Evidence map›Paper›PMID 38826090›Full record

ArticleCancer medicine2024

Preliminary outcomes of boron neutron capture therapy for head and neck cancers as a treatment covered by public health insurance system in Japan: Real-world experiences over a 2-year period.

Satoshi Takeno, Yuki Yoshino, Teruhito Aihara, Masaaki Higashino, Yasukazu Kanai, Naonori Hu, Ryo Kakino, Ryo Kawata, Keiji Nihei, Koji Ono

Abstract read
In one paragraph

Article in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed.

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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.

Satoshi TakenoDepartment of Radiation Oncology, Osaka Medical and Pharmaceutical University, Osaka, Japan.ORCID 0000-0002-8761-3461
Yuki YoshinoDepartment of Radiation Oncology, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Teruhito AiharaKansai BNCT Medical Center, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Masaaki HigashinoDepartment of Otorhinolaryngology - Head and Neck Surgery, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Yasukazu KanaiKansai BNCT Medical Center, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Naonori HuKansai BNCT Medical Center, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Ryo KakinoKansai BNCT Medical Center, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Ryo KawataDepartment of Otorhinolaryngology - Head and Neck Surgery, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Keiji NiheiDepartment of Radiation Oncology, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Koji OnoKansai BNCT Medical Center, Osaka Medical and Pharmaceutical University, Osaka, Japan.

Funding

Japan Society for the Promotion of Science JP23K14878
6 · The paper itself

Abstract

purposeSince June 2020, boron neutron capture therapy (BNCT) has been a health care service covered by health insurance in Japan to treat locally advanced or recurrent unresectable head and neck cancers. Therefore, we aimed to assess the clinical outcomes of BNCT as a health insurance treatment and explore its role among the standard treatment modalities for head and neck cancers. MATERIALS AND

methodsWe retrospectively analyzed data from patients who were treated using BNCT at Kansai BNCT Medical Center, Osaka Medical and Pharmaceutical University, between June 2020 and May 2022. We assessed objective response rates based on the Response Evaluation Criteria in Solid Tumors version 1.1, and adverse events based on the Common Terminology Criteria for Adverse Events, version 5.0. Additionally, we conducted a survival analysis and explored the factors that contributed to the treatment results.

resultsSixty-nine patients (72 treatments) were included in the study, with a median observation period of 15 months. The objective response rate was 80.5%, and the 1-year locoregional control, progression-free survival, and overall survival rates were 57.1% (95% confidence interval [CI]: 43.9%-68.3%), 42.2% (95% CI: 30.1%-53.8%), and 75.4% (95% CI: 62.5%-84.5%), respectively. Locoregional control was significantly longer in patients with earlier TNM staging and no history of chemotherapy.

conclusionsBNCT may be an effective treatment option for locally advanced or recurrent unresectable head and neck cancers with no other definitive therapies. If definitive surgery or radiation therapy are not feasible, BNCT should be considered at early disease stages.

Indexed as

Boron Neutron Capture TherapyHead and Neck NeoplasmsAdultAgedAged, 80 and overFemaleHumansInsurance, HealthJapanMaleMiddle AgedRetrospective StudiesSurvival RateTreatment Outcomeboronboron neutron capture therapyhead and neck cancerradiation therapyre‐irradiation

Identifiers

PMID38826090
PMCPMC11145025

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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.