Evidence map›Paper›PMID 37835524›Full record

ArticleCancers2023

Impact of Radiotherapy on Malfunctions and Battery Life of Cardiac Implantable Electronic Devices in Cancer Patients.

Dominik Lisowski, Paul Lutyj, Arya Abazari, Stefan Weick, Jan Traub, Bülent Polat, Michael Flentje, Johannes Kraft

Abstract read
In one paragraph

Article in Cancers, 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
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.

  1. 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

8 authors.

Dominik LisowskiDepartment of Radiation Oncology, University Hospital Würzburg, 97080 Würzburg, Germany.ORCID 0000-0001-8771-2155
Paul LutyjDepartment of Radiation Oncology, University Hospital Würzburg, 97080 Würzburg, Germany.
Arya AbazariDepartment of Radiation Oncology, University Hospital Würzburg, 97080 Würzburg, Germany.
Stefan WeickDepartment of Radiation Oncology, University Hospital Würzburg, 97080 Würzburg, Germany.
Jan TraubDepartment of Internal Medicine I, Division of Cardiology, University Hospital Würzburg, 97080 Würzburg, Germany.
Bülent PolatDepartment of Radiation Oncology, University Hospital Würzburg, 97080 Würzburg, Germany.ORCID 0000-0003-4677-424X
Michael FlentjeDepartment of Radiation Oncology, University Hospital Würzburg, 97080 Würzburg, Germany.
Johannes KraftDepartment of Radiation Oncology, University Hospital Würzburg, 97080 Würzburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study analyses a large number of cancer patients with CIEDs for device malfunction and premature battery depletion by device interrogation after each radiotherapy fraction and compares different guidelines in regard to patient safety.

methodsFrom 2007 to 2022, a cohort of 255 patients was analyzed for CIED malfunctions via immediate device interrogation after every RT fraction.

resultsOut of 324 series of radiotherapy treatments, with a total number of 5742 CIED interrogations, nine device malfunctions (2.8%) occurred. Switching into back-up/safety mode and software errors occurred four times each. Once, automatic read-out could not be performed. The median prescribed cumulative dose at planning target volume (PTV) associated with CIED malfunction was 45.0 Gy (IQR 36.0-64.0 Gy), with a median dose per fraction of 2.31 Gy (IQR 2.0-3.0 Gy). The median maximum dose at the CIED at time of malfunction was 0.3 Gy (IQR 0.0-1.3 Gy). No correlation between CIED malfunction and maximum photon energy (

conclusionRadiation-induced malfunctions of CIEDs and premature battery depletion are rare. If recommendations of national safety guidelines are followed, only a portion of the malfunctions would be detected directly after occurrence. Nevertheless, patient safety would not be compromised.

Indexed as

battery depletioncardiac implantable electronic devices (CIED)cardiac resynchronization therapy (CRT)CIED malfunctionimplantable cardioverter defibrillator (ICD)pacemaker (PM)radiotherapy (RT)

Identifiers

PMID37835524
PMCPMC10571836

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.