Evidence map›Paper›PMID 39898331›Full record

ArticleClinical and translational radiation oncology2025

Real-world outcomes of prophylactic cranial irradiation utilization and efficacy for patients with extensive-stage small cell lung cancer treated with consolidative thoracic radiotherapy.

Abdul H Lone, Rohan Salunkhe, Vijithan Sugumar, Luna J Zhan, Xiang Y Ye, Andrea Bezjak, John Cho, Meredith E Giuliani, Andrew J Hope, Alexander Sun and 8 more

Abstract read
In one paragraph

Article in Clinical and translational radiation oncology, 2025. 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

18 authors.

Abdul H LoneRadiation Medicine Program, Princess Margaret Cancer Centre, Toronto, ON, Canada.
Rohan SalunkheRadiation Medicine Program, Princess Margaret Cancer Centre, Toronto, ON, Canada.
Vijithan SugumarRadiation Medicine Program, Princess Margaret Cancer Centre, Toronto, ON, Canada.
Luna J ZhanDepartment of Biostatistics, Princess Margaret Cancer Centre, Toronto, ON, Canada.
Xiang Y YeDepartment of Biostatistics, Princess Margaret Cancer Centre, Toronto, ON, Canada.
Andrea BezjakDepartment of Radiation Oncology, University of Toronto, Princess Margaret Cancer Centre, Toronto, ON, Canada.
John ChoDepartment of Radiation Oncology, University of Toronto, Princess Margaret Cancer Centre, Toronto, ON, Canada.
Meredith E GiulianiDepartment of Radiation Oncology, University of Toronto, Princess Margaret Cancer Centre, Toronto, ON, Canada.
Andrew J HopeDepartment of Radiation Oncology, University of Toronto, Princess Margaret Cancer Centre, Toronto, ON, Canada.
Alexander SunDepartment of Radiation Oncology, University of Toronto, Princess Margaret Cancer Centre, Toronto, ON, Canada.
Srinivas RamanDepartment of Radiation Oncology, University of Toronto, Princess Margaret Cancer Centre, Toronto, ON, Canada.
Penelope A BradburyDepartment of Medical Oncology and Hematology, Princess Margaret Cancer Centre, Toronto, ON, Canada.
Lawson EngDepartment of Medical Oncology and Hematology, Princess Margaret Cancer Centre, Toronto, ON, Canada.
Natasha B LeighlDepartment of Medical Oncology and Hematology, Princess Margaret Cancer Centre, Toronto, ON, Canada.
Frances A ShepherdDepartment of Medical Oncology and Hematology, Princess Margaret Cancer Centre, Toronto, ON, Canada.
Adrian SacherDepartment of Medical Oncology and Hematology, Princess Margaret Cancer Centre, Toronto, ON, Canada.
Geoffrey LiuDepartment of Medical Oncology and Hematology, Princess Margaret Cancer Centre, Toronto, ON, Canada.
Benjamin H LokDepartment of Radiation Oncology, University of Toronto, Princess Margaret Cancer Centre, Toronto, ON, Canada.

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Clinical and Translational Science CenterUL1TR000457 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2012 to 2016
$46.0M
Understanding the molecular mechanism of a protein-recycling complex in small cell lung cancer treatment resistance.U01CA253383 · NCI · UNIVERSITY HEALTH NETWORK · PI LOK, BENJAMIN H, RAUGHT, BRIAN · 2020 to 2025
$1.4M
NCATS NIH HHS UL1 TR000457NCATS NIH HHS UL1 TR001873NCATS NIH HHS UL1 TR002384NCI NIH HHS U01 CA253383
6 · The paper itself

Abstract

Background: The role of prophylactic cranial irradiation (PCI) is not well-defined in extensive-stage SCLC (ES-SCLC), with conflicting results from randomized trials and a lack of relevant data for patients who received consolidative thoracic radiotherapy (CTRT). We sought to evaluate the impact of PCI on the outcomes of ES-SCLC patients who were all treated with CTRT. Methods: A retrospective analysis of ES-SCLC patients without brain metastases who were all treated with CTRT between 2013-2021 at our institution was conducted. Overall survival (OS) and incidence of brain failure (BFR) were estimated using Kaplan-Meier estimation and cumulative incidence function. Multivariable Cox or Fine-Gray's proportional hazard regression analysis (MVA) were performed to determine association between PCI and OS. Results: 47 patients met inclusion criteria and were theoretically eligible for PCI, 27 (57.4 %) received PCI and CTRT while 20 (42.6 %) received CTRT alone. Baseline characteristics were similar except for age, where patients receiving PCI were younger (median age 62) compared to patients who did not receive PCI (median age 72). Median OS with PCI was 19.2 months, compared to 10.8 months without PCI ( Conclusion: This real-world study found PCI was independently associated with improved OS and reduced BFR in ES-SCLC patients treated with CTRT compared to patients treated with CTRT not receiving PCI, including after post-chemotherapy brain MRI. The role of PCI with CTRT should be evaluated in prospective studies.

Identifiers

PMID39898331
PMCPMC11787411

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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.