Evidence map›Paper›PMID 36199941›Full record

ArticleJournal of contemporary brachytherapy2022

Early clinical outcomes of hybrid brachytherapy for locally advanced cervical cancer: making adverse situations in a favorable scenario.

Leonel Varela Cagetti, Christophe Zemmour, Eric Lambaudie, Magalie Provansal, Renaud Sabatier, Laura Sabiani, Guillaume Blache, Camille Jauffret, Marjorie Ferré, Agnès Tallet and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of contemporary brachytherapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. 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

11 authors at 4 institutions in 1 country.

Leonel Varela CagettiDepartment of Radiation Oncology, Institut Paoli-Calmettes, Marseille, France.
Christophe ZemmourDepartment of Clinical Research and Investigation, Biostatistics and Methodology Unit, Institut Paoli-Calmettes, Aix Marseille Univ, INSERM, IRD, SESSTIM, Marseille, France.
Eric LambaudieDepartment of Surgical Oncology, Institut Paoli-Calmettes, Aix-Marseille Univ, CNRS, INSERM, CRCM, Marseille, France.
Magalie ProvansalDepartment of Medical Oncology, Institut Paoli-Calmettes, Marseille, France.
Renaud SabatierDepartment of Medical Oncology, Institut Paoli-Calmettes, Marseille, France.
Laura SabianiInstitut Paoli Calmettes, Oncology Surgery 2, Institut Paoli-Calmettes, Marseille, France.
Guillaume BlacheInstitut Paoli Calmettes, Oncology Surgery 2, Institut Paoli-Calmettes, Marseille, France.
Camille JauffretInstitut Paoli Calmettes, Oncology Surgery 2, Institut Paoli-Calmettes, Marseille, France.
Marjorie FerréDepartment of Medical Physics, Institut Paoli-Calmettes, Marseille, France.
Agnès TalletDepartment of Radiation Oncology, Institut Paoli-Calmettes, Marseille, France.
Laurence GonzagueDepartment of Radiation Oncology, Institut Paoli-Calmettes, Marseille, France.
Institut Paoli-Calmettes · FRCentre de Recherche en Cancérologie de Marseille · FRCentre National de la Recherche Scientifique · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To investigate the feasibility and early clinical outcomes of combined intra-cavitary (IC) and interstitial (IS) image-guided adaptive brachytherapy (IGABT) as curative and definitive treatment of patients treated with chemoradiotherapy (CCRT) for locally advanced cervical cancer (LACC). Material and methods: Data from medical records of all consecutive patients with histologically proven cervical cancer (FIGO 2018 stage IB-IV), treated by brachytherapy after CCRT at our institution between 2017 and 2020 were reviewed. Results: One hundred and forty-two patients with LACC FIGO 2018 stages (IB: 20.4%, II: 31.7%, III: 45.8%, IV: 2.1%) underwent brachytherapy at our institution, out of which 53.5% underwent combined brachytherapy technique (IC/IS). Median number of implanted catheters was 3 (range, 1-6 catheters). None of the 142 patients required invasive hemorrhage management. With a median follow-up of 21.6 (95% CI [confidence interval]: 19.1-23.5%) months, local relapse was observed in nine patients (6.3%), with four showing persistent and progressive disease. The estimated 2-year local and pelvic relapse-free survival were 92% (95% CI: 84-96%) and 90% (95% CI: 83-94%), respectively. The estimated 2-year disease-free survival for the entire population was 80% (95% CI: 71-87%). The 2-year overall survival (OS) rate for the entire population was 92% (95% CI: 84-96%). Acute toxicity G3 was reported in two (1.4%) patients. High-grade late toxicity (grade 3) was reported in 9 (6.3%) patients. Conclusions: Combined IC/IS brachytherapy for LACC allows for recommended doses to achieve local control even in large tumors after CCRT improving target volume coverage, with low rates of acute morbidity. Hybrid brachytherapy technique (IC/IS) is essential to have a favorable scenario at the time of brachytherapy to correctly treat locally advanced cervical cancer patients.

Indexed as

image-guided adaptive brachytherapyinterstitial brachytherapylocal controllocally advanced cervical cancervaginal morbidity

Identifiers

PMID36199941
PMCPMC9528831
OpenAlexW4293211516

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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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.