Evidence map›Paper›PMID 36586493›Full record

ArticleInternational journal of radiation oncology, biology, physics2023

A Multicenter Prospective Trial of Electronic Skin Surface Brachytherapy for Keratinocyte Carcinoma: Early Cosmesis, Quality of Life, and Adverse Events.

Alyce M Kuo, Erica H Lee, Anthony M Rossi, Kishwer S Nehal, Miguel A Cordova, Alexa M Steckler, Ming Lian, Gil'ad Cohen, Zhigang Zhang, Michael J Zelefsky and 2 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in International journal of radiation oncology, biology, physics, 2023. 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
–field-weighted citation impact, top 73% 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, 0 citations in OpenAlex.

  1. Review
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

12 authors at 2 institutions in 1 country.

Alyce M KuoMemorial Sloan Kettering Cancer Center, New York, New York.
Erica H LeeMemorial Sloan Kettering Cancer Center, New York, New York.
Anthony M RossiMemorial Sloan Kettering Cancer Center, New York, New York.
Kishwer S NehalMemorial Sloan Kettering Cancer Center, New York, New York.
Miguel A CordovaMemorial Sloan Kettering Cancer Center, New York, New York.
Alexa M StecklerMemorial Sloan Kettering Cancer Center, New York, New York.
Ming LianMemorial Sloan Kettering Cancer Center, New York, New York.
Gil'ad CohenMemorial Sloan Kettering Cancer Center, New York, New York.
Zhigang ZhangMemorial Sloan Kettering Cancer Center, New York, New York.
Michael J ZelefskyMemorial Sloan Kettering Cancer Center, New York, New York.
Michael E KasperLynn Cancer Institute, Delray Beach, Florida.
Christopher A BarkerMemorial Sloan Kettering Cancer Center, New York, New York. Electronic address: BarkerC@mskcc.org.
Memorial Sloan Kettering Cancer Center · USLynn University · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Summer research experiences for medical students supervised by faculty mentorsR25CA020449 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Charlotte Eielson Ariyan · 1985 to 2026
$6.2M
NCI NIH HHS P30 CA008748NCI NIH HHS R25 CA020449
6 · The paper itself

Abstract

purposeKeratinocyte carcinomas are amenable to many treatments, including radiation therapy (RT). Electronic skin surface brachytherapy (ESSB) enables the precise delivery of radiation without radioisotopes. In this prospective multicenter clinical trial, we characterized early outcomes of ESSB prospectively through both patient- and clinician-reported measures. To corroborate the cosmesis observations, we also assessed patient-reported quality of life (QoL) and adverse events. METHODS AND MATERIALS: Patients ≥60 years old with stage T

resultsCosmesis and QoL were collected at 97% (99/102) of possible patient follow-up times. By 12 weeks post-treatment, 93.9% (31/33) of patient-reported and 96.9% (31/32) of clinician-reported cosmesis outcomes were "good." Compared with baseline, total Skindex-16 score significantly deteriorated at 2 weeks post-treatment (10.5 vs 24.5, P <.001), but significantly improved at 6 weeks (10.5 vs 4.7, P = .014) and 12 weeks (10.5 vs 2.1, P = .001) post-treatment. The total SCI score significantly improved from baseline to 6 weeks (78.4 vs 89.0, P = .001) post-treatment. The most frequent adverse events were radiation dermatitis, skin pain, and pruritus. All adverse events resolved to Grade ≤1 by 12 weeks post-treatment.

conclusionsThis prospective, multicenter study demonstrated that ESSB is associated with a high rate of "good" early patient-reported cosmesis and increasing QoL and satisfaction with time. Validated assessments demonstrated a significant improvement in quality of life and resolution of moderate early adverse events by 6 to 12 weeks after treatment and corroborate the observation of favorable cosmesis.

Indexed as

BrachytherapyCarcinomaSkin NeoplasmsFemaleHumansMiddle AgedProspective StudiesQuality of Life

Identifiers

PMID36586493
PMCPMC10686635
OpenAlexW4313379632

What OpenQuestion holds

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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.