Evidence map›Paper›PMID 38185929›Full record

ArticleRadiation oncology journal2023

A comparison of conventional and accelerated hypofractionated radiotherapy in definitive chemoradiation for locally advanced head and neck carcinoma: a retrospective cohort study.

Arkaja Tripathy, Sandeep Muzumder, Nirmala Srikantia, Ajay Babu, Mg John Sebastian, Avinash H Udayashankar, Ganesha Dev Vashishta, John Michael Raj

Open access · diamondAbstract read
In one paragraph

Article in Radiation oncology journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

3 citing papers in PubMed, 5 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

8 authors at 1 institution in 1 country.

Arkaja TripathyDepartment of Radiation Oncology, St. John's Medical College and Hospital, Bengaluru, Karnataka, India.
Sandeep MuzumderDepartment of Radiation Oncology, St. John's Medical College and Hospital, Bengaluru, Karnataka, India.
Nirmala SrikantiaDepartment of Radiation Oncology, St. John's Medical College and Hospital, Bengaluru, Karnataka, India.
Ajay BabuDepartment of Radiation Oncology, St. John's Medical College and Hospital, Bengaluru, Karnataka, India.
Mg John SebastianDepartment of Radiation Oncology, St. John's Medical College and Hospital, Bengaluru, Karnataka, India.
Avinash H UdayashankarDepartment of Radiation Oncology, St. John's Medical College and Hospital, Bengaluru, Karnataka, India.
Ganesha Dev VashishtaDepartment of Medical Oncology, St. John's Medical College and Hospital, Bengaluru, Karnataka, India.
John Michael RajDepartment of Biostatistics, St. John's Medical College, Bengaluru, Karnataka, India.
St.John's Medical College Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe study evaluates accelerated hypofractionated radiotherapy (AHRT) compared to conventional fractionation radiotherapy (CFRT) in patients with locally advanced head and neck cancer (LAHNC) receiving definitive chemoradiation therapy. MATERIALS AND

methodsThe study includes a retrospective cohort analysis of 120 patients. CFRT arm (n = 65) received 2 Gy per fraction to a dose of 70 Gy over 7 weeks in a three-volume approach, whereas the AHRT arm (n = 55) received 2.2 Gy per fraction to a dose of 66 Gy in 6 weeks with a two-volume approach. The primary outcome was overall survival (OS).

resultsWith a median follow-up of 18.9 months, 23 patients died in the AHRT arm, and 45 deaths in the CFRT arm. The median OS was 23.4 and 37.63 months in the CFRT and AHRT arms, respectively (hazard ratio [HR] = 0.709; 95% confidence interval [CI], 0.425-1.18; p = 0.189). The median time to loco-regional control was 33.3 months in the CFRT arm and was not reached in the patient group receiving AHRT (HR = 0.558; 95% CI, 0.30-1.03; p = 0.065). The median progression-free survival was 15.9 months in the CFRT arm and 26.9 months in the AFRT arm (HR = 0.801; 95% CI, 0.49-1.28; p = 0.357). Out of 11 acute toxic deaths, eight were in the CFRT arm.

conclusionThe study showed a trend towards benefit in terms of locoregional control in the AHRT arm and similar OS. A longer follow-up of patients receiving AHRT is required to assess the benefit.

Indexed as

Altered fractionationLocoregional neoplasm recurrenceRadiotherapySurvival

Identifiers

PMID38185929
PMCPMC10772594
OpenAlexW4387733050

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.