Evidence map›Paper›PMID 35738620›Full record

ArticleIn vivo (Athens, Greece)

Acute and Late Rectal Toxicity Following Hypofractionated Radiotherapy in Patients With Prostate Cancer: Results of a Prospective Study.

Georgios Kounadis, Nikolaos Syrigos, Andromachi Kougioumtzopoulou, Georgios Bamias, Ilias Kotteas, Georgios Papatheodoridis, Dimitra Grapsa

Open access · diamondAbstract read
In one paragraph

Article in In vivo (Athens, Greece). 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
0.3field-weighted citation impact, top 42% 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. 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

7 authors at 3 institutions in 1 country.

Georgios KounadisOncology Unit, 3 Department of Internal Medicine, Sotiria Athens General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Nikolaos SyrigosOncology Unit, 3 Department of Internal Medicine, Sotiria Athens General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Andromachi KougioumtzopoulouRadiotherapy Unit, 2 Department of Radiology, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Georgios BamiasDepartment of Gastroenterology, 3 Department of Internal Medicine, Sotiria Athens General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Ilias KotteasOncology Unit, 3 Department of Internal Medicine, Sotiria Athens General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Georgios PapatheodoridisDepartment of Gastroenterology, Laiko Athens General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Dimitra GrapsaOncology Unit, 3 Department of Internal Medicine, Sotiria Athens General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece; dimgrap@yahoo.gr.
Sotiria General Hospital · GRNational and Kapodistrian University of Athens · GRLaiko General Hospital of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimPrevious randomized clinical trials have shown that moderate hypofractionation has a non-inferior or even superior efficacy to conventionally fractionated external beam radiation therapy (EBRT) in low and intermediate-risk prostate cancer. We herein aimed to evaluate the acute and late gastrointestinal (GI) toxicity of hypofractionated radiotherapy (HRT) in a real-world setting. PATIENTS AND

methodsPatients with intermediate-risk prostate adenocarcinoma eligible to receive HRT were prospectively enrolled. All patients were submitted to rectoscopy after completion of HRT, every three months after radiotherapy for the first year and every six months for the second year. Toxicity events were classified as acute, when presenting during radiotherapy or within the first three months following its completion, and as late when appearing three months to three years post-HRT.

resultsTwenty prostate cancer patients participated in this study and received 22 sessions of HRT (5 sessions a week; 2.75 Gy per session) and an overall dose of 60.5 Gy. None of our patients developed acute GI toxicity; late GI toxicity (RTOG/EORTC grade 3 rectal bleeding) was observed in 1 patient only (1/20, 5%), at 6- and 12-months post-HRT. No rectal mucosa damage was observed on follow-up rectoscopy in the acute phase in any of our patients; five patients (5/20, 25%) developed late telangiectasias. Vienna retroscopy score (VRS) was 1 in 4/5 patients (80%) and 2 in 1/5 (20%).

conclusionMinimal radiation-induced rectal mucosal damage was observed in our patient population, and only as a late event, further attesting to the safety of HRT in this setting.

Indexed as

Gastrointestinal DiseasesProstatic NeoplasmsHumansMaleProspective StudiesRadiation Dose HypofractionationRectumHypofractionated radiotherapyprostate cancerrectal toxicity

Identifiers

PMID35738620
PMCPMC9301433
OpenAlexW4283445645

What OpenQuestion holds

Textmetadata
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.