Evidence map›Paper›PMID 42254469›Full record

ArticleInternational journal of breast cancer2026

Acute Skin Toxicities After Ultrahypofractionated Versus Hypofractionated Postoperative Radiotherapy in Patients With Early Breast Cancer-A Single-Institution Clinical Study.

Gordana Petkovska, Ivica Ratosa, Valentina Bojovska Trajanovska, Marina Iljovska, Emilija Lazareva, Antonija Lazarevska, Violeta Klisarovska, Snezhana Smichkoska

Abstract read
In one paragraph

Article in International journal of breast cancer, 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

8 authors.

Gordana PetkovskaUniversity Clinic for Radiotherapy and Oncology Skopje, Skopje, North Macedonia.ORCID https://orcid.org/0009-0002-1129-0237
Ivica RatosaDivision of Radiotherapy, Institute of Oncology Ljubljana, Ljubljana, Slovenia, onko-i.si.ORCID https://orcid.org/0000-0002-5551-6616
Valentina Bojovska TrajanovskaUniversity Clinic for Radiotherapy and Oncology Skopje, Skopje, North Macedonia.
Marina IljovskaUniversity Clinic for Radiotherapy and Oncology Skopje, Skopje, North Macedonia.
Emilija LazarevaUniversity Clinic for Radiotherapy and Oncology Skopje, Skopje, North Macedonia.
Antonija LazarevskaUniversity Clinic for Radiotherapy and Oncology Skopje, Skopje, North Macedonia.
Violeta KlisarovskaUniversity Clinic for Radiotherapy and Oncology Skopje, Skopje, North Macedonia.
Snezhana SmichkoskaFaculty of Medicine, University of Ss. Cyril and Methodius, Skopje, North Macedonia, ukim.edu.mk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Real-world safety data from Southeastern Europe are limited for ultrahypofractionated (UHF) whole-breast irradiation (WBI). We aimed to evaluate acute skin toxicity with UHF versus hypofractionated (HF) postoperative radiation therapy in early breast cancer, following implementation of this fractionation regimen. Methods: This combined prospective-retrospective study included women aged ≥50 years following breast-conserving surgery (pT1-2, pN0-1, M0). The UHF cohort (prospective) received 26 Gy in 5 fractions over one week between 2023 and 2024. The control group consisted of retrospective data obtained from institutional records of patients who received WBI using a HF schedule of 40.5-42.6 Gy in 15-16 fractions over 3 weeks between 2015 and 2020. All patients were treated with 3D-CRT WBI without regional nodal irradiation or boost. Acute skin toxicity was graded by CTCAE v5.0 at end of treatment and at 4 and 12 weeks. Results: This study included 80 patients, with 40 in each group, with a mean age of 61.1 ± 6.6 years. Baseline clinicopathological characteristics were comparable, except for a slightly larger median tumor size in the UHF group ( Conclusions: UHF WBI (26 Gy/5 fractions) demonstrated comparable acute skin toxicity to standard HF regimens, supporting its safety and clinical feasibility in routine practice.

Indexed as

breast cancerradiodermatitisradiotherapyultrahypofractionation

Identifiers

PMID42254469
PMCPMC13239195

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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.