Evidence map›Paper›PMID 35326548›Full record

ArticleCancers2022

Hypofractionated Whole Breast Irradiation and Boost-IOERT in Early Stage Breast Cancer (HIOB): First Clinical Results of a Prospective Multicenter Trial (NCT01343459).

Gerd Fastner, Roland Reitsamer, Christoph Gaisberger, Wolfgang Hitzl, Bartosz Urbański, Dawid Murawa, Christiane Matuschek, Wilfried Budach, Antonella Ciabattoni, Juliann Reiland and 5 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2022. 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
0.7field-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.

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, 7 citations in OpenAlex.

  1. The evolution of targeted intra operative radiotherapy in early breast cancer.Journal of cancer research and clinical oncology · 2025
    Review
  2. Five-year results of a prospective trial of IORT-photon boost and hypofractionated whole-breast irradiation after breast-conserving surgery.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Article
  3. 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

15 authors at 8 institutions in 5 countries.

Gerd FastnerDepartment of Radiotherapy and Radio-Oncology, Paracelsus Medical University, University Hospital Salzburg, Landeskrankenhaus, 5020 Salzburg, Austria.
Roland ReitsamerDepartment of Gynecology, Paracelsus Medical University, University Hospital Salzburg, Landeskrankenhaus, 5020 Salzburg, Austria.
Christoph GaisbergerDepartment of Radiotherapy and Radio-Oncology, Paracelsus Medical University, University Hospital Salzburg, Landeskrankenhaus, 5020 Salzburg, Austria.
Wolfgang HitzlResearch Office-Biostatistics, Paracelsus Medical University, 5020 Salzburg, Austria.
Bartosz UrbańskiDepartment of Radiotherapy and Gynecological Oncology, Greater Poland Cancer Centre, 61-866 Poznań, Poland.
Dawid MurawaClinic of General Surgery and Surgical Oncology, Faculty of Medicine and Health Sciences, University of Zielona Góra, 65-046 Zielona Gora, Poland.
Christiane MatuschekDepartment of Radiation Oncology, Medical Faculty, Heinrich Heine University, 40225 Düsseldorf, Germany.
Wilfried BudachDepartment of Radiation Oncology, Medical Faculty, Heinrich Heine University, 40225 Düsseldorf, Germany.
Antonella CiabattoniU.O.C. Radioterapia, San Filippo Neri Hospital, ASL Roma 1, 00135 Rome, Italy.
Juliann ReilandAvera McKennan Hospitals and University Health System, Avera Medical Group Comprehensive Breast Care, Sioux Falls, SD 57105, USA.
Marie MolnarDepartment of Radiotherapy and Radiooncology, Landeskrankenhaus Klagenfurt, 9020 Klagenfurt, Austria.
Cristiana VidaliDepartment of Radiation Oncology, Azienda Sanitaria Universitaria Integrata di Trieste, 34128 Trieste, Italy.ORCID 0000-0002-3688-0463
Claudia SchumacherBreast Center, Department of Senology, St. Elisabeth Hospital Cologne-Hohenlind, 50935 Cologne, Germany.
Felix SedlmayerDepartment of Radiotherapy and Radio-Oncology, Paracelsus Medical University, University Hospital Salzburg, Landeskrankenhaus, 5020 Salzburg, Austria.
On Behalf Of The Hiob Trialist Group
Paracelsus Medical University · ATHeinrich Heine University Düsseldorf · DEASL Roma · ITAvera McKennan Hospital & University Health Center · USAzienda Sanitaria Universitaria Integrata di Trieste · ITGreater Poland Cancer Center · PLKlinikum Klagenfurt · ATPoznan University of Medical Sciences · PL

Funding

IntraOp Medical No number
6 · The paper itself

Abstract

Background and purpose: To investigate intraoperative electron radiation therapy (IOERT) as a tumor bed boost during breast conserving surgery (BCS) followed by hypofractionated whole breast irradiation (HWBI) on age-correlated in-breast recurrence (IBR) rates in patients with low- to high-risk invasive breast cancer. Material and methods: BCS and IOERT (11.1 Gy) preceded a HWBI (40.5 Gy) in 15 fractions. Five-year IBR-rates were compared by a sequential ratio test (SQRT) with best evidences in three age groups (35−40 y and 41−50 y: 3.6%, >50 y: 2%) in a prospective single arm design. Null hypothesis (H0) was defined to undershoot these benchmarks for proof of superiority. Results: Of 1445 enrolled patients, 326 met exclusion criteria, leaving 1119 as eligible for analysis. After a median follow-up of 50 months (range 0.7−104), we detected two local recurrences, both in the age group >50 y. With no observed IBR, superiority was demonstrated for the patient groups 41−50 and >50 y, respectively. For the youngest group (35−40 y), no appropriate statistical evaluation was yet possible due to insufficient recruitment. Conclusions: In terms of five-year IBR-rates, Boost-IOERT followed by HWBI has been demonstrated to be superior in patients older than 50 and in the age group 41−50 when compared to best published evidence until 2010.

Indexed as

boostcosmesiselectronshypofractionationintraoperative radiation therapyIOERTtoxicitywhole breast irradiation

Identifiers

PMID35326548
PMCPMC8946807
OpenAlexW4221039129

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.