Evidence map›Paper›PMID 39335142›Full record

ArticleCancers2024

Impact of Dose-Escalated Chemoradiation on Pathological Complete Response in Patients with Locally Advanced Rectal Cancer.

Carolina Domingo-Boluda, Diego Dualde, Teresa Taberner-Bonastre, Miguel Soler, Fernando López-Campos

Abstract read
In one paragraph

Article in Cancers, 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

5 authors.

Carolina Domingo-BoludaHospital Universitario La Ribera (HULR), 46600 Alzira, Spain.ORCID 0000-0003-1064-6289
Diego DualdeHospital Clínico Universitario de Valencia, 46010 Valencia, Spain.ORCID 0000-0001-9661-2041
Teresa Taberner-BonastreHospital Universitario La Ribera (HULR), 46600 Alzira, Spain.
Miguel SolerHospital Universitario La Ribera (HULR), 46600 Alzira, Spain.
Fernando López-CamposHospital Universitario Ramón y Cajal, Genesis Care Hospital Vithas La Milagrosa, 28034 Madrid, Spain.ORCID 0000-0002-4077-0507

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Locally advanced rectal cancer requires a multimodal treatment. Radiotherapy is being explored for intensification to improve the rates of pathological complete responses (ypCR rates) which are correlated with better outcomes. This study reports a comparison between standard versus escalated doses in a preoperative scenario. The ypCR rates, toxicity, postoperative complications, and disease-free and overall survival at 5 years are described. From 2012 to 2019, 99 patients were analyzed retrospectively: standard arm (mean of 47.5 Gy) vs. dose-escalated arm (mean of 54.3 Gy). All patients were treated with 3DRT in 25 fractions, with concomitant capecitabine and surgery performed according to the total mesorectal excision principles in both arms. The ypCR was reported using the "College of American Pathologist grades"; the gastrointestinal (GI) and genitourinary (GU) toxicity was reported using the "Common Terminology Criteria for Adverse Events" (CTCAE 4.0). The ypCR rates were higher in the dose-escalated group (25% vs. 10.64%;

Indexed as

chemoradiotherapylocally advanced rectal cancerneoadjuvantpathological complete responseradiotherapy dose escalation

Identifiers

PMID39335142
PMCPMC11429587

What OpenQuestion holds

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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.