Evidence map›Paper›PMID 35106383›Full record

ArticleClinical and translational radiation oncology2022

Total skin electron beam therapy for cutaneous T-cell lymphomas in the Netherlands: A retrospective analysis of treatment outcomes and selection for high or low dose schedule.

K Smits, K D Quint, M H Vermeer, L A Daniëls, R Willemze, P M Jansen, W P A Jansen, K J Neelis

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational radiation oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. Review
  5. Article
  6. Total skin electron beam therapy.Frontiers in oncology · 2025
    Article
  7. Article
  8. Mycosis fungoides with spongiosis: a case report.Journal of medical case reports · 2023
    Article
  9. 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 at 3 institutions in 1 country.

K SmitsDepartment of Radiotherapy, Leiden University Medical Center, Leiden, the Netherlands.
K D QuintDepartment of Dermatology, Leiden University Medical Center, Leiden, the Netherlands.
M H VermeerDepartment of Dermatology, Leiden University Medical Center, Leiden, the Netherlands.
L A DaniëlsDepartment of Radiotherapy, Amsterdam University Medical Centre, Amsterdam, the Netherlands.
R WillemzeDepartment of Dermatology, Leiden University Medical Center, Leiden, the Netherlands.
P M JansenDepartment of Pathology, Leiden University Medical Center, Leiden, the Netherlands.
W P A JansenRadiotherapiegroep, Arnhem, the Netherlands.
K J NeelisDepartment of Radiotherapy, Leiden University Medical Center, Leiden, the Netherlands.
Leiden University Medical Center · NLRadiotherapie Groep · NLUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTotal skin electron beam therapy (TSEBT) is used mostly in the treatment of cutaneous T cell lymphoma. In this study we describe the results of TSEBT applied in the Netherlands using two different schedules, a conventional dose schedule of 35 Gy and a low-dose schedule of 12 Gy. We aimed to evaluate the treatment results in and compare treatment outcomes between the two treatment groups and to further define indications for both doses.

methodsIn the LUMC, Leiden, we performed a retrospective analysis of 51 patients treated with TSEBT between January 2008 and December 2018, with follow-up untill December 2019. Thirty one patients were treated with 35 Gy and twenty with 12 Gy. The dose was chosen based on the severity of skin involvement. Outcome measures were time to meaningful progression, survival, response rate and toxicity.

resultsTime to meaningful progression was 5.1 months with no significant differences between dose groups (P = 0.77). Overall survival was 27.4 months. Both time to progression and survival were significantly better for T2 vs T3 stage. Overall response rate was 80.4 %. Both dose groups showed improvement of symptoms. Treatment was generally well tolerated.

conclusionsBoth high-dose and low-dose TSEBT offer similar results for TMP and OS. It remains unclear which patients benefit most from a high-dose schedule. We propose to use the low-dose schedule as a standard for TSEBT and use supplementary boosts or escalation to high-dose treatment for patients unresponsive to the low-dose schedule.

Indexed as

Cutaneous T-cell lymphomaMycosis fungoidesRadiotherapyTotal skin electron beam therapyTotal skin irradiation

Identifiers

PMID35106383
PMCPMC8787769
OpenAlexW4205947561

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.