Κυριακή 26 Ιουλίου 2020


Effectiveness and Safety of Reirradiation With Stereotactic Ablative Radiotherapy of Lung Cancer After a First Course of Thoracic Radiation: A Meta-analysis
Objective: The effectiveness and safety of reirradiation with stereotactic ablative radiotherapy (re-SABR) in patients with recurrence after a previous course of radiation are limited to small series. We carried out a meta-analysis to summarize existing data and identify trends in overall survival (OS), local control (LC), and toxicity after re-SABR in patients with recurrence of lung cancer. Materials and Methods: Eligible studies were identified on Medline, Embase, the Cochrane Library,...
American Journal of Clinical Oncology - Current Issue
Fri Jul 24, 2020 20:23
“Was It Worth It?”: A Pilot Study in Patient Perspectives on the Worthwhileness of Radiation Therapy
Objectives: Radiation therapy is a core oncologic treatment, but literature detailing patient satisfaction post-treatment is sparse. The authors conducted a pilot study to determine whether a simple survey would be feasible to administer and could elucidate factors predictive of satisfaction with radiotherapy. Materials and Methods: Patients with cancer receiving radiotherapy in an academic radiation oncology department from 2014 to 2015 received a 4-item radiotherapy-focused version of the...
American Journal of Clinical Oncology - Current Issue
Fri Jul 24, 2020 20:23
ACR-ACNM-ASTRO-SNMMI Practice Parameter for the Performance of Therapy With Radium-223
Aim/Objectives/Background: The goal of therapy with unsealed radiopharmaceutical sources is to provide either cure or significant prolongation of disease-specific survival, and effective reduction and/or prevention of adverse disease-related symptoms or untoward events while minimizing treatment-associated side effects and complications. Radium-223 dichloride (radium-223) is an alpha particle–emitting isotope used for targeted bone therapy. This practice parameter is intended to guide appropriately...
American Journal of Clinical Oncology - Current Issue
Fri Jul 24, 2020 20:23
Survival Benefit of Combination Chemotherapy in Elderly Patients With Metastatic Pancreatic Ductal Adenocarcinoma
Objectives: Survival benefit of combination over single-agent chemotherapy for metastatic pancreatic ductal adenocarcinoma (PDAC) was demonstrated in younger patients in clinical trials. The authors aimed to evaluate whether this survival benefit of combination chemotherapy is present in elderly patients with metastatic PDAC. Materials and Methods: The authors identified elderly patients (age 65 y or older) with stage IV PDAC and extracted available clinical information from a prospectively...
American Journal of Clinical Oncology - Current Issue
Fri Jul 24, 2020 20:23
ACR–ASTRO Practice Parameter for the Performance of Stereotactic Body Radiation Therapy
Aim/Objectives/Background: To standardize the practice of stereotactic body radiation therapy (SBRT), the American College of Radiology (ACR) and the American Society for Radiation Oncology (ASTRO) cooperatively developed the practice parameter for SBRT. SBRT is a treatment technique that delivers radiation dose to a well-defined extracranial target in 5 fractions or less and usually employs a higher dose per fraction than used in conventional radiation. Methods: The ACR–ASTRO Practice Parameter...
American Journal of Clinical Oncology - Current Issue
Fri Jul 24, 2020 20:23
Community-based Cancer Care Quality and Expertise in a COVID-19 Era and Beyond
No abstract available
American Journal of Clinical Oncology - Current Issue
Fri Jul 24, 2020 20:23
ACR–ASTRO Practice Parameter for Communication: Radiation Oncology
Aim/Objectives/Background: Timely, accurate, and effective communications are critical to quality in contemporary medical practices. Radiation oncology incorporates the science and technology of complex integrated radiation treatment delivery and the art of managing individual patients. Through written physical and/or electronic reports and direct communication, radiation oncologists convey critical information regarding patient care, services provided, and quality of care. Applicable practice...
American Journal of Clinical Oncology - Current Issue
Fri Jul 24, 2020 20:23
Analyzing the Time From Discovery to Definitive Surgical Therapy for Lung Cancer Based on Referral Patterns
Objective: Surgery for early stage non–small cell lung cancer can be curative. A delay from diagnosis to surgery can lead to increased mortality. Our objective was to determine if referring patients to specialists before a thoracic surgeon caused a delay in definitive treatment. Materials and Methods: A retrospective review was conducted of patients who had surgery for non–small cell lung cancer by a single surgeon at our institution from 2013 to 2016. Patients were divided into 2 groups:...
American Journal of Clinical Oncology - Current Issue
Fri Jul 24, 2020 20:23
Eligibility Criteria and Endpoints in Metastatic Renal Cell Carcinoma Trials
Objectives: Treatments for metastatic renal cell carcinoma (mRCC) are often compared across trials, but trial eligibility criteria and endpoints differ. In an effort to better align trials, the Definition for the Assessment of Time to event Endpoints in CANcer trials (DATECAN) project published recommendations in 2015 to be used in mRCC clinical trial design. We analyzed mRCC trial criteria to determine if DATECAN’s recommendations were followed. Materials and Methods: We compared eligibility...
American Journal of Clinical Oncology - Current Issue
Fri Jul 24, 2020 20:23
Impact of Pain, Opioids, and the Mu-opioid Receptor on Progression and Survival in Patients With Newly Diagnosed Stage IV Pancreatic Cancer
Objectives: Pancreatic adenocarcinoma is frequently associated with pain requiring opioid therapy. Opioids, however, have been implicated in causing tumor progression, ultimately shortening survival. We examined the impact of pain, opioid use, and the mu-opioid receptor (MOP-R) expression in tumor tissue on progression-free survival and overall survival of patients with metastatic pancreatic cancer. Methods: We identified 103 patients with metastatic pancreatic adenocarcinoma receiving chemotherapy...
American Journal of Clinical Oncology - Current Issue
Fri Jul 24, 2020 20:23
The Effect of Systemic Chemotherapy on Survival in Patients With Localized, Regional, or Metastatic Adenocarcinoma of the Urinary Bladder
Objectives: To test the effect of systemic chemotherapy on cancer-specific mortality (CSM) in patients with adenocarcinoma of the urinary bladder (ADKUB). Materials and Methods: Within the Surveillance, Epidemiology, and End Results registry (2004 to 2016), we identified patients with localized (T2-3N0M0), regional (T4N0M0/TanyN1-3M0), and metastatic (TanyNanyM1) ADKUB. Temporal trends, Kaplan-Meier plots, and multivariable Cox regression models were used before and after 1:1 propensity score...
American Journal of Clinical Oncology - Current Issue
Fri Jul 24, 2020 20:23
Does the Interval Between Hysterectomy and Start of Adjuvant Radiation Treatment Influence Survival in Women With Endometrial Carcinoma?: A National Cancer Database analysis
Objective: The objective of this study was to analyze the impact of the time interval (TI) between hysterectomy and initiation of adjuvant radiation treatment (ART) on overall survival (OS) among women with early stage endometrial carcinoma (EC) using the National Cancer Database (NCDB). Materials and Methods: The NCDB was queried for women with the International Federation of Gynecology and Obstetrics (FIGO) stage I to II EC who underwent hysterectomy followed by ART. We examined the prognostic...
American Journal of Clinical Oncology - Current Issue
Fri Jul 24, 2020 20:23

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