterRan2016 to 2020Enrolled15ConditionsHead and Neck Cancer, Head and Neck Squamous Cell CarcinomaArmsCesium 131
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Phase II Trial of Adjuvant Nivolumab Following Salvage Resection in Patients with Recurrent Squamous Cell Carcinoma of the Head and Neck.Clinical cancer research : an official journal of the American Association for Cancer Research · 2022
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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

20 authors at 7 institutions in 1 country.

Adam LuginbuhlDepartment of Otolaryngology, Thomas Jefferson University, Philadelphia, PA, United States.
Alyssa CalderDepartment of Otolaryngology, Thomas Jefferson University, Philadelphia, PA, United States.
David KutlerDepartment of Otolaryngology, Weill Cornell Medical Center, New York, NY, United States.
Chad ZenderDepartment of Otolaryngology, University of Cincinnati Medical Center, Cincinnati, OH, United States.
Trisha Wise-DraperDepartment of Medical Oncology, University of Cincinnati Medical Center, Cincinnati, OH, United States.
Jena PatelDepartment of Otolaryngology, Thomas Jefferson University, Philadelphia, PA, United States.
Michael ChengDepartment of Otolaryngology, Weill Cornell Medical Center, New York, NY, United States.
Vidhya KariveduDepartment of Medical Oncology, Ohio State University, Columbus, OH, United States.
Tingting ZhanDivision of Biostatistics, Department of Pharmacology and Experimental Therapeutics, Thomas Jefferson University, Philadelphia, PA, United States.
Bhupesh ParasharDepartment of Radiation Oncology, Zucker School of Medicine at Hofstra/Northwell, New York, NY, United States.
Shuchi GulatiDepartment of Medical Oncology, University of Cincinnati Medical Center, Cincinnati, OH, United States.
Min YaoDepartment of Radiation Oncology, University Hospitals Cleveland Medical Center Seidman Cancer Center, Cleveland, OH, United States.
Pierre LavertuDepartment of Radiation Oncology, University Hospitals Cleveland Medical Center Seidman Cancer Center, Cleveland, OH, United States.
Vinita TakiarDepartment of Radiation Oncology, University of Cincinnati Medical Center, Cincinnati, OH, United States.
Alice TangDepartment of Otolaryngology, University of Cincinnati Medical Center, Cincinnati, OH, United States.
Jennifer JohnsonDepartment of Medical Oncology, Thomas Jefferson University, Philadelphia, PA, United States.
William KeaneDepartment of Otolaryngology, Thomas Jefferson University, Philadelphia, PA, United States.
Joseph CurryDepartment of Otolaryngology, Thomas Jefferson University, Philadelphia, PA, United States.
David CognettiDepartment of Otolaryngology, Thomas Jefferson University, Philadelphia, PA, United States.
Voichita Bar-AdDepartment of Radiation Oncology, Thomas Jefferson University, Philadelphia, PA, United States.
Thomas Jefferson University · USUniversity of Cincinnati Medical Center · USCornell University · USUniversity Hospitals Seidman Cancer Center · USUniversity of Cincinnati · USHofstra University · USThe Ohio State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSurgery is the primary treatment for resectable, non-metastatic recurrent head and neck squamous cell carcinoma (HNSCC). We explore the safety and oncologic benefit of intraoperative Cesium-131 (Cs-131) brachytherapy combined with salvage local and/or regional surgical resection. METHODS AND MATERIALS: Findings were reported from a single arm multi-institutional prospective phase 1/2 trial involving surgery plus Cs-131 (surgery + Cs-131) treatment. The results of two retrospective cohorts-surgery alone and surgery plus intensity modulated radiation therapy (surgery + ReIMRT)-were also described. Included patients had recurrent HNSCC and radiation history. Safety, tumor re-occurrence, and survival were evaluated.

resultsForty-nine patients were enrolled in the surgery + Cs-131 prospective study. Grade 1 to 3 adverse events (AEs) occurred in 18 patients (37%), and grade 4 AEs occurred in 2 patients. Postoperative percutaneous endoscopic gastrostomy (PEG) tubes were needed in 10 surgery + Cs-131 patients (20%), and wound and vascular complications were observed in 12 patients (24%). No cases of osteoradionecrosis were reported in the surgery + Cs-131 cohort. We found a 49% 2-year disease-free survival at the site of treatment with a substantial number of patients (31%) developing metastatic disease, which led to a 31% overall survival at 5 years.

conclusionsAmong patients with local/regional recurrent HNSCC status-post radiation, surgery + Cs-131 demonstrated acceptable safety with compelling oncologic outcomes, as compared to historic control cohorts. CLINICAL

trial registrationClinicalTrials.gov, identifiers NCT02794675 and NCT02467738.

Indexed as

brachytherapyCesium-131head and neck cancerrecurrentreirradiation head and necksurgery

Identifiers

PMID34900741
PMCPMC8660666
OpenAlexW3215153975

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.