Evidence map›Paper›PMID 40684050›Full record

ArticleDiscover oncology2025

Ten-year outcomes of IMRT with chemotherapy versus IMRT alone for stage II-IVa nasopharyngeal carcinoma: a retrospective study.

Xiao-Li Wang, Da-Qing Sun, Hui Yang, Yang Li, Xiu-Feng Li, Xiao-Long Chang, Xiang-di Meng, Ya-Nan Zhang, Yun-Xiang Zhang, Fu-Rong Hao and 1 more

Abstract read
In one paragraph

Article in Discover oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Xiao-Li WangDepartment of Radiation Oncology, Weifang People's Hospital, No.151 Guang Wen Street, Kui Wen District, Weifang, 261041, China.
Da-Qing SunDepartment of Radiation Oncology, Weifang People's Hospital, No.151 Guang Wen Street, Kui Wen District, Weifang, 261041, China.
Hui YangDepartment of Medical Imaging Center, Affiliated Hospital of Shandong Second Medical University, Weifang, 261041, China.
Yang LiDepartment of Radiation Oncology, Weifang People's Hospital, No.151 Guang Wen Street, Kui Wen District, Weifang, 261041, China.
Xiu-Feng LiDepartment of Pathology, Weifang People's Hospital, Weifang, 261041, China.
Xiao-Long ChangDepartment of Radiation Oncology, Weifang People's Hospital, No.151 Guang Wen Street, Kui Wen District, Weifang, 261041, China.
Xiang-di MengDepartment of Radiation Oncology, Weifang People's Hospital, No.151 Guang Wen Street, Kui Wen District, Weifang, 261041, China.
Ya-Nan ZhangDepartment of Radiation Oncology, Weifang People's Hospital, No.151 Guang Wen Street, Kui Wen District, Weifang, 261041, China.
Yun-Xiang ZhangDepartment of Molecular Pathology, Qingdao Central Hospital of University of Health and Rehabilitation Sciences, Qingdao, 266000, China.
Fu-Rong HaoDepartment of Radiation Oncology, Weifang People's Hospital, No.151 Guang Wen Street, Kui Wen District, Weifang, 261041, China. hkc515@163.com.
Jian-Wen LiDepartment of Radiation Oncology, Weifang People's Hospital, No.151 Guang Wen Street, Kui Wen District, Weifang, 261041, China. ljwwf112@163.com.

Funding

Shandong Medical and Health Science and Technology Development Plan No.202109030776Weifang Science and Technology Development Plan Project No.2019YX003
6 · The paper itself

Abstract

backgroundConcurrent chemoradiotherapy (CCRT) remains the cornerstone of treatment for patients with locoregionally advanced nasopharyngeal carcinoma (NPC). However, data on long-term survival, particularly 10-year outcomes, are limited.

methodsThis retrospective study evaluated the clinical efficacy and acute hematologic toxicity of intensity-modulated radiation therapy (IMRT) in 177 newly diagnosed patients with locoregionally moderate or advanced NPC. Patients were categorized into three groups: IMRT alone; CCRT-including subgroups receiving neoadjuvant chemotherapy (NC) + CCRT, CCRT alone, and NC + CCRT + adjuvant chemotherapy (AC); and non-CCRT-including NC + IMRT + AC, and IMRT + AC.

resultsThe median follow-up duration was 48.4 months (range, 3.0-178.9 months). Acute hematologic toxicities were generally mild, with 86.4% (153/177) of patients experiencing only grade 0-2 toxicity. The 10-year OS, PFS, LRFS, and DMFS rates were 66.6%, 75.3%, 91.9%, and 81.2%, respectively. OS differed significantly among the three treatment groups (P = 0.01). Both the CCRT and non-CCRT regimens were associated with improved 10-year OS compared to IMRT alone, with absolute increases of 29.4% and 26.1%, respectively (P = 0.01 for both comparisons).

conclusionsIn the era of IMRT, chemoradiotherapy was associated with manageable acute hematologic toxicity in patients with NPC. Distant metastasis, particularly in those with N3 disease, remained the predominant pattern of failure. Compared with IMRT alone, both CCRT (CCRT, NC + CCRT + AC, NC + CCRT) and non-CCRT (NC + IMRT + AC, IMRT + AC) demonstrated a potential survival benefit in newly diagnosed patients with locoregionally moderate or advanced NPC. These findings warrant further validation in prospective randomized clinical trials.

Indexed as

ChemotherapyClinical studiesIntensity-modulated radiotherapyNasopharyngeal carcinomaTreatment outcome

Identifiers

PMID40684050
PMCPMC12276189

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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.