Evidence map›Paper›PMID 35681727›Full record

ArticleCancers2022

Toxicity and Clinical Results after Proton Therapy for Pediatric Medulloblastoma: A Multi-Centric Retrospective Study.

Alessandro Ruggi, Fraia Melchionda, Iacopo Sardi, Rossana Pavone, Linda Meneghello, Lidija Kitanovski, Lorna Zadravec Zaletel, Paolo Farace, Mino Zucchelli, Mirko Scagnet and 8 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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Adolescents and Young Adults With Cancer: CNS Tumors.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Review
  10. Dynamics and predictors of hematologic toxicity during cranio-spinal irradiation.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2024
    Article
  11. Article
  12. 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

18 authors at 10 institutions in 2 countries.

Alessandro RuggiSpecialty School of Paediatrics-Alma Mater Studiorum, Università di Bologna, 40138 Bologna, Italy.ORCID 0000-0001-7978-3965
Fraia MelchiondaPediatric Onco-Hematology, IRCCS Sant'Orsola SSD, University Hospital of Bologna, 40138 Bologna, Italy.
Iacopo SardiNeuro-Oncology Unit, Department of Pediatric Oncology, Meyer Children's Hospital, 50139 Florence, Italy.ORCID 0000-0002-8763-6524
Rossana PavoneNeuro-Oncology Unit, Department of Pediatric Oncology, Meyer Children's Hospital, 50139 Florence, Italy.
Linda MeneghelloPediatric Onco-Hematology Service, Pediatric Unit, Santa Chiara Hospital, 38123 Trento, Italy.
Lidija KitanovskiDepartment of Oncology and Haematology, University Children's Hospital, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.
Lorna Zadravec ZaletelDivision of Radiotherapy, Institute of Oncology, 1000 Ljubljana, Slovenia.
Paolo FaraceProton Therapy Unit, Santa Chiara Hospital, Azienda Provinciale per i Servizi Sanitari (APSS), 38123 Trento, Italy.ORCID 0000-0002-6051-2345
Mino ZucchelliPediatric Neurosurgery, Institute of Neurological Science, IRCCS Bellaria Hospital, 40139 Bologna, Italy.ORCID 0000-0002-7494-355X
Mirko ScagnetDepartment of Neurosurgery, Meyer Children's Hospital, 50139 Florence, Italy.
Francesco ToniNeuroradiology Unit, IRCCS Istituto delle Scienze Neurologiche di Bologna, 40139 Bologna, Italy.
Roberto RighettoProton Therapy Unit, Santa Chiara Hospital, Azienda Provinciale per i Servizi Sanitari (APSS), 38123 Trento, Italy.
Marco CianchettiProton Therapy Unit, Santa Chiara Hospital, Azienda Provinciale per i Servizi Sanitari (APSS), 38123 Trento, Italy.
Arcangelo PretePediatric Onco-Hematology, IRCCS Sant'Orsola SSD, University Hospital of Bologna, 40138 Bologna, Italy.
Daniela GretoAzienda Ospedaliero-Universitaria Careggi, 50134 Florence, Italy.ORCID 0000-0002-2667-0841
Silvia CammelliRadiation Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy.ORCID 0000-0003-2111-0164
Alessio Giuseppe MorgantiRadiation Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy.ORCID 0000-0001-9793-3410
Barbara RombiProton Therapy Unit, Santa Chiara Hospital, Azienda Provinciale per i Servizi Sanitari (APSS), 38123 Trento, Italy.ORCID 0000-0002-5027-243X
Ospedale Santa Chiara · ITMeyer Children's Hospital · ITAzienda USL di Bologna · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITAzienda Ospedaliero-Universitaria Careggi · ITInstitute of Neurological Sciences · ITInstitute of Oncology Ljubljana · SIIstituto delle Scienze Neurologiche di Bologna · ITLjubljana University Medical Centre · SIUniversity of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medulloblastoma is the most common malignant brain tumor in children. Even if current treatment dramatically improves the prognosis, survivors often develop long-term treatment-related sequelae. The current radiotherapy standard for medulloblastoma is craniospinal irradiation with a boost to the primary tumor site and to any metastatic sites. Proton therapy (PT) has similar efficacy compared to traditional photon-based radiotherapy but might achieve lower toxicity rates. We report on our multi-centric experience with 43 children with medulloblastoma (median age at diagnosis 8.7 years, IQR 6.6, M/F 23/20; 26 high-risk, 14 standard-risk, 3 ex-infant), who received active scanning PT between 2015 and 2021, with a focus on PT-related acute-subacute toxicity, as well as some preliminary data on late toxicity. Most acute toxicities were mild and manageable with supportive therapy. Hematological toxicity was limited, even among HR patients who underwent hematopoietic stem-cell transplantation before PT. Preliminary data on late sequelae were also encouraging, although a longer follow-up is needed.

Indexed as

medulloblastomapediatric brain tumorsproton therapyradiationtoxicity

Identifiers

PMID35681727
PMCPMC9179586
OpenAlexW4281630758

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.