Evidence map›Paper›PMID 39830750›Full record

ArticleTranslational lung cancer research2024

Efficacy and safety of consolidative thoracic radiotherapy after first-line chemoimmunotherapy in patients with extensive-stage small-cell lung cancer: a retrospective cohort study.

Lin Zheng, Yang Yang, Fan Bu, Ruizhi Ye, Fengming Zhang, Zhixiang Ji, Xirong Zhu, Hong Chen, Rongjun Shao, Lidan Liu and 9 more

Abstract read
In one paragraph

Article in Translational lung cancer research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

19 authors.

Lin Zheng *Department of Radiation Oncology, Taizhou Cancer Hospital, Taizhou, China.
Yang Yang *Department of Thoracic Radiotherapy, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Fan BuThe Second Clinical Medical College of Zhejiang Chinese Medicine University, Hangzhou, China.
Ruizhi YeDepartment of Radiation Oncology, Taizhou Cancer Hospital, Taizhou, China.
Fengming ZhangDepartment of Radiation Oncology, Taizhou Cancer Hospital, Taizhou, China.
Zhixiang JiDepartment of Radiation Oncology, Taizhou Cancer Hospital, Taizhou, China.
Xirong ZhuDepartment of Radiation Oncology, Taizhou Cancer Hospital, Taizhou, China.
Hong ChenDepartment of Cancer Radiotherapy Center, Taizhou Cancer Hospital, Wenling, Taizhou, China.
Rongjun ShaoDepartment of Radiation Oncology, Taizhou Cancer Hospital, Taizhou, China.
Lidan LiuDepartment of Radiation Oncology, Taizhou Cancer Hospital, Taizhou, China.
Xixi YingDepartment of Radiation Oncology, Taizhou Cancer Hospital, Taizhou, China.
Lingying ZhuDepartment of Radiology, Taizhou Cancer Hospital, Taizhou, China.
Enyu WangDepartment of Radiology, Taizhou Cancer Hospital, Taizhou, China.
Jifeng FengDepartment of Thoracic Oncology Surgery, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Zhiyong ShiDepartment of Thoracic Oncology, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Jun FangDepartment of Thoracic Radiotherapy, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Yuezhen WangDepartment of Thoracic Radiotherapy, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Zhirui ZhouRadiation Oncology Center, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Guangxian YouDepartment of Radiation Oncology, Taizhou Cancer Hospital, Taizhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Thoracic radiotherapy (TRT) has shown potential benefits in improving local control and overall survival (OS) in chemotherapy-responsive small-cell lung cancer (SCLC) cases. However, its role in the era of chemoimmunotherapy remains underexplored. In the current era of immunotherapy, this study evaluated the efficacy and safety of consolidative TRT (cTRT) in patients with extensive-stage SCLC (ES-SCLC) and assessed its impact on OS. Additionally, the optimal radiotherapy dose and fractionation schemes were also explored. Methods: In this retrospective cohort study, 124 patients with ES-SCLC diagnosed at Taizhou Cancer Hospital between January 2019 and November 2023 were categorized into cTRT and non-cTRT groups. We compared the baseline characteristics, treatment processes, and survival outcomes between the two groups. Moreover, cTRT subgroups of different radiotherapy doses and fractionation schemes were formed and compared in terms of baseline characteristics, radiotherapy efficacy and safety, patterns of recurrence after radiotherapy, and survival outcomes. OS was selected as the primary endpoint for observation. Differences in OS between the groups were analyzed using log-rank tests. Univariable and multivariable Cox regression analyses were performed to identify factors correlated with OS in the overall patient cohort. Results: The baseline characteristics between the two groups (cTRT and non-cTRT) were generally comparable, with the following significant differences: the cTRT group had a lower proportion of females (1.7% Conclusions: cTRT improved the OS of patients with ES-SCLC and exhibited manageable associated toxicity. Further research is needed to confirm the effect of radiotherapy dose and fractionation scheme selection on treatment outcomes.

Indexed as

Immunotherapyoverall survival (OS)safetysmall-cell lung cancer (SCLC)thoracic radiotherapy (TRT)

Identifiers

PMID39830750
PMCPMC11736601

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