Evidence map›Paper›PMID 35190961›Full record

SynthesisClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2022

Evidence-based guidelines for hypofractionated radiation in breast cancer: conclusions of the Catalan expert working group.

Arantxa Eraso, Javier Sanz, Meritxell Mollà, Vicky Reyes, Agustí Pedro, Meritxell Arenas, Evelyn Martinez, Rosa Ballester, Maria José Cambra, Virginia García and 3 more

Registry-linked trialOpen access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07344597 (Prospective Comparative Study of Hypofractionated Adjuvant Radiotherapy in 2 Virsus 3 Weeks in Breast Cancer), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-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.

NCT07344597 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Prospective Comparative Study of Hypofractionated Adjuvant Radiotherapy in 2 Virsus 3 Weeks in Breast Cancer

Typeobservational_patient_registrySponsorSalwa Shawky Bakeet AliRan2026 to 2027Enrolled70ConditionsBreast CancerArmsradiotherapy
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 7 citations in OpenAlex.

  1. 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

13 authors at 8 institutions in 1 country.

Arantxa ErasoRadiation Oncology Department, Institut Català d'Oncologia Girona, Avda de França,0, 17007, Girona, Spain.
Javier SanzRadiation Oncology Department, Hospital del Mar, Edifici B, -2. C/ del Gas s/n, 08003, Barcelona, Spain. jsanz@psmar.cat.ORCID http://orcid.org/0000-0003-2296-9659
Meritxell MollàRadiation Oncology Department, Hospital Clínic de Barcelona, C/ Villarroel 170, 08036, Barcelona, Spain.
Vicky ReyesRadiation Oncology Department, Hospital Universitari Vall d'Hebron, Pass. de la Vall d'Hebron 119, 08035, Barcelona, Spain.
Agustí PedroRadiation Oncology Department, Hospital de la Santa Creu i Sant Pau, C/ Sant Antoni Maria Claret 167, 08025, Barcelona, Spain.
Meritxell ArenasRadiation Oncology Department, Hospital Universitari Sant Joan de Reus, Avda Doctor Josep Laporte 2, 43204, Reus, Spain.
Evelyn MartinezRadiation Oncology Department, Institut Català d'Oncologia, Hospital Duran i Reynals, Avda Gran Via de l'Hospitalet, 199-203, 08908, L'Hospitalet de Llobregat, Spain.
Rosa BallesterRadiation Oncology Department, Institut Català d'Oncologia Badalona, Carretera del Canyet s/n, 08916, Badalona, Spain.
Maria José CambraRadiation Oncology Deparment, Hospital General de Catalunya, C/ Pere i Pons 1, 08190, Sant Cugat del Vallés, Spain.
Virginia GarcíaRadiation Oncology Departement, Hospital Universitari Arnau de Vilanova, Av. Alcalde Rovira Roure, 80, 25198, Lleida, Spain.
Joan Lluis PradesPla Director d'Oncologia de Catalunya, Institut Català d'Oncologia, Hospital Duran i Reynals, Avda Gran Via de l'Hospitalet, 199-203, 08908, L'Hospitalet de Llobregat, Spain.
Josep M BorrasPla Director d'Oncologia de Catalunya, Institut Català d'Oncologia, Hospital Duran i Reynals, Avda Gran Via de l'Hospitalet, 199-203, 08908, L'Hospitalet de Llobregat, Spain.
Manuel AlgaraRadiation Oncology Department, Hospital del Mar, Edifici B, -2. C/ del Gas s/n, 08003, Barcelona, Spain.
Institut Català d'Oncologia · ESHospital Del Mar · ESHospital Clínic de Barcelona · ESHospital de Sant Pau · ESHospital General de Catalunya · ESHospital Universitari Arnau de Vilanova · ESHospital Universitari Sant Joan de Reus · ESVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDaily, moderate hypofractionation has become standard treatment for breast cancer following breast-conserving surgery, although substantial variation exists in its use. This paper describes the generation of consensus-based recommendations for the utilisation of this therapy at the healthcare system level and compares these to American Society for Radiation Oncology (ASTRO) guidelines. MATERIALS AND

methodsConsensus-based guidelines were developed in three steps, including a systematic literature review and involvement of radiation oncologists specialising in breast cancer in Catalonia: (a) creation of a working group and evidence review; (b) consideration of the levels of evidence and agreement on the formulation of survey questions; and (c) performance of survey and development of consensus-based recommendations. Results were compared to the ASTRO recommendations.

resultsConsensus was above 80% for 10 of the 14 survey items. Experts supported hypofractionated radiotherapy for all breast cancer patients aged 40 years or more; with invasive carcinoma and breast-conserving surgery; without radiation of lymph nodes; and regardless of the tumour size, histological grade, molecular subtype, breast size, laterality, other treatment characteristics, or need for a boost. Over half favoured its use in all situations, even where available scientific evidence is insufficient. The resulting recommendations and the quality of the evidence are comparable to those from ASTRO, despite some differences in the degree of consensus.

conclusionSpecialists agree that hypofractionation is the standard treatment for breast cancer following breast-conserving surgery, but some specific areas require a higher level of evidence before unequivocally extending indications.

Indexed as

Breast NeoplasmsCarcinomaRadiation OncologyFemaleHumansMastectomy, SegmentalRadiation Dose HypofractionationRadiotherapy, AdjuvantBreast cancerHypofractionationRadiotherapy

Identifiers

PMID35190961
PMCPMC9283173
OpenAlexW4213103360

What OpenQuestion holds

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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.