Evidence map›Paper›PMID 40046832›Full record

ArticleBMJ oncology2025

Whole-body integral dose and post-radiotherapy lymphocytopaenia in solid tumours.

Nuradh Joseph, Lanka Alagiyawanna, Thilina Ruwanpura, Sanjeeva Gunasekera, Lakitha Ruvinda, Sampath Madushan, Ananya Choudhury

Abstract read
In one paragraph

Article in BMJ 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. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Nuradh JosephClinical Oncology, District General Hospital, Matara, Sri Lanka.ORCID 0000-0002-9519-210X
Lanka AlagiyawannaSri Lanka Cancer Research Group, Maharagama, Sri Lanka.
Thilina RuwanpuraClinical Oncology, Royal Stoke University Hospital, Stoke-on-Trent, UK.
Sanjeeva GunasekeraSri Lanka Cancer Research Group, Maharagama, Sri Lanka.
Lakitha RuvindaMedical Physics, Apeksha Hospital, Maharagama, Sri Lanka.
Sampath MadushanMedical Physics, Apeksha Hospital, Maharagama, Sri Lanka.
Ananya ChoudhuryClinical Oncology, The Christie NHS Foundation Trust, Manchester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Since modern radiotherapy techniques such as intensity-modulated radiotherapy (IMRT) pivot on a strategy of dose redistribution, it may increase integral dose and consequently worsening of lymphocytopaenia. In this study, our objective was twofold: first to validate the correlation between integral body dose and post-treatment lymphocytopaenia in a cohort of patients treated with curative-intent radiotherapy and second to validate its prognostic impact. Methods and analysis: Patients treated with curative intent radiotherapy with complete blood counts were included in the study. Data on the following variables were collected: treatment site, prescribed dose, use of concurrent chemotherapy, mean body dose, mean body volume, treatment technique and disease-free survival. Results: A total of 116 patients were included for analysis. There was a significant decline in lymphocyte counts after radiotherapy (2.2×10 Conclusion: The negative correlation between integral body dose and post-treatment lymphocytopaenia was validated, and post-treatment lymphocytopaenia is an adverse prognostic factor in patients with head and neck cancer treated with curative-intent radiotherapy.

Indexed as

BiomarkersImmunocompetenceLymphocytesRadiotherapy

Identifiers

PMID40046832
PMCPMC11880780

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