Evidence map›Paper›PMID 38534923›Full record

ReviewCurrent oncology (Toronto, Ont.)2024

The Role of Adjuvant Radiotherapy in the Treatment of Breast Cancer.

Iveta Kolářová, Bohuslav Melichar, Igor Sirák, Jaroslav Vaňásek, Jiří Petera, Kateřina Horáčková, Denisa Pohanková, Filip Ďatelinka, Zuzana Šinkorová, Milan Vošmik

Open access · goldAbstract readReview
In one paragraph

Review in Current oncology (Toronto, Ont.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 13 citations in OpenAlex.

  1. Observational
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Preoperative accelerated hypofractionated radiotherapy (PHYPORT): state of art and potential clinical application.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2025
    Review
  9. Review
  10. Article
  11. Article
  12. 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

10 authors at 4 institutions in 1 country.

Iveta KolářováDepartment of Oncology and Radiotherapy, Faculty of Medicine in Hradec Králové, University Hospital Hradec Králové, Charles University, 500 05 Hradec Králové, Czech Republic.
Bohuslav MelicharDepartment of Oncology, Faculty of Medicine and Dentistry, University Hospital Olomouc, Palacky University, 779 00 Olomouc, Czech Republic.
Igor SirákDepartment of Oncology and Radiotherapy, Faculty of Medicine in Hradec Králové, University Hospital Hradec Králové, Charles University, 500 05 Hradec Králové, Czech Republic.ORCID 0000-0002-5972-3866
Jaroslav VaňásekFaculty of Health Studies, Pardubice University, 532 10 Pardubice, Czech Republic.
Jiří PeteraDepartment of Oncology and Radiotherapy, Faculty of Medicine in Hradec Králové, University Hospital Hradec Králové, Charles University, 500 05 Hradec Králové, Czech Republic.
Kateřina HoráčkováFaculty of Health Studies, Pardubice University, 532 10 Pardubice, Czech Republic.
Denisa PohankováDepartment of Oncology and Radiotherapy, Faculty of Medicine in Hradec Králové, University Hospital Hradec Králové, Charles University, 500 05 Hradec Králové, Czech Republic.
Filip ĎatelinkaDepartment of Oncology and Radiotherapy, Faculty of Medicine in Hradec Králové, University Hospital Hradec Králové, Charles University, 500 05 Hradec Králové, Czech Republic.
Zuzana ŠinkorováDepartment of Radiobiology, Faculty of Military Health Sciences, University of Defence, 500 01 Hradec Králové, Czech Republic.
Milan VošmikDepartment of Oncology and Radiotherapy, Faculty of Medicine in Hradec Králové, University Hospital Hradec Králové, Charles University, 500 05 Hradec Králové, Czech Republic.ORCID 0000-0001-6497-7505
Charles University · CZUniversity of Pardubice · CZUniversity Hospital Olomouc · CZUniversity of Defence · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The role of postmastectomy radiotherapy and regional nodal irradiation after radical mastectomy is defined in high-risk patients with locally advanced tumors, positive margins, and unfavorable biology. The benefit of postmastectomy radiotherapy in intermediate-risk patients (T3N0 tumors) remains a matter of controversy. It has been demonstrated that radiotherapy after breast-conserving surgery lowers the locoregional recurrence rate compared with surgery alone and improves the overall survival rate. In patients with four or more positive lymph nodes or extracapsular extension, regional lymph node irradiation is indicated regardless of the surgery type (breast-conserving surgery or mastectomy). Despite the consensus that patients with more than three positive lymph nodes should be treated with radiotherapy, there is controversy regarding the recommendations for patients with one to three involved lymph nodes. In patients with N0 disease with negative findings on axillary surgery, there is a trend to administer regional lymph node irradiation in patients with a high risk of recurrence. In patients treated with neoadjuvant systemic therapy and mastectomy, adjuvant radiotherapy should be administered in cases of clinical stage III and/or ≥ypN1. In patients treated with neoadjuvant systemic therapy and breast-conserving surgery, postoperative radiotherapy is indicated irrespective of pathological response.

Indexed as

Breast NeoplasmsFemaleHumansMastectomyMastectomy, SegmentalNeoplasm Recurrence, LocalRadiotherapy, Adjuvantadjuvant radiotherapybreast cancerbreast-conserving surgerymastectomyneoadjuvant chemotherapyregional node irradiationwhole breast irradiation

Identifiers

PMID38534923
PMCPMC10969207
OpenAlexW4392167079

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.