Pride, Prejudice, or Science: Attitudes Towards the Results of the TARGIT-A Trial of Targeted Intraoperative Radiation Therapy for Breast Cancer

نویسندگان

  • Jayant S. Vaidya
  • Max Bulsara
  • Frederik Wenz
  • David Joseph
  • Christobel Saunders
  • Samuele Massarut
  • Henrik Flyger
  • Wolfgang Eiermann
  • Michael Alvarado
  • Laura Esserman
  • Mary Falzon
  • Chris Brew-Graves
  • Ingrid Potyka
  • Jeffrey S. Tobias
  • Michael Baum
چکیده

482. 9. Haviland JS, A’Hern R, Bentzen SM, et al. Radiotherapy for breastcancer: The TARGIT-A trial. Lancet 2014;383:1716-1717. 10. The TARGIT-A trial protocol. http://www.nets.nihr.ac.uk/projects/hta/076049 and http://www.targit.org.uk. Accessed May 11, 2015.11. Hughes KS, Schnaper LA, Bellon JR, et al. Lumpectomy plustamoxifen with or without irradiation in women age 70 years or olderwith early breast cancer: Long-term follow-up of CALGB 9343. J ClinOncol 2013;31:2382-2387.12. Blamey RW, Bates T, Chetty U, et al. Radiotherapy or tamoxifen afterconserving surgery for breast cancers of excellent prognosis: BritishAssociation of Surgical Oncology (BASO) II trial. Eur J Cancer 2013;49:2294-2302.13. Kunkler IH, Williams LJ, Jack WJ, et al. Breast-conserving surgerywith or without irradiation in women aged 65 years or older with earlybreast cancer (PRIME II): A randomised controlled trial. Lancet Oncol2015;16:266-273.14. Fisher B, Anderson S, Bryant J, et al. Twenty-year follow-up of arandomized trial comparing total mastectomy, lumpectomy, andlumpectomy plus irradiation for the treatment of invasive breast can-cer. N Engl J Med 2002;347:1233-1241.15. Wickberg A, Holmberg L, Adami HO, et al. Sector resection with orwithout postoperative radiotherapy for stage I breast cancer: 20-yearresults of a randomized trial. J Clin Oncol 2014;32:791-797.16. Wickberg A, Holmberg L, Adami HO, et al. Reply to A. Levy et al. JClin Oncol 2014;32:3340. 17. Aziz MH, Schneider F, Clausen S, et al. Can the risk of secondarycancer induction after breast conserving therapy be reduced usingintraoperative radiotherapy (IORT) with low-energy x-rays? RadiatOncol 2011;6:174.18. Vaidya JS, Bulsara M, Wenz F. Ischemic heart disease after breastcancer radiotherapy. N Engl J Med 2013;368:2526-2527.19. Grantzau T, Overgaard J. Risk of second non-breast cancer afterradiotherapy for breast cancer: A systematic review and meta-analysisof 762,468 patients. Radiother Oncol 2015;114:56-65.20. Darby SC, Ewertz M, McGale P, et al. Risk of ischemic heart diseasein women after radiotherapy for breast cancer. N Engl J Med 2013;368:987-998.21. Houghton J, Baum M, Haybittle JL. Role of radiotherapy followingtotal mastectomy in patients with early breast cancer: The ClosedTrials Working Party of the CRC Breast Cancer Trials Group. World JSurg 1994;18:117-122.22. Cuzick J. Radiotherapy for breast cancer: The TARGIT-A trial. Lancet2014;383:1716.23. Esserman LJ, Alvarado MD, Howe RJ, et al. Application of a decisionanalytic framework for adoption of clinical trial results: Are the dataregarding TARGIT-A IORT ready for prime time? Breast Cancer ResTreat 2014;144:371-378.24. Alvarado M, Ozanne E, Mohan A, et al. Cost-effectiveness of intra-operative radiation therapy for breast conservation. J Clin Oncol 2011;29(Suppl). abstr 6081.25. Vaidya JS, Tobias JS, Baum M, et al. Intraoperative radiotherapy forbreast cancer. Lancet Oncol 2004;5:165-173.26. Accuboost. http://www.accuboost.com.Vaidya et al.International Journal of Radiation Oncology ! Biology ! Physics496

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Health economics of targeted intraoperative radiotherapy (TARGIT-IORT) for early breast cancer: a cost-effectiveness analysis in the United Kingdom

OBJECTIVE The clinical effectiveness of targeted intraoperative radiotherapy (TARGIT-IORT) has been confirmed in the randomised TARGIT-A (targeted intraoperative radiotherapy-alone) trial to be similar to a several weeks' course of whole-breast external-beam radiation therapy (EBRT) in patients with early breast cancer. This study aims to determine the cost-effectiveness of TARGIT-IORT to infor...

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Radiation-related quality of life parameters after targeted intraoperative radiotherapy versus whole breast radiotherapy in patients with breast cancer: results from the randomized phase III trial TARGIT-A

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Environmental and social benefits of the targeted intraoperative radiotherapy for breast cancer: data from UK TARGIT-A trial centres and two UK NHS hospitals offering TARGIT IORT

OBJECTIVE To quantify the journeys and CO2 emissions if women with breast cancer are treated with risk-adapted single-dose targeted intraoperative radiotherapy (TARGIT) rather than several weeks' course of external beam whole breast radiotherapy (EBRT) treatment. SETTING (1) TARGIT-A randomised clinical trial (ISRCTN34086741) which compared TARGIT with traditional EBRT and found similar breas...

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A flawed study should not define a new standard of care.

Targeted intraoperative radiation therapy (TARGIT) puts forward the tantalizing prospect of marked simplification of breast radiation therapy to a single treatment delivered with an easily shielded low-energy (50-kV) x-ray device at the time of breast surgery. Based upon the results of the TARGIT-A trial, on July 25, 2014, the National Institute of Health and Care Excellence (NICE) in the Unite...

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Targeted intraoperative radiotherapy versus whole breast radiotherapy for breast cancer (TARGIT-A trial): an international, prospective, randomised, non-inferiority phase 3 trial

BACKGROUND After breast-conserving surgery, 90% of local recurrences occur within the index quadrant despite the presence of multicentric cancers elsewhere in the breast. Thus, restriction of radiation therapy to the tumour bed during surgery might be adequate for selected patients. We compared targeted intraoperative radiotherapy with the conventional policy of whole breast external beam radio...

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عنوان ژورنال:

دوره 92  شماره 

صفحات  -

تاریخ انتشار 2015