Evidence map›Paper›PMID 35307115›Full record

ReviewSeminars in radiation oncology2022

The Role of Ablative Radiotherapy in Older Adults With Limited Metastatic Disease.

Bill H Diplas, Patricia Mae G Santos, Armin Shahrokni, Andrew Warner, Puneeth Iyengar, Jonathan T Yang, Daniel R Gomez, David A Palma, C Jillian Tsai

Open access · greenAbstract readReview
In one paragraph

Review in Seminars in radiation oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

9 authors at 3 institutions in 2 countries.

Bill H DiplasDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY.
Patricia Mae G SantosDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY.
Armin ShahrokniDepartment of Medicine, Geriatrics Service, Memorial Sloan Kettering Cancer Center, New York, NY.
Andrew WarnerDepartment of Radiation Oncology, London Health Sciences Centre, London, Ontario, Canada.
Puneeth IyengarDepartment of Radiation Oncology, UT Southwestern Medical Center, Dallas, TX.
Jonathan T YangDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY.
Daniel R GomezDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY.
David A PalmaDepartment of Radiation Oncology, London Health Sciences Centre, London, Ontario, Canada.
C Jillian TsaiDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY. Electronic address: tsaic@mskcc.org.
Memorial Sloan Kettering Cancer Center · USLondon Health Sciences Centre · CASouthwestern Medical Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Medical Scientist Training Program Training GrantT32GM145449 · NIGMS · DUKE UNIVERSITY · PI Christopher D Kontos · 2022 to 2026
$6.6M
NCI NIH HHS P30 CA008748NIGMS NIH HHS T32 GM145449
6 · The paper itself

Abstract

For patients with oligometastatic cancer, radiotherapy presents a promising avenue for achieving meaningful symptom relief and durable disease control. Data from recently published and ongoing randomized studies are helping to define the appropriate contexts for effective intervention with stereotactic ablative body radiotherapy (SABR) in the oligometastatic setting. Importantly, older adults represent a significant portion of patients with oligometastatic disease, yet often comprise a minority of patients in clinical trials. Moreover, older adults of the same chronologic age may have variable degrees of fitness and frailty. In this review, we highlight the specific challenges and considerations for the use of radiotherapy for older adults with oligometastatic disease-noting the importance of geriatric assessments in clinical decision-making about the appropriateness of SABR and other metastasis-directed therapies in this population. We then review data from existing trials, including a subset analysis of adverse events and survival estimates among older adults enrolled in the landmark SABR-COMET trial. Finally, we discuss future directions for research, including the need for focused clinical trials in older adult cohorts. Ultimately, a multidisciplinary approach is critical when carefully balancing the potential risks and benefits of this emerging treatment paradigm in the older adult population.

Indexed as

NeoplasmsRadiosurgeryAgedHumans

Identifiers

PMID35307115
PMCPMC10898514
OpenAlexW4221084735

What OpenQuestion holds

Textmetadata
LicenceTDM
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.