Split-course radiotherapy: where do we stand?
Standard
Split-course radiotherapy: where do we stand? / Dubben, H H; Krüll, Andreas; Beck-Bornholdt, Hans-Peter.
in: STRAHLENTHER ONKOL, Jahrgang 177, Nr. 5, 5, 01.05.2001, S. 227-239.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Split-course radiotherapy: where do we stand?
AU - Dubben, H H
AU - Krüll, Andreas
AU - Beck-Bornholdt, Hans-Peter
PY - 2001/5/1
Y1 - 2001/5/1
N2 - BACKGROUND: Split-course radiotherapy is only rarely applied in curative radiotherapy and there might be a number of arguments to believe that continuous radiotherapy is superior to split-course treatment. In order to point out the evidence current treatment practice is based on, the available randomized trials and some prominent retrospective analyses on split-course radiotherapy were critically assessed. MATERIAL AND METHODS: The analysis of the clinical results was based on published data only. Publications were searched in a Medline database. RESULTS: Assessment of 13 randomized trials, including the data of 2,112 patients, revealed no significant difference between continuous-course and split-course radiotherapy. Astonishingly, the outcome of 77 radiotherapy studies on split-course, most of which are retrospective, seems to depend on the year of publication, suggesting publication bias. CONCLUSIONS: No clinically relevant difference between continuous and split-course radiotherapy could be found. This, of course, does not proof that there are indeed no differences but the data do not allow to draw clear-cut conclusions in favor of or against split-course radiotherapy due to methodological shortcomings of the studies.
AB - BACKGROUND: Split-course radiotherapy is only rarely applied in curative radiotherapy and there might be a number of arguments to believe that continuous radiotherapy is superior to split-course treatment. In order to point out the evidence current treatment practice is based on, the available randomized trials and some prominent retrospective analyses on split-course radiotherapy were critically assessed. MATERIAL AND METHODS: The analysis of the clinical results was based on published data only. Publications were searched in a Medline database. RESULTS: Assessment of 13 randomized trials, including the data of 2,112 patients, revealed no significant difference between continuous-course and split-course radiotherapy. Astonishingly, the outcome of 77 radiotherapy studies on split-course, most of which are retrospective, seems to depend on the year of publication, suggesting publication bias. CONCLUSIONS: No clinically relevant difference between continuous and split-course radiotherapy could be found. This, of course, does not proof that there are indeed no differences but the data do not allow to draw clear-cut conclusions in favor of or against split-course radiotherapy due to methodological shortcomings of the studies.
KW - Dose Fractionation
KW - Evidence-Based Medicine
KW - Humans
KW - MEDLINE
KW - Neoplasms
KW - Randomized Controlled Trials as Topic
KW - Treatment Outcome
U2 - 10.1007/pl00002402
DO - 10.1007/pl00002402
M3 - SCORING: Journal article
C2 - 11398608
VL - 177
SP - 227
EP - 239
JO - STRAHLENTHER ONKOL
JF - STRAHLENTHER ONKOL
SN - 0179-7158
IS - 5
M1 - 5
ER -