Evidence map›Paper›PMID 36925455›Full record

ArticleWorld journal of gastroenterology2023

Establishment of a prediction model for severe acute radiation enteritis associated with cervical cancer radiotherapy.

Chen-Ying Ma, Jing Zhao, Guang-Hui Gan, Xiao-Lan He, Xiao-Ting Xu, Song-Bing Qin, Li-Li Wang, Li Li, Ju-Ying Zhou

Open access · hybridAbstract read
In one paragraph

Article in World journal of gastroenterology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 17 citations in OpenAlex.

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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

9 authors at 1 institution in 1 country.

Chen-Ying MaRadiation Oncology, The First Affiliated Hospital of Soochow University, Suzhou 215123, Jiangsu Province, China.
Jing ZhaoRadiation Oncology, The First Affiliated Hospital of Soochow University, Suzhou 215123, Jiangsu Province, China.
Guang-Hui GanRadiation Oncology, The First Affiliated Hospital of Soochow University, Suzhou 215123, Jiangsu Province, China.
Xiao-Lan HeRadiation Oncology, The First Affiliated Hospital of Soochow University, Suzhou 215123, Jiangsu Province, China.
Xiao-Ting XuRadiation Oncology, The First Affiliated Hospital of Soochow University, Suzhou 215123, Jiangsu Province, China.
Song-Bing QinRadiation Oncology, The First Affiliated Hospital of Soochow University, Suzhou 215123, Jiangsu Province, China.
Li-Li WangRadiation Oncology, The First Affiliated Hospital of Soochow University, Suzhou 215123, Jiangsu Province, China.
Li LiRadiation Oncology, The First Affiliated Hospital of Soochow University, Suzhou 215123, Jiangsu Province, China.
Ju-Ying ZhouRadiation Oncology, The First Affiliated Hospital of Soochow University, Suzhou 215123, Jiangsu Province, China.
Soochow University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCervical cancer is one of the most common gynecological malignant tumors. Radiation enteritis (RE) leads to radiotherapy intolerance or termination of radiotherapy, which negatively impacts the therapeutic effect and seriously affects the quality of life of patients. If the incidence of RE in patients can be predicted in advance, and targeted clinical preventive treatment can be carried out, the side effects of radiotherapy in cervical cancer patients can be significantly reduced. Furthermore, accurate prediction of RE is essential for the selection of individualized radiation dose and the optimization of the radiotherapy plan.

aimTo analyze the relationships between severe acute RE (SARE) of cervical cancer radiotherapy and clinical factors and dose-volume parameters retrospectively.

methodsWe included 50 cervical cancer patients who received volumetric modulated arc therapy (VMAT) from September 2017 to June 2018 in the Department of Radiotherapy at The First Affiliated Hospital Soochow University. Clinical and dose-volume histogram factors of patients were collected. Logistic regression analysis was used to evaluate the predictive value of each factor for SARE. A nomogram to predict SARE was developed (SARE scoring system ≥ 3 points) based on the multiple regression coefficients; validity was verified by an internal verification method.

resultsGastrointestinal and hematological toxicity of cervical cancer VMAT gradually increased with radiotherapy and reached the peak at the end of radiotherapy. The main adverse reactions were diarrhea, abdominal pain, colitis, anal swelling, and blood in the stool. There was no significant difference in the incidence of gastrointestinal toxicity between the radical and postoperative adjuvant radiotherapy groups (

conclusionAnal bulge rating (> 0.500 grade) and DAI score (> 2.165 points) can predict SARE. The nomogram shows potential value in clinical practice.

Indexed as

EnteritisRadiation InjuriesRadiotherapy, Intensity-ModulatedUterine Cervical NeoplasmsFemaleHumansQuality of LifeRadiotherapy DosageRadiotherapy Planning, Computer-AssistedRetrospective StudiesCervical cancerIntensity-modulated radiotherapyNomogramPredictorRadiation enteritis

Identifiers

PMID36925455
PMCPMC10011961
OpenAlexW4321609910

What OpenQuestion holds

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Registered trials

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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.