Evidence map›Paper›PMID 34926247›Full record

ArticleFrontiers in oncology2021

Practical Guidelines on Implementing Hypofractionated Radiotherapy for Prostate Cancer in Africa.

William Swanson, Richard Ndi Samba, Michael Lavelle, Ahmed Elzawawy, Erno Sajo, Wilfred Ngwa, Luca Incrocci

Open 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. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 26% 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, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
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

7 authors at 6 institutions in 4 countries.

William SwansonDepartment of Physics and Applied Physics, University of Massachusetts Lowell, Lowell, MA, United States.
Richard Ndi SambaDepartment of Regulation and Regulatory Control, Cameroon National Radiation Protection Agency, Yaounde, Cameroon.
Michael LavelleDepartment of Physics and Applied Physics, University of Massachusetts Lowell, Lowell, MA, United States.
Ahmed ElzawawyDepartment of Clinical Oncology, Suez Canal University, Ismailia, Egypt.
Erno SajoDepartment of Physics and Applied Physics, University of Massachusetts Lowell, Lowell, MA, United States.
Wilfred NgwaDepartment of Radiation Oncology, Dana Farber Cancer Institute, Brigham and Women's Hospital, and Harvard Medical School, Boston, MA, United States.
Luca IncrocciDepartment of Radiotherapy, Erasmus Medical Center (MC), Rotterdam, Netherlands.
University of Massachusetts Lowell · USErasmus MC · NLHarvard University · USJohns Hopkins University · USNational Radiation Protection Agency of Cameroon · CMSuez Canal University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Among a growing body of literature in global oncology, several articles project increased cost savings and radiotherapy access by adopting hypofractionated radiotherapy (HFRT) in low- and middle-income countries (LMICs) like those in Africa. Clinical trials in Europe and the USA have demonstrated HFRT to be non-inferior to conventional radiotherapy for eligible patients with several cancers, including prostate cancer. This could be a highly recommended option to battle a severely large and growing cancer burden in resource-limited regions. However, a level of implementation research may be needed in limited resource-settings like in Africa. In this article, we present a list of evidence-based recommendations to practice HFRT on eligible prostate cancer patients. As literature on HFRT is still developing, these guidelines were compiled from review of several clinical trials and professionally accredited material with minimal resource requirements in mind. HFRT guidelines presented here include patient eligibility, prescription dose schedules, treatment planning and delivery techniques, and quality assurance procedures. The article provides recommendations for both moderately hypofractionated (2.4-3.4Gy per fraction) and ultrahypofractionated (5Gy or more per fraction) radiation therapy when administered by 3D-Conformal Radiotherapy, Intensity Modulated Radiation Therapy, or Image-Guided Radiotherapy. In each case radiation oncology health professionals must make the ultimate judgment to ensure safety as more LMIC centers adopt HFRT to combat the growing scourge of cancer.

Indexed as

Africaguidelineshypofractionationprostate cancerradiotherapy

Identifiers

PMID34926247
PMCPMC8673781
OpenAlexW3215990797

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.