Evidence map›Paper›PMID 39407149›Full record

ArticleBMC cancer2024

Dose escalation with stereotactic body radiotherapy for cervical cancer treatment.

Menekse Turna, Rashad Rzazade, Esra Küçükmorkoç, Nadir Küçük, Mehmet Doğu Canoğlu, Hale Başak Çağlar

Abstract read
In one paragraph

Article in BMC cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

6 authors.

Menekse TurnaDepartment of Radiation Oncology, Anadolu Medical Center, Gebze, Kocaeli, Turkey. menekse.turna@gmail.com.
Rashad RzazadeDepartment of Radiation Oncology, Anadolu Medical Center, Gebze, Kocaeli, Turkey.
Esra KüçükmorkoçDepartment of Radiation Oncology, Anadolu Medical Center, Gebze, Kocaeli, Turkey.
Nadir KüçükDepartment of Radiation Oncology, Anadolu Medical Center, Gebze, Kocaeli, Turkey.
Mehmet Doğu CanoğluDepartment of Radiation Oncology, Anadolu Medical Center, Gebze, Kocaeli, Turkey.
Hale Başak ÇağlarDepartment of Radiation Oncology, Anadolu Medical Center, Gebze, Kocaeli, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDose escalation with brachytherapy after pelvic irradiation is standard for treating cervical cancer. Its application can be impossible for some patients. Dose escalation with SBRT is widely used with high local control and acceptable toxicity rates in different body parts. The study enrolled patients who underwent SBRT treatment for dose escalation in the cervix.

methodsPatients who were pathologically diagnosed and treated with cervical SBRT after definitive CRT were included in the study. A total of 30 Gy in 5 fractions for the high-risk volume was prescribed. The first response evaluation was performed three months after the completion of treatment. Treatment toxicity was documented according to the RTOG-EORTC scale. Oncological outcomes and toxicity were assessed.

resultsBetween 02.2019 and 05.2023, 40 patients were treated with an SBRT boost after pelvic irradiation. The median follow-up time was 16 months (7-44 months). The median HR CTV was 47 cc (8,3-168,2 cc). There were 39 patients who achieved a complete response and one who achieved a partial response in the third month after treatment. There were two local or two regional recurrences. The 1-year metastasis-free survival was 88%, and the 1-year progression-free survival was 88%. During the follow-up period, one grade 3 gastrointestinal side effect was observed.

conclusionsSBRT which has low toxicity and reasonable locoregional control rates in a short follow-up period, may be an option for dose escalation in brachytherapy-ineligible cervical cancer patients.

Indexed as

RadiosurgeryUterine Cervical NeoplasmsAdultAgedAged, 80 and overBrachytherapyDose Fractionation, RadiationFemaleFollow-Up StudiesHumansMiddle AgedNeoplasm Recurrence, LocalProgression-Free SurvivalRadiotherapy DosageRetrospective StudiesTreatment OutcomeBrachytherapyCervical cancerChemoradiotherapySBRTStereotactic

Identifiers

PMID39407149
PMCPMC11481774

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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.