Evidence map›Paper›PMID 37217970›Full record

SynthesisRadiation oncology (London, England)2023

Efficacy and safety of particle therapy for inoperable stage II-III non-small cell lung cancer: a systematic review and meta-analysis.

Yanliang Chen, Hongtao Luo, Ruifeng Liu, Mingyu Tan, Qian Wang, Xun Wu, Tianqi Du, Zhiqiang Liu, Shilong Sun, Qiuning Zhang and 1 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Radiation oncology (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. 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

11 authors at 4 institutions in 1 country.

Yanliang Chen *Institute of Modern Physics, Chinese Academy of Sciences, Lanzhou, 730000, Gansu Province, China.
Hongtao Luo *Institute of Modern Physics, Chinese Academy of Sciences, Lanzhou, 730000, Gansu Province, China.
Ruifeng LiuInstitute of Modern Physics, Chinese Academy of Sciences, Lanzhou, 730000, Gansu Province, China.
Mingyu TanInstitute of Modern Physics, Chinese Academy of Sciences, Lanzhou, 730000, Gansu Province, China.
Qian WangInstitute of Modern Physics, Chinese Academy of Sciences, Lanzhou, 730000, Gansu Province, China.
Xun WuInstitute of Modern Physics, Chinese Academy of Sciences, Lanzhou, 730000, Gansu Province, China.
Tianqi DuInstitute of Modern Physics, Chinese Academy of Sciences, Lanzhou, 730000, Gansu Province, China.
Zhiqiang LiuInstitute of Modern Physics, Chinese Academy of Sciences, Lanzhou, 730000, Gansu Province, China.
Shilong SunInstitute of Modern Physics, Chinese Academy of Sciences, Lanzhou, 730000, Gansu Province, China.
Qiuning ZhangInstitute of Modern Physics, Chinese Academy of Sciences, Lanzhou, 730000, Gansu Province, China. zhangqn@impcas.ac.cn.
Xiaohu WangInstitute of Modern Physics, Chinese Academy of Sciences, Lanzhou, 730000, Gansu Province, China. xhwang@impcas.ac.cn.
Chinese Academy of Sciences · CNInstitute of Modern Physics · CNLanzhou University · CNUniversity of Chinese Academy of Sciences · CN

Funding

Key R&D Program of Science and Technology Department of Gansu Province No. 20YF8FA116National Key R&D Program 2022YFC2401500Project supported by China Foundation for International Medical Exchange No. Z-2017-24-2108Science and Technology Plan Project of Chengguan District of Lanzhou No.2020-2-2-5Talent innovation and venture project of Lanzhou city No. 2021-RC-125; No.2020-RC-113
6 · The paper itself

Abstract

background and purposeParticle therapy, mainly including carbon-ion radiotherapy (CIRT) and proton beam therapy (PBT), has dose distribution advantages compared to photon radiotherapy. It has been widely reported as a promising treatment method for early non-small cell lung cancer (NSCLC). However, its application in locally advanced non-small cell lung cancer (LA-NSCLC) is relatively rare, and its efficacy and safety are inconclusive. This study aimed to provide systematic evidence for evaluating the efficacy and safety of particle therapy for inoperable LA-NSCLC.

methodsTo retrieve published literature, a systematic search was conducted in PubMed, Web of Science, Embase, and Cochrane Library until September 4, 2022. The primary endpoints were local control (LC) rate, overall survival (OS) rate, and progression-free survival (PFS) rate at 2 and 5 years. The secondary endpoint was treatment-related toxicity. The pooled clinical outcomes and 95% confidence intervals (CIs) were calculated by using STATA 15.1.

resultsNineteen eligible studies with a total sample size of 851 patients were included. The pooled data demonstrated that the OS, PFS, and LC rates at 2 years of LA-NSCLC treated by particle therapy were 61.3% (95% CI = 54.7-68.7%), 37.9% (95% CI = 33.8-42.6%) and 82.2% (95% CI = 78.7-85.9%), respectively. The pooled 5-year OS, PFS, and LC rates were 41.3% (95% CI = 27.1-63.1%), 25.3% (95% CI = 16.3-39.4%), and 61.5% (95% CI = 50.7-74.6%), respectively. Subgroup analysis stratified by treatment type showed that the concurrent chemoradiotherapy (CCRT, PBT combined with concurrent chemotherapy) group had better survival benefits than the PBT and CIRT groups. The incidence rates of grade 3/4 esophagitis, dermatitis, and pneumonia in LA-NSCLC patients after particle therapy were 2.6% (95% CI = 0.4-6.0%), 2.6% (95% CI = 0.5-5.7%) and 3.4% (95% CI = 1.4-6.0%), respectively.

conclusionsParticle therapy demonstrated promising efficacy and acceptable toxicity in LA-NSCLC patients.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsProton TherapyChemoradiotherapyHumansProgression-Free SurvivalCarbon-ion radiotherapy (CIRT)Meta-analysisNon-small cell lung cancer (NSCLC)Particle therapyProton beam therapy (PBT)

Identifiers

PMID37217970
PMCPMC10201735
OpenAlexW4377290270

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.