Evidence map›Paper›PMID 34958809›Full record

Trial reportRadiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology2022

Whole lung irradiation as a novel treatment for COVID-19: Final results of the prospective randomized trial (WINCOVID trial).

Govindaraj Ganesan, Sasipriya Ponniah, Vivek Sundaram, Praveen Kumar Marimuthu, Venkatraman Pitchaikannu, Manikandan Chandrasekaran, Janakiraman Thangarasu, Gunasekaran Kannupaiyan, Prabhu Ramamoorthy, Brindha Thangaraj and 2 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 23% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Radiotherapy for non-cancer diseases: benefits and long-term risks.International journal of radiation biology · 2024
    Review
  6. Article
  7. Response to "Comments on whole lung irradiation as a novel treatment for COVID-19: Final results of the prospective randomized trial (WINCOVID trial)".Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2022
    Article
  8. Comments on "Whole lung irradiation as a novel treatment for COVID-19: Final results of the prospective randomized trial (WINCOVID trial)".Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2022
    Article
  9. Review
  10. Article
  11. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Govindaraj GanesanHarshamitra Super-Specialty Cancer Centre and Research Institute, Trichy, India. Electronic address: govindarajganesan@gmail.com.
Sasipriya PonniahHarshamitra Super-Specialty Cancer Centre and Research Institute, Trichy, India.
Vivek SundaramSundaram Hospital, Trichy, India.
Praveen Kumar MarimuthuHarshamitra Super-Specialty Cancer Centre and Research Institute, Trichy, India.
Venkatraman PitchaikannuHarshamitra Super-Specialty Cancer Centre and Research Institute, Trichy, India.
Manikandan ChandrasekaranHarshamitra Super-Specialty Cancer Centre and Research Institute, Trichy, India.
Janakiraman ThangarasuRPS Hospitals, Chennai, India.
Gunasekaran KannupaiyanHarshamitra Super-Specialty Cancer Centre and Research Institute, Trichy, India.
Prabhu RamamoorthyHarshamitra Super-Specialty Cancer Centre and Research Institute, Trichy, India.
Brindha ThangarajHarshamitra Super-Specialty Cancer Centre and Research Institute, Trichy, India.
Harshavardhanan Sasipriya GovindarajHarshamitra Super-Specialty Cancer Centre and Research Institute, Trichy, India.
Shree Vaishnavi RaguramHarshamitra Super-Specialty Cancer Centre and Research Institute, Trichy, India.
Apollo Hospitals · INSundaram Medical Foundation · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe ability of low dose radiotherapy (LDRT) to control the unprecedented cytokine release associated with COVID-19 pathogenesis has been an area of widespread research since the COVID pandemic. It has not been studied adequately whether the anti-inflammatory effect of LDRT provides additional benefit when used concurrently with steroids amongst other standard pharmacologic therapy. MATERIAL AND

methods51 RT-PCR positive COVID-19 patients were recruited between November 2020 and July 2021. 34 patients were allotted to receive 0.5 Gy single session LDRT along with standard pharmacologic therapy while 17 patients received standard pharmacologic therapy alone. All had SpO

resultsLDRT showed a statistically significant early improvement in oxygenation, an early time to clinical recovery, early hospital discharge and better radiological resolution compared to control group. There was no statistically significant difference between the two groups with respect to ALC or blood biomarkers at any of the measured time points. The 28-day mortality rate did not show statistically significant difference between the two groups.

conclusionLDRT can be considered for selected oxygen-dependent moderate to severe COVID-19 patients for rapid relief of respiratory distress. It can be safely combined with standard pharmacologic treatment in such patients for added clinical benefit.

Indexed as

COVID-19HumansLungProspective StudiesSARS-CoV-2Treatment OutcomeAnti-inflammatory therapyCOVID therapyCytokine stormLow dose radiotherapy (LDRT)Randomized trialWhole lung IrradiationWINCOVID trial

Identifiers

PMID34958809
PMCPMC8709793
OpenAlexW4200309237

What OpenQuestion holds

Textmetadata
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.