Evidence map›Paper›PMID 36755890›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2023

Effectiveness of Intra-Arterial Chemotherapy for the Treatment of Intraocular Retinoblastoma: Relevance of a Multidisciplinary Setting.

Guilherme Castela, Joana Providência, Madalena Monteiro, Bárbara Oliveiros, Sónia Silva, Manuel Brito, Egídio Machado, Joaquim Neto Murta, Miguel Castelo-Branco, Zélia Correa

Open access · goldAbstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 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
1.7field-weighted citation impact, top 18% 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, 6 citations in OpenAlex.

  1. Update on Retinoblastoma Therapies.Medicina (Kaunas, Lithuania) · 2025
    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

10 authors at 3 institutions in 2 countries.

Guilherme CastelaDepartment of Ophthalmology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.ORCID 0000-0003-0568-8265
Joana ProvidênciaDepartment of Ophthalmology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.ORCID 0000-0003-1312-7978
Madalena MonteiroDepartment of Ophthalmology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Bárbara OliveirosFaculty of Medicine, University of Coimbra (FMUC), Coimbra, Portugal.
Sónia SilvaDepartment of Pediatric Oncology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Manuel BritoDepartment of Pediatric Oncology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.ORCID 0000-0001-8878-840X
Egídio MachadoDepartment of Medical Imaging, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Joaquim Neto MurtaDepartment of Ophthalmology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Miguel Castelo-Branco *Faculty of Medicine, University of Coimbra (FMUC), Coimbra, Portugal.
Zélia Correa *University of Miami, Bascom Palmer Eye Institute, Miami, FL, USA.ORCID 0000-0003-2946-3757
Hospitais da Universidade de Coimbra · PTUniversity of Coimbra · PTUniversity of Miami · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: We aim to report about effectiveness and safety in the context of our centers' setting in the management of retinoblastoma with intra-arterial chemotherapy (IAC) in a 5-year retrospective analysis of the Portuguese population. Patients and Methods: Retrospective analysis of consecutive cases of retinoblastoma selected to initiate IAC between 2015 and 2020, at the Portuguese National Reference Center. All included patients underwent complete ophthalmological evaluation under anesthesia with fundus photography. Diagnosis and classification of retinoblastoma was made according to the International Classification of Intraocular Retinoblastoma (ICRB). The patients were further divided into two groups: Group I for primary IAC and Group II for secondary IAC. Tumor recurrence or relapses, systemic metastasis and deaths were documented. Main efficacy outcome included ocular salvage and recurrence-free survival rates estimated using the Kaplan-Meier method. Results: Twenty-eight eyes (19 eyes included in Group I and 9 eyes included in Group II) were eligible and a total of 130 IAC procedures were performed, with a median number of sessions of 4 (range 1-8) for each treated eye, during a median follow-up of 21 months (range 4-64). Of the included eyes, 22 (78.6%) were preserved. An overall survival of 100% was achieved. Considering the preserved eyes, the overall median decimal visual acuity achieved at the last visit was 0.15 (range 0.02-0.8). Three patients had permanent adverse events related to IAC (cataract, vitreous hemorrhage and choroidal ischemia). Considering the survival analysis of recurrence, the mean survival without recurrence was 84.2% for Group I and 66.7% for Group II, and the mean survival without enucleation was 78.6% (no events in Group II). Conclusion: IAC has been shown to be an effective and safe treatment for children with intraocular retinoblastoma. This study demonstrates that IAC is effective even in moderate sample sizes, when a multidisciplinary approach is available.

Indexed as

intra-arterial chemotherapyocular oncologypediatric oncologyretinoblastoma

Identifiers

PMID36755890
PMCPMC9901457
OpenAlexW4319038359

What OpenQuestion holds

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LicenceCC BY-NC
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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.