Evidence map›Paper›PMID 42157246›Full record

Observational studyRadiation oncology (London, England)2026

Outcome of patients with lung cancer treated with stereotactic body radiotherapy for bone oligometastases - a European multicenter cohort study.

Sebastian Schäfer, Isabell Seiler, Panagiotis Balermpas, Camilla von Wachter, Mauro Loi, Daniela Greto, Anna Sabrina Schunn, Sophia Drabke, Kenneth Klischies, Olaf Wittenstein and 21 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Radiation oncology (London, England), 2026. 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

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

31 authors.

Sebastian SchäferDepartment of Radiotherapy, University Hospital Leipzig, Stephanstraße 9a, Leipzig, Germany. Sebastian.Schaefer@medizin.uni-leipzig.de.
Isabell SeilerDepartment of Radiotherapy, University Hospital Leipzig, Stephanstraße 9a, Leipzig, Germany.
Panagiotis BalermpasDepartment of Radiation Oncology, University Hospital Zurich, University of Zurich, Rämistr. 100, Zurich, CH-8091, Switzerland.
Camilla von WachterDepartment of Radiation Oncology, University Hospital Zurich, University of Zurich, Rämistr. 100, Zurich, CH-8091, Switzerland.
Mauro LoiRadiation Oncology Unit, Azienda Ospedaliero-Universitaria Careggi, University of Florence, Florence, Italy.
Daniela GretoRadiation Oncology Unit, Azienda Ospedaliero-Universitaria Careggi, University of Florence, Florence, Italy.
Anna Sabrina SchunnDepartment of Radiation Oncology and Radiation Oncology, University Medical Center Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.
Sophia DrabkeDepartment of Radiation Oncology and Radiation Oncology, University Medical Center Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.
Kenneth KlischiesDepartment of Radiation Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Olaf WittensteinDepartment of Radiation Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Jochen WillnerDepartment of Radiotherapy, Klinikum Bayreuth GmbH, Preuschwitzer Str. 101, 95445, Bayreuth, Germany.
Fabian LohausDepartment of Radiotherapy and Radiation Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstraße 74, Dresden, Germany.
Lena KästnerDepartment of Radiation Oncology, University Medicine Mannheim, Medical Faculty Mannheim, Heidelberg University, Theodor-Kutzer-Ufer 1-3, Mannheim, Germany.
Johannes MeentsDepartment of Radiation Oncology, University Medicine Mannheim, Medical Faculty Mannheim, Heidelberg University, Theodor-Kutzer-Ufer 1-3, Mannheim, Germany.
Priska BankClinic for Radiation Therapy and Radio-Oncology Gera, Waldklinikum Gera, Germany.
Marek SlavikDepartment of Radiation Oncology, Masaryk Memorial Cancer Institute and Medical Faculty, Masaryk University, Brno, Czech Republic.
Petr BurkonDepartment of Radiation Oncology, Masaryk Memorial Cancer Institute and Medical Faculty, Masaryk University, Brno, Czech Republic.
Richard PartlDepartment of Therapeutic Radiology and Oncology, Comprehensive Cancer Center, Medical University of Graz, Graz, 8036, Austria.
Jörg Andreas MüllerDepartment of Radiation Oncology, University Hospital Halle (Saale), Ernst-Grube-Str. 40, 06120, Halle (Saale), Germany.
Yvonne DziermaDepartment of Radiation Oncology, Rostock University Medical Center, Rostock, Germany.
Thomas MaderDepartment of Radiation Oncology, Kantonsspital Graubünden, Chur, Switzerland.
Maike TrommerDepartment of Radiation Oncology, Faculty of Medicine and University Hospital Bonn, Bonn, Germany.
Eleni GkikaDepartment of Radiation Oncology, Faculty of Medicine and University Hospital Bonn, Bonn, Germany.
Alexander RühleDepartment of Radiotherapy, University Hospital Leipzig, Stephanstraße 9a, Leipzig, Germany.
Matthias GuckenbergerDepartment of Radiation Oncology, University Hospital Zurich, University of Zurich, Rämistr. 100, Zurich, CH-8091, Switzerland.
Christos MoustakisDepartment of Radiotherapy, University Hospital Leipzig, Stephanstraße 9a, Leipzig, Germany.
Thomas BrunnerDepartment of Therapeutic Radiology and Oncology, Comprehensive Cancer Center, Medical University of Graz, Graz, 8036, Austria.
Oliver BlanckDepartment of Radiation Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Judit Boda-HeggemannDepartment of Radiation Oncology, University Medicine Mannheim, Medical Faculty Mannheim, Heidelberg University, Theodor-Kutzer-Ufer 1-3, Mannheim, Germany.
Nils H NicolayDepartment of Radiotherapy, University Hospital Leipzig, Stephanstraße 9a, Leipzig, Germany.
Franziska NäglerDepartment of Radiotherapy, University Hospital Leipzig, Stephanstraße 9a, Leipzig, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMetastasis-directed radiotherapy is of increasing importance in the multidisciplinary management of oligometastatic non-small cell lung cancer (NSCLC), but outcome patterns for stereotactic body radiotherapy (SBRT) of bone oligometastases (BoM) remain insufficiently defined. We aimed to determine oncological outcomes and prognostic factors of SBRT for BoM of NSCLC. MATERIALS AND

methodsPatients with NSCLC treated with SBRT for < 5 BoM between 2010 and 2024 at 15 European cancer centers were retrospectively analyzed. Outcomes included freedom from local recurrence (FFLR), progression-free survival (PFS), overall survival (OS), and adverse events.

resultsWith a median follow-up of 14 months (IQR: 7-24 months), 85 patients with 111 treated BoM were analyzed. The 2-year FFLR was 87.2% (95%-CI: 73.3%-94.1%). The 1-/2-year PFS for singular BoM was 60.1% (CI: 44.6%-72.5%)/ 39.9% (CI: 24.6%-54.8%), while for 2-3 BoM they amounted to 10.2% (95%-CI: 0.6%-35.8%) and 0%. In multivariable analysis, less favorable outcome for OS and PFS was associated with larger BoM (HR 1.003; p < 0.01 and HR 1.005, p < 0.001) and increased number of treated BoM (HR 1.72; p = 0.03 and HR 1.93; p < 0.01). Treatment was well tolerated, with fracture rates of 5.4% and no grade 4 and 5 adverse events.

conclusionThis multicenter cohort analysis revealed that SBRT of BoM from NSCLC appears to be an effective and well-tolerated treatment. Presence of singular BoM was a favorable prognostic factor. Prospective studies are needed to confirm these findings and to determine the role of SBRT in the multidisciplinary management of oligometastases.

Indexed as

Bone NeoplasmsCarcinoma, Non-Small-Cell LungLung NeoplasmsRadiosurgeryAgedAged, 80 and overEuropeFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesSurvival RateTreatment OutcomeBone metastasesLung cancerMDTMetastasis-directed therapyOligometastasisSBRTStereotactic body radiotherapyStereotactic radiotherapy

Identifiers

PMID42157246
PMCPMC13188523

What OpenQuestion holds

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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.