Evidence map›Paper›PMID 38274389›Full record

ArticleClinical and translational radiation oncology2024

Quality of life and clinical outcomes in rectal cancer patients treated on a 1.5T MR-Linac within the MOMENTUM study.

L A Daamen, J M Westerhoff, A M Couwenberg, P M Braam, H Rütten, M D den Hartogh, J P Christodouleas, W A Hall, H M Verkooijen, M P W Intven

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Clinical and translational radiation oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04075305 (The Multiple Outcome Evaluation of Radiation Therapy Using the MR-Linac Study), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 26% 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.

NCT04075305 recruitingnot on this map

The Multiple Outcome Evaluation of Radiation Therapy Using the MR-Linac Study

Typeobservational_patient_registrySponsorUMC UtrechtRan2019 to 2030Enrolled8,000ConditionsOncology, Breast Cancer, Prostate Cancer, Gynecologic CancerArmsRadiation therapy
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 3 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

10 authors at 6 institutions in 3 countries.

L A DaamenUniversity Medical Center Utrecht, Division of Imaging and Oncology, Utrecht, The Netherlands.
J M WesterhoffUniversity Medical Center Utrecht, Division of Imaging and Oncology, Utrecht, The Netherlands.
A M CouwenbergThe Netherlands Cancer Institute, Department of Radiation Oncology, Amsterdam, The Netherlands.
P M BraamRadboud University Medical Center, Department of Radiation Oncology, Nijmegen, The Netherlands.
H RüttenRadboud University Medical Center, Department of Radiation Oncology, Nijmegen, The Netherlands.
M D den HartoghRadiotherapiegroep, The Netherlands.
J P ChristodouleasElekta AB, Stockholm, Sweden.
W A HallMedical College of Wisconsin, Department of Radiation Oncology, Milwaukee, WI, United States.
H M VerkooijenUniversity Medical Center Utrecht, Division of Imaging and Oncology, Utrecht, The Netherlands.
M P W IntvenUniversity Medical Center Utrecht, Department of Radiation Oncology, Utrecht, The Netherlands.
University Medical Center Utrecht · NLRadboud University Nijmegen · NLHospital of the University of Pennsylvania · USMedical College of Wisconsin · USRadiotherapiegroep · NLThe Netherlands Cancer Institute · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose: This study assessed quality of life (QoL) and clinical outcomes in rectal cancer patients treated with magnetic resonance (MR) guided short-course radiation therapy (SCRT) on a 1.5 Tesla (T) MR-Linac during the first 12 months after treatment. Materials and methods: Rectal cancer patients treated with 25 Gy SCRT in five fractions with curative intent in the Netherlands (2019-2022) were identified in MOMENTUM (NCT04075305). Toxicity (CTCAE v5) and QoL (EORTC QLQ-C30 and -CR29) was primarily analyzed in patients without metastatic disease (M0) and no other therapies after SCRT. Patients who underwent tumor resection were censored from surgery. A generalized linear mixed-model was used to investigate clinically meaningful (≥10) and significant (P < 0.05) QoL changes. Clinical and pathological complete response (cCR and pCR) rates were calculated in patients in whom response was documented. Results: A total of 172 patients were included, of whom 112 patients were primarily analyzed. Acute and late radiation-induced high-grade toxicity were reported in one patient, respectively. CCR was observed in 8/64 patients (13 %), 14/37 patients (38 %) and 13/16 patients (91 %) at three, six and twelve months; pCR was observed in 3/69 (4 %) patients. After 12 months, diarrhea (mean difference [MD] -17.4 [95 % confidence interval [CI] -31.2 to -3.7]), blood and mucus in stool (MD -31.1 [95 % CI -46.4 to -15.8]), and anxiety (MD -22.4 [95 % CI -34.0 to -10.9]) were improved. Conclusion: High-field MR-guided SCRT for the treatment of patients with rectal cancer is associated with improved disease-related symptom management and functioning one year after treatment.

Indexed as

Clinical outcomesMR-guided radiotherapyPatient-reported outcomesQuality of LifeRectal cancerResponse assessmentShort-course radiation therapyToxicity

Identifiers

PMID38274389
PMCPMC10808928
OpenAlexW4390586913

What OpenQuestion holds

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Registered trials

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.