Evidence map›Paper›PMID 38179260›Full record

ArticleJournal of bone oncology2024

Incidence and radiotherapy treatment patterns of complicated bone metastases.

Cedric Peters, Julie Vandewiele, Yolande Lievens, Marc van Eijkeren, Valérie Fonteyne, Tom Boterberg, Pieter Deseyne, Liv Veldeman, Wilfried De Neve, Chris Monten and 4 more

Abstract read
In one paragraph

Article in Journal of bone oncology, 2024. 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
–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

2 citing papers in PubMed.

  1. [Pharmaceutics · 2026
    Article
  2. 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

14 authors.

Cedric PetersDepartment of Radiation Oncology, Ghent University Hospital and Ghent University, Ghent, Belgium.
Julie VandewieleDepartment of Radiation Oncology, Ghent University Hospital and Ghent University, Ghent, Belgium.
Yolande LievensDepartment of Radiation Oncology, Ghent University Hospital and Ghent University, Ghent, Belgium.
Marc van EijkerenDepartment of Radiation Oncology, Ghent University Hospital and Ghent University, Ghent, Belgium.
Valérie FonteyneDepartment of Radiation Oncology, Ghent University Hospital and Ghent University, Ghent, Belgium.
Tom BoterbergDepartment of Radiation Oncology, Ghent University Hospital and Ghent University, Ghent, Belgium.
Pieter DeseyneDepartment of Radiation Oncology, Ghent University Hospital and Ghent University, Ghent, Belgium.
Liv VeldemanDepartment of Radiation Oncology, Ghent University Hospital and Ghent University, Ghent, Belgium.
Wilfried De NeveDepartment of Radiation Oncology, Ghent University Hospital and Ghent University, Ghent, Belgium.
Chris MontenDepartment of Radiation Oncology, Ghent University Hospital and Ghent University, Ghent, Belgium.
Sabine BraemsDepartment of Radiation Oncology, Ghent University Hospital and Ghent University, Ghent, Belgium.
Fréderic DuprezDepartment of Radiation Oncology, Ghent University Hospital and Ghent University, Ghent, Belgium.
Katrien VandecasteeleDepartment of Radiation Oncology, Ghent University Hospital and Ghent University, Ghent, Belgium.
Piet OstDepartment of Radiation Oncology, Ghent University Hospital and Ghent University, Ghent, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Despite the encouraging results of the SCORAD trial, single fraction radiotherapy (SFRT) remains underused for patients with complicated bone metastases with rates as low as 18-39%. We aimed to evaluate the incidence and treatment patterns of these metastases in patients being referred to a tertiary centre for palliative radiotherapy. Materials and methods: We performed a retrospective review of all bone metastases treated at our centre from January 2013 until December 2017. Lesions were classified as uncomplicated or complicated. Complicated was defined as associated with (impending) fracture, existing spinal cord or cauda equina compression. Our protocol suggests using SFRT for all patients with complicated bone metastases, except for those with symptomatic neuraxial compression and a life expectancy of ≥28 weeks. Results: Overall, 37 % of all bone metastases were classified as complicated. Most often as a result of an (impending) fracture (56 %) or spinal cord compression (44 %). In 93 % of cases, complicated lesions were located in the spine, most commonly originating from prostate, breast and lung cancer (60 %). Median survival of patients with complicated bone metastases was 4 months. The use of SFRT for complicated bone metastases increased from 51 % to 85 % over the study period, reaching 100 % for patients with the poorest prognosis. Conclusions: Approximately 37 % of bone metastases are classified as complicated with the majority related to (impending) fracture. Patients with complicated bone metastases have a median survival of 4 months and were mostly treated with SFRT.

Indexed as

Bone metastasesPalliative medicineRadiotherapy

Identifiers

PMID38179260
PMCPMC10765249

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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.