Evidence map›Paper›PMID 39799332›Full record

SynthesisRadiation oncology (London, England)2025

Efficacy and safety of proton radiotherapy in treating choroidal melanoma: a systematic review and meta-analysis.

Yuxin Miao, Tingwei Zheng, Qiuning Zhang, Meixuan Li, Qihang Lei, Qin Liu, Hongtao Luo, Huiling Bai

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Radiation oncology (London, England), 2025. 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. Guideline
  2. Article
  3. Ophthalmic complications of radiotherapy.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Review
  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

8 authors.

Yuxin MiaoThe First School of Clinical Medical, Gansu University of Chinese Medicine, Lanzhou, 730000, China.
Tingwei ZhengThe First School of Clinical Medical, Gansu University of Chinese Medicine, Lanzhou, 730000, China.
Qiuning ZhangInstitute of Modern Physics, Chinese Academy of Sciences, Lanzhou, China.
Meixuan LiEvidence-based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, Gansu, China.
Qihang LeiThe First School of Clinical Medical, Gansu University of Chinese Medicine, Lanzhou, 730000, China.
Qin LiuThe First School of Clinical Medical, Gansu University of Chinese Medicine, Lanzhou, 730000, China. summliu@126.com.
Hongtao LuoGansu Provincial Hospital of TCM, Lanzhou, Gansu, China. hongtaoluo@126.com.
Huiling BaiThe First School of Clinical Medical, Gansu University of Chinese Medicine, Lanzhou, 730000, China. 15293112127@163.com.

Funding

Natural Science Foundation of Gansu Province no. 23JRRA1291
6 · The paper itself

Abstract

backgroundProton beam therapy (PBT) has been gradually introduced for treating choroidal melanoma. This study systematically reviewed clinical reports to evaluate the efficacy and safety of PBT in choroidal melanoma patients.

methodsThis systematic review included all the primary studies involving PBT for choroidal melanoma patients through April 2024. Four publicly accessible databases were searched, and the statistical data were analyzed using STATA 15.0. The outcomes of interest included overall survival (OS), metastasis-free survival, local control rate, and adverse reactions.

resultsA total of six case series involving 1059 patients with choroidal melanoma were included. The random effect model meta-analysis showed that the 2-, 3-, 5-, and 10-year OS rates of patients with choroidal melanoma treated with PBT were 97%, 92%, 73%, and 39%, respectively. The metastasis-free survival rates at 2, 3, and 5 years were 92%, 89%, and 76%, respectively, and the local control rates at 1, 3, 5, and 10 years were 98%, 92%, 94%, and 88%, respectively. Four studies reported adverse reactions. The most common adverse reactions after PBT were glaucoma, optic neuropathy, and cataracts, with incidence rates ranging from 17.9 to 27%, 12.8-64%, and 29.6-39.8%, respectively.

conclusionsThis meta-analysis identified PBT as a vital local treatment strategy against choroidal melanoma. Both OS and local control rates showed excellent results. However, more prospective trials can help compare the efficacy of PBT with typical therapy.

Indexed as

Choroid NeoplasmsMelanomaProton TherapyHumansChoroidal melanomaMeta-analysisProton therapyRadiotherapy

Identifiers

PMID39799332
PMCPMC11724514

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.