Evidence map›Paper›PMID 39258143›Full record

ArticleAdvances in radiation oncology2024

Laterality of Radiation Therapy in Breast Cancer is Not Associated With Increased Risk of Coronary Artery Disease in the Contemporary Era.

Lakshya Seth, Omar Makram, Amr Essa, Vraj Patel, Stephanie Jiang, Aditya Bhave, Sandeep Yerraguntla, Gaurav Gopu, Sarah Malik, Justin Swaby and 12 more

Abstract read
In one paragraph

Article in Advances in radiation oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

22 authors.

Lakshya SethDepartment of Medicine, Medical College of Georgia, Augusta, Georgia.
Omar MakramDepartment of Medicine, Medical College of Georgia, Augusta, Georgia.
Amr EssaDepartment of Medicine, Medical College of Georgia, Augusta, Georgia.
Vraj PatelDepartment of Medicine, Medical College of Georgia, Augusta, Georgia.
Stephanie JiangDepartment of Medicine, Medical College of Georgia, Augusta, Georgia.
Aditya BhaveDepartment of Medicine, Medical College of Georgia, Augusta, Georgia.
Sandeep YerraguntlaDepartment of Medicine, Medical College of Georgia, Augusta, Georgia.
Gaurav GopuDepartment of Medicine, Medical College of Georgia, Augusta, Georgia.
Sarah MalikDepartment of Medicine, Medical College of Georgia, Augusta, Georgia.
Justin SwabyDepartment of Medicine, Medical College of Georgia, Augusta, Georgia.
Johnathon RastDepartment of Medicine, Medical College of Georgia, Augusta, Georgia.
Caleb A PadgettDepartment of Medicine, Medical College of Georgia, Augusta, Georgia.
Ahmed ShetewiDepartment of Medicine, Medical College of Georgia, Augusta, Georgia.
Priyanshu NainDepartment of Medicine, Medical College of Georgia, Augusta, Georgia.
Neal WeintraubDepartment of Medicine, Medical College of Georgia, Augusta, Georgia.
Eric D MillerDepartment of Radiation Oncology at the Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, The Ohio State University Comprehensive Cancer Center, Columbus, Ohio.
Susan DentDuke Cancer Institute, Duke University, Durham, North Carolina.
Ana BaracDivision of Cardio-Oncology, Inova Schar Cancer Institute and Inova Heart and Vascular Institute, Fairfax, Virginia.
Rakesh ShiradkarWallace H Coulter Department of Biomedical Engineering, Emory University and Georgia Institute of Technology, Atlanta, Georgia.
Anant MadabhushiWallace H Coulter Department of Biomedical Engineering, Emory University and Georgia Institute of Technology, Atlanta, Georgia.
Catherine FergusonDepartment of Radiation Oncology, Medical College of Georgia, Augusta University, Augusta, Georgia.
Avirup GuhaCardio-Oncology Program, Medical College of Georgia, Augusta, Georgia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: External beam radiation therapy (EBRT) is a critical component of breast cancer (BC) therapy. Given the improvement in technology in the contemporary era, we hypothesized that there is no difference in the development of or worsening of existing coronary artery disease (CAD) in patients with BC receiving left versus right-sided radiation. Methods and Materials: For the meta-analysis portion of our study, we searched PubMed, Web of Science, and Scopus and included studies from January 1999 to September 2022. CAD was identified using a homogenous metric across multiple studies included. We computed the risk ratio (RR) for included studies using a random effects model. For the institutional cohort portion of our study, we selected high cardiovascular-risk patients who received diagnoses of BC between 2010 and 2022 if they met our inclusion criteria. We performed a Cox proportional hazards model with stepwise adjustment. Results: A pooled random effects model with 9 studies showed that patients with left-sided BC receiving EBRT had a 10% increased risk of CAD when compared with patients with right-sided BC receiving EBRT (RR, 1.10; 95% CI, 1.02-1.18; Conclusions: Our study suggests a historical trend of increased CAD in BC patients receiving left-sided EBRT. Data from patients diagnosed after 2010 in our institutional cohort did not show a significant difference

Identifiers

PMID39258143
PMCPMC11385753

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.