Evidence map›Paper›PMID 41591498›Full record

Observational studyCancer immunology, immunotherapy : CII2026

Radiotherapy dose may not affect prognosis in ESCC patients receiving first-line chemoradiotherapy-immunotherapy: A multicenter retrospective study.

Jingyuan Wen, Xinyi Liu, Yuanji Xu, Zhongmei Lin, Min Hou, Yan Gui, Jianzhong Cao, Qing Hou, Jiahua Lv, Lulu Wang and 3 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Cancer immunology, immunotherapy : CII, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Jingyuan Wen *Department of Radiation Oncology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050035, China.
Xinyi Liu *Department of Radiation Oncology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050035, China.
Yuanji XuDepartment of Radiation Oncology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, 350014, China.
Zhongmei LinDepartment of Radiation Oncology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, 350014, China.
Min HouDepartment of Oncology, Affiliated Hospital of North Sichuan Medical College, Nanchong, 637000, China.
Yan GuiDepartment of Oncology, Affiliated Hospital of North Sichuan Medical College, Nanchong, 637000, China.
Jianzhong CaoDepartment of Radiation Oncology, Shanxi Province Cancer Hospital, Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan, 030013, China.
Qing HouDepartment of Radiation Oncology, Shanxi Province Cancer Hospital, Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan, 030013, China.
Jiahua LvDepartment of Radiotherapy, Sichuan Clinical Research Center for Cancer, Sichuan Hospital Cancer & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China, Chengdu, 610040, China.
Lulu WangDepartment of Radiation Oncology, Chongqing University Cancer Hospital, Chongqing, 400030, China.
Wei ZhouDepartment of Radiation Oncology, Chongqing University Cancer Hospital, Chongqing, 400030, China.
Zhimin ZengDepartment of Oncology, The Second Affiliated Hospital of Nanchang University, Nanchang, 330008, China.
Wenbin ShenDepartment of Radiation Oncology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050035, China. wbshen2024@hebmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCombined immunotherapy based on radiotherapy and chemotherapy is increasingly widely applied in clinical practice for patients with non-surgical treatment of esophageal cancer. However, radiotherapy doses in triple combination therapy have not received much attention. Therefore, a retrospective, non-interventional, real-world study of patients with esophageal squamous cell carcinoma (ESCC) was conducted. The primary objective was to assess whether radiotherapy dose is a determining factor in the prognosis of ESCC patients in a triple therapy.

methodsA total of 1283 ESCC patients receiving triple therapy were collected from 7 cancer centers in China between January 2019 and December 2022. Among them, 299 ESCC patients receiving the first-line triple therapy were eligible for enrollment. Due to different radiotherapy doses, patients were classified into a high-dose (HD) group at 60Gy and a low-dose (LD) group at 50.4Gy. Propensity Score Matching (PSM) analysis was conducted to compare and analyze differences in outcomes, toxicity, and failure patterns between the two groups. Further subgroup analysis was performed to identify the individual population.

resultsOf the 299 ESCC patients eligible for enrollment, 198 (66.2%) were in the HD group and 101 (33.8%) were in the LD group. After PSM, there were 93 patients in each group. The median follow-up time was 25.5 months (95CI: 18.6-32.4). The median overall survival (mOS) and median progression-free survival (mPFS) in the LD group were 31.3 months (95%CI: 16.5-46.2) and 17.0 months (95%CI: 15.1-19.0), respectively. The mOS and mPFS in the HD group were 28.5 months (95%CI: 16.1-40.9) and 20.6 months (95%CI: 13.5-27.8), respectively. There was no statistically significant difference between the HD group and the LD group (X

conclusionMulticenter data from China showed that higher radiotherapy doses provide no survival benefit for ESCC patients receiving first-line triple therapy.

Indexed as

ChemoradiotherapyEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaImmunotherapyAdultAgedFemaleHumansMaleMiddle AgedPrognosisRadiotherapy DosageRetrospective StudiesChemotherapyEsophageal squamous cell carcinomaImmunotherapyRadiotherapy dosesReal-world data

Identifiers

PMID41591498
PMCPMC12847559

What Socratic holds

Textmetadata
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.