Evidence map›Paper›PMID 39046532›Full record

ArticleWorld journal of urology2024

Stereotactic Body Radiotherapy: is less fractionation more effective in adrenal and renal malignant lesions?

Daniel Rivas, Alejandro de la Torre-Luque, Elena Moreno-Olmedo, Paloma Moreno, Vladimir Suárez, Ana Serradilla, Gregorio Arregui, David Álvarez, Morena Sallabanda, Antonio Lazo and 2 more

Abstract readMulticenter Study
In one paragraph

Article in World journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

12 authors.

Daniel RivasDepartment of Radiation Oncology, GenesisCare, Málaga, Spain.
Alejandro de la Torre-LuqueDepartment of Legal Medicine, Psychiatry and Pathology, School of Medicine, Complutense University of Madrid. CIBERSAM ISCIII, Madrid, Spain.
Elena Moreno-OlmedoDepartment of Stereotactic and MR-guided Radiotherapy, Department of Oncology, Oxford University Hospitals NHS Foundation Trust, Genesiscare, Oxford, UK.
Paloma MorenoDepartment of Radiation Oncology, GenesisCare, Málaga, Spain.
Vladimir SuárezIndependent author, Madrid, Spain.
Ana SerradillaDepartment of Radiation Oncology, Complejo Hospitalario de Jaen, Jaen, Spain.
Gregorio ArreguiDepartment of Physics, GenesisCare, Jerez, Granada, Spain.
David ÁlvarezDepartment of Physics, GenesisCare, Jerez, Spain.
Morena SallabandaDepartment of Radiation Oncology, Instituto de Radiocirugía Avanzada y Centro de Protonterapia Quironsalud, Madrid, Spain.
Antonio LazoDepartment of Radiation Oncology, Virgen de la Victoria Clinical University Hospital, Málaga, Spain.
María Isabel NúñezDepartment of Radiology and Physical Medicine, Granada University, Granada, Spain. isabeln@ugr.es.ORCID http://orcid.org/0000-0001-8159-7969
Escarlata LópezGenesisCare South Spain Chief Medical Officer, Málaga, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeStereotactic body radiotherapy (SBRT) has become an excellent non-invasive alternative for many patients with primary renal cell carcinoma (RCC) and adrenal malignancies (AM). The aims of this study were to analyse how tumor-, patient- and treatment-related factors may influence the outcomes and side effects of SBRT and to assess its benefits as an alternative to surgery.

methodsThis retrospective, multicenter study included 25 lesions in 23 patients treated with SBRT using different devices (LINAC, CyberKnife

resultsLocal control time was higher than six months in more than 87% of patients and treatment response was complete for 73.68%. There was an overall 2-year survival of 40% and none of the deaths were secondary to renal or adrenal local progression. Patients treated with lower total radiation dose (mean [m] = 55 Gy) but less fractions with more dose per fraction (> 8.5 Gy) showed better outcome. Patients with previous chemotherapy and surgery treatments also showed higher complete response and disease-free survival (> 6 months).

conclusionsThis study highlights the importance of ultra-hypofractionated regimens with higher doses per session. Thus, the referral of patients with RCC and AM to Radiotherapy and Oncology departments should be encouraged supporting the role of SBRT as a minimally invasive and outpatient treatment.

Indexed as

Adrenal Gland NeoplasmsCarcinoma, Renal CellKidney NeoplasmsRadiosurgeryAdultAgedAged, 80 and overDose Fractionation, RadiationFemaleHumansMaleMiddle AgedRetrospective StudiesSurvival RateTreatment OutcomeAdrenal malignant lesionRenal malignant lesionStereotactic ablative radiotherapy (SABR)Stereotactic body radiotherapy (SBRT)Toxicity

Identifiers

PMID39046532
PMCPMC11269452

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.