Evidence map›Paper›PMID 35371998›Full record

ArticleFrontiers in oncology2022

Long-Term Outcomes of an International Cooperative Study of Intraoperative Radiotherapy Upfront Boost With Low Energy X-Rays in Breast Cancer.

Gustavo R Sarria, Maria L Ramos, Amalia Palacios, Ruben Del Castillo, Felipe Castro, Angel Calvo, Jose M Cotrina, Adela Heredia, Jose A Galarreta, Paola Fuentes-Rivera and 10 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 44% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. 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

20 authors at 6 institutions in 3 countries.

Gustavo R SarriaDepartment of Radiation Oncology, University Hospital Bonn, University of Bonn, Bonn, Germany.
Maria L RamosDepartment of Mastology, Instituto Nacional de Enfermedades Neoplasicas, Lima, Peru.
Amalia PalaciosDepartment of Radiation Oncology, University Hospital Reina Sofia, Cordoba, Spain.
Ruben Del CastilloDepartment of Radiation Oncology, Oncosalud-Auna, Lima, Peru.
Felipe CastroDepartment of Radiotherapy, Instituto Nacional de Enfermedades Neoplasicas, Lima, Peru.
Angel CalvoDepartment of Radiation Oncology, University Hospital Reina Sofia, Cordoba, Spain.
Jose M CotrinaDepartment of Mastology, Instituto Nacional de Enfermedades Neoplasicas, Lima, Peru.
Adela HerediaDepartment of Radiotherapy, Instituto Nacional de Enfermedades Neoplasicas, Lima, Peru.
Jose A GalarretaDepartment of Mastology, Instituto Nacional de Enfermedades Neoplasicas, Lima, Peru.
Paola Fuentes-RiveraDepartment of Radiotherapy, Instituto Nacional de Enfermedades Neoplasicas, Lima, Peru.
Alicia AvalosDepartment of Radiotherapy, Instituto Nacional de Enfermedades Neoplasicas, Lima, Peru.
David A MartinezDepartment of Radiation Oncology, Oncosalud-Auna, Lima, Peru.
Kevin ColquiDepartment of Radiation Oncology, Oncosalud-Auna, Lima, Peru.
Gonzalo ZieglerDepartment of Mastology, Instituto Nacional de Enfermedades Neoplasicas, Lima, Peru.
Leonard Christopher SchmeelDepartment of Radiation Oncology, University Hospital Bonn, University of Bonn, Bonn, Germany.
Luis V PinillosDepartment of Radiation Oncology, Oncosalud-Auna, Lima, Peru.
Frederik WenzUniversity Hospital Freiburg, University of Freiburg, Freiburg, Germany.
Frank A GiordanoDepartment of Radiation Oncology, University Hospital Bonn, University of Bonn, Bonn, Germany.
Gustavo J SarriaDepartment of Radiation Oncology, Oncosalud-Auna, Lima, Peru.
Elena SperkDepartment of Radiation Oncology, Mannheim Cancer Center, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Instituto Nacional de Enfermedades Neoplásicas · PEUniversity of Bonn · DEEsSALUD · PEHeidelberg University · DEHospital Universitario Reina Sofía · ESUniversity of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The purpose of this study was to assess the effectivity of upfront kilovoltage intraoperative radiotherapy (IORT) as a boost in high-risk early-stage breast cancer patients from an international pooled cohort. Materials/Methods: Patients from four centers in three different countries were retrospectively screened. Those with a minimum 1-year follow-up were included. Cumulative local (LR), regional (RR), and distant metastasis rates (DM) were analyzed. Additionally, the estimated overall survival (OS) was assessed. The Cox regression analysis was performed to identify failure predicting factors. Results: A total of 653 patients from centers in Peru, Spain, and Germany were included. The median follow-up was 55 (12-180) months, and age was 58 (27-86) years. Clinical tumor (T) staging was T1 65.85%, T2 30.17%, and T3 3.98%. Positive margins were found in 7.9% and Conclusion: Upfront boost with IORT yields similar local control outcomes to those EBRT-based reports. Results from prospective trials, regarding toxicity, cosmesis, and effectivity are awaited to confirm these findings.

Indexed as

boostbreast cancerintraoperative radiotherapyIORTwhole-breast radiotherapy

Identifiers

PMID35371998
PMCPMC8968081
OpenAlexW4220871274

What OpenQuestion holds

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Registered trials

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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.