Evidence map›Paper›PMID 34934859›Full record

ArticleAdvances in radiation oncology

Toxicity and Efficacy After Adjuvant Vaginal Brachytherapy Using 30 Gy in 6 Fractions for Stages I and II Endometrial Cancer.

Jessica D Arden, Jonathan Dokter, Muayad F Almahariq, Kimberly Marvin, Sirisha R Nandalur, Zaid Al-Wahab, Jill Gadzinski, Barry Rosen, Maha Saada Jawad

Open access · goldAbstract read
In one paragraph

Article in Advances in radiation oncology. 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
0.3field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. The effect of hand massage on fatigue in women with cancer receiving brachytherapy: randomized clinical trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Trial
  2. Article
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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

9 authors at 2 institutions in 1 country.

Jessica D ArdenDepartment of Radiation Oncology, Beaumont Health System, Royal Oak, Michigan.
Jonathan DokterOakland University William Beaumont School of Medicine, Rochester, Michigan.
Muayad F AlmahariqDepartment of Radiation Oncology, Beaumont Health System, Royal Oak, Michigan.
Kimberly MarvinDepartment of Radiation Oncology, Beaumont Health System, Royal Oak, Michigan.
Sirisha R NandalurDepartment of Radiation Oncology, Beaumont Health System, Royal Oak, Michigan.
Zaid Al-WahabDepartment of Gynecologic Oncology, Beaumont Health System, Royal Oak, Michigan.
Jill GadzinskiDepartment of Gynecologic Oncology, Beaumont Health System, Royal Oak, Michigan.
Barry RosenDepartment of Gynecologic Oncology, Beaumont Health System, Royal Oak, Michigan.
Maha Saada JawadDepartment of Radiation Oncology, Beaumont Health System, Royal Oak, Michigan.
Beaumont Health · USOakland University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to evaluate outcomes and toxicity in patients with endometrial cancer per our institutional adjuvant vaginal cuff brachytherapy (VBT) fractionation scheme. METHODS AND MATERIALS: We identified women with International Federation of Gynecology and Oncology stages I and II endometrial cancer who underwent surgical staging and adjuvant high-dose-rate VBT without external beam radiation. All patients received 30 Gy in 6 fractions to the upper one-third of the vagina, prescribed to a depth of 5 mm and delivered twice weekly. Toxicities were prospectively elicited at each follow up, and rates of recurrence and survival were retrospectively assessed.

resultsWe identified 247 eligible patients treated between 1992 and 2018 with a median follow up of 5.8 years (range, 0.1-24.7 years). Most patients had stage I disease (52% stage IA; 37% stage IB), and 11% of patients were stage II. Deep myometrial invasion was predictive of local recurrence (

conclusionsThe adjuvant VBT fractionation scheme of 30 Gy in 6 fractions results in low rates of toxicity, with no grade ≥3 adverse events, and local control rates comparable with those from other published series using different fractionation schemes.

Identifiers

PMID34934859
PMCPMC8655421
OpenAlexW3193586356

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.