Evidence map›Paper›PMID 38124078›Full record

ArticleRadiation oncology (London, England)2023

Hemostatic radiotherapy in clinically significant tumor-related bleeding: excellent palliative results in a retrospective analysis of 77 patients.

Manuel Guhlich, Teresa Esther Maag, Leif Hendrik Dröge, Andrea Hille, Sandra Donath, Stephanie Bendrich, Markus Anton Schirmer, Friedemann Nauck, Martin Leu, Joachim Riggert and 2 more

Open access · goldAbstract read
In one paragraph

Article 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

12 authors at 1 institution in 1 country.

Manuel GuhlichClinic of Radiotherapy and Radiation Oncology, University Medical Center Göttingen, Göttingen, Germany. manuel.guhlich@med.uni-goettingen.de.
Teresa Esther MaagClinic of Radiotherapy and Radiation Oncology, University Medical Center Göttingen, Göttingen, Germany.
Leif Hendrik DrögeClinic of Radiotherapy and Radiation Oncology, University Medical Center Göttingen, Göttingen, Germany.
Andrea HilleClinic of Radiotherapy and Radiation Oncology, University Medical Center Göttingen, Göttingen, Germany.
Sandra DonathClinic of Radiotherapy and Radiation Oncology, University Medical Center Göttingen, Göttingen, Germany.
Stephanie BendrichClinic of Radiotherapy and Radiation Oncology, University Medical Center Göttingen, Göttingen, Germany.
Markus Anton SchirmerClinic of Radiotherapy and Radiation Oncology, University Medical Center Göttingen, Göttingen, Germany.
Friedemann NauckDepartment of Palliative Medicine, University Medical Center Göttingen, Göttingen, Germany.
Martin LeuClinic of Radiotherapy and Radiation Oncology, University Medical Center Göttingen, Göttingen, Germany.
Joachim RiggertDepartment of Transfusion Medicine, University Medical Center Gottingen, Göttingen, Germany.
Julia GallwasClinic of Gynecology and Obstetrics, University Medical Center Göttingen, Göttingen, Germany.
Stefan RiekenClinic of Radiotherapy and Radiation Oncology, University Medical Center Göttingen, Göttingen, Germany.
Universitätsmedizin Göttingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSignificant bleeding of tumor sites is a dreaded complication in oncological diseases and often results in clinical emergencies. Besides basic local and interventional procedures, an urgent radiotherapeutic approach can either achieve a bleeding reduction or a bleeding stop in a vast majority of patients. In spite of being used regularly in clinical practice, data reporting results to this therapy approach is still scarce.

methodsWe retrospectively analyzed 77 patients treated for significant tumor-related bleeding at our clinic between 2000 and 2021, evaluating treatment response rate, hemoglobin levels, hemoglobin transfusion necessity, administered radiotherapy dose and overall survival.

resultsResponse rate in terms of bleeding stop was 88.3% (68/77) in all patients and 95.2% (60/63) in the subgroup, wherein radiotherapy (RT) was completed as intended. Hemoglobin transfusions decreased during treatment in a further subgroup analysis. Median overall survival (OS) was 3.3 months. Patients with primary tumors (PT) of the cervix (carcinoma of the cervix, CC) or endometrium (endometrioid carcinoma, EDC) and patients receiving the full intended RT dose showed statistically significant better OS in a multivariable cox regression model. Median administered dose was 39 Gy, treatment related acute toxicity was considerably low.

conclusionsOur data show an excellent response rate with a low toxicity profile when administering urgent radiotherapy for tumor related clinically significant bleeding complications. Nonetheless, treatment decisions should be highly individual due to the low median overall survival of this patient group.

Indexed as

CarcinomaHemostaticsFemaleHemoglobinsHemorrhageHumansPalliative CareRadiotherapy DosageRetrospective StudiesHemoglobinsHemostaticsCancer bleedingEmergency radiationPalliative therapyRadiotherapyRetrospective studyTransfusion

Identifiers

PMID38124078
PMCPMC10734078
OpenAlexW4389991179

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.