Evidence map›Paper›PMID 40597140›Full record

ArticleBMC medical informatics and decision making2025

A CDE-based data structure for radiotherapeutic decision-making in breast cancer.

Fabio Dennstädt, Maximilian Schmalfuss, Johannes Zink, Janna Hastings, Roberto Gaio, Max Schmerder, Nikola Cihoric, Paul Martin Putora

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Completeness of Common Data Elements for Breast Cancer Clinical Trials in Observational Databases.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2026
    Article
  3. 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.

Fabio DennstädtDepartment of Radiation Oncology, HOCH Cantonal Hospital St. Gallen, St. Gallen, Switzerland. fabio.dennstaedt@insel.ch.
Maximilian SchmalfussDepartment of Radiation Oncology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland.
Johannes ZinkInstitute for Computer Science, University of Würzburg, Würzburg, Germany.
Janna HastingsSchool of Medicine, University of St. Gallen, St. Gallen, Switzerland.
Roberto GaioDepartment of Radiation Oncology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland.
Max SchmerderDepartment of Radiation Oncology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland.
Nikola CihoricDepartment of Radiation Oncology, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland.
Paul Martin PutoraDepartment of Radiation Oncology, HOCH Cantonal Hospital St. Gallen, St. Gallen, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe growing complexity of oncology and radiation therapy demands structured and precise data management strategies. The National Institutes of Health (NIH) have introduced Common Data Elements (CDEs) as a uniform approach to facilitate consistent data collection. However, there is currently a lack of a comprehensive set of CDEs for describing situations for and within radiation oncology. Specifically for breast cancer, where radiotherapeutic decision-making is complex and based on multiple diverse criteria, there is a clear need for more standardized data. Aim of this study was to create a CDE-based data structure for radiotherapeutic decision-making in breast cancer to promote structured data collection on the level of a local hospital.

methodsBetween May 2023 and May 2024, we conducted a case study at the radiation therapy department of a local hospital to develop a CDE-based data structure for radiotherapeutic decision-making in breast cancer. Local Standard Operating Procedures (SOPs) were analyzed to identify relevant decision-making criteria used in clinical practice. Corresponding CDEs were identified, and a structured data framework based on these CDEs was created. The framework was translated into machine-readable JavaScript Object Notation (JSON) format. Six clinical practice guidelines of the American Society for Radiation Oncology (ASTRO) were analyzed as full text to evaluate how many guideline recommendations and corresponding decision-making criteria could be represented using our framework.

resultsWe identified 31 decision-making criteria from local SOPs, formalized into 46 CDEs. A hierarchical structure within an object-oriented data framework was created and converted into JSON format. 94 recommendations with mentioning of decision-making criteria in 216 cases were identified across the six ASTRO guidelines. In 151 cases (70.0%) the mentioned criterion could be presented with the data framework.

conclusionsThe CDE-based data structure provides a standardized, machine-readable framework for documenting and exchanging radiotherapeutic decision-making data in breast cancer patients. While further refinement is needed for broader interoperability, this approach facilitates structured data collection, enhances IT integration and supports standardized communication across different stakeholders.

Indexed as

Breast NeoplasmsClinical Decision-MakingRadiation OncologyFemaleHumansBreast neoplasmsCommon data elementData systemsDecision makingRadiation oncology

Identifiers

PMID40597140
PMCPMC12211407

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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.