Evidence map›Paper›PMID 38589947›Full record

ArticleCardio-oncology (London, England)2024

Cardiac markers in left-sided breast cancer patients receiving adjuvant radiotherapy: a prospective study.

Kundan Chufal, Irfan Ahmad, Anuj Prakash, Alexis Miller, Preetha Umesh, Varsha Koul, Ram Bajpai, Bharat Dua, Priya Gupta, Munish Gairola

Open access · goldAbstract read
In one paragraph

Article in Cardio-oncology (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

4 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 5 institutions in 3 countries.

Kundan ChufalDepartment of Radiation Oncology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India.
Irfan AhmadDepartment of Radiation Oncology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India. irfan.a@icloud.com.
Anuj PrakashDepartment of Biochemistry, Medanta Hospital, Gurugram, Haryana, India.
Alexis MillerDepartment of Radiation Oncology, Illawara Cancer Care Centre, Wollongong, NSW, Australia.
Preetha UmeshDepartment of Radiation Oncology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India.
Varsha KoulDepartment of Cardiology, Batra Hospital and Medical Research Centre, New Delhi, India.
Ram BajpaiSchool of Medicine, Keele University, Staffordshire, UK.
Bharat DuaDepartment of Radiation Oncology, Venkateshwar Hospital, New Delhi, India.
Priya GuptaSchool of Medicine, Keele University, Staffordshire, UK.
Munish GairolaDepartment of Radiation Oncology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India.
Rajiv Gandhi Cancer Institute and Research Centre · INKeele University · GBBatra Hospital and Medical Research Centre · INIllawarra Women's Health Centre · AUMedanta The Medicity · IN

Funding

Rajiv Gandhi Cancer Institute and Research Centre Res/SCM/52/2022/40
6 · The paper itself

Abstract

objectivesTo investigate the association between radiotherapy (RT) and cardiac biomarkers in women with left-sided breast cancer.

methodsThis prospective observational study recruited patients with stage I-III left-sided breast cancer without coronary heart disease who required adjuvant RT. High-sensitivity troponin I(hsTnI), N-terminal pro-brain natriuretic peptide(NT-proBNP), and high-sensitivity C-reactive protein(hsCRP) levels were measured pre-RT, immediately after RT, and 3 months post-RT. Cardiac-sparing RT techniques were utilized (Field-in-Field IMRT/VMAT ± voluntary deep inspiration breath-hold). Statistical analyses were performed using non-parametric tests and multivariable quantile regression (QR).

resultsOne hundred five patients completed the study, with 63 evaluable at three months post-RT. Pre- and post-RT biomarkers showed no significant differences. Median pre-RT and post-RT values were: hsTnI (0.012ng/mL; 0.012ng/mL), hsCRP (3.1 mg/L; 2.8 mg/L), and NT-proBNP (59pg/mL; 45pg/mL). Three months post-RT, hsTnI, hsCRP and NT-proBNP levels also showed no significant differences. Multivariable QR revealed no association between heart D

conclusionshsTnI, NT-proBNP, and hsCRP are not correlated with contemporary low cardiac exposure in left-sided breast cancer patients treated with contemporary RT techniques.

Indexed as

Breast cancerhsCRPhsTnIHypofractionated RadiotherapyNT-proBNP

Identifiers

PMID38589947
PMCPMC11000277
OpenAlexW4394575796

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.