| Autor: |
Bekelman, Justin E., Hien Lu, Pugh, Stephanie, Baker, Kaysee, Berg, Christine D., Berrington de Gonzalez, Amy, Braunstein, Lior Z., Bosch, Walter, Chauhan, Cynthia, Ellenberg, Susan, Fang, L. Christine, Freedman, Gary M., Hahn, Elizabeth A., Haffty, B. G., Khan, Atif J., Jimenez, Rachel B., Kesslering, Christy, Ky, Bonnie, Choonsik Lee, Hsiao-Ming Lu |
| Zdroj: |
BMJ Open; Oct2019, Vol. 9 Issue 10, p1-10, 10p |
| Abstrakt: |
Introduction A broad range of stakeholders have called for randomised evidence on the potential clinical benefits and harms of proton therapy, a type of radiation therapy, for patients with breast cancer. Radiation therapy is an important component of curative treatment, reducing cancer recurrence and extending survival. Compared with photon therapy, the international treatment standard, proton therapy reduces incidental radiation to the heart. Our overall objective is to evaluate whether the differences between proton and photon therapy cardiac radiation dose distributions lead to meaningful reductions in cardiac morbidity and mortality after treatment for breast cancer. Methods We are conducting a large scale, multicentre pragmatic randomised clinical trial for patients with breast cancer who will be followed longitudinally for cardiovascular morbidity and mortality, health-related quality of life and cancer control outcomes. A total of 1278 patients with non-metastatic breast cancer will be randomly allocated to receive either photon or proton therapy. The primary outcomes are major cardiovascular events, defined as myocardial infarction, coronary revascularisation, cardiovascular death or hospitalisation for unstable angina, heart failure, valvular disease, arrhythmia or pericardial disease. Secondary endpoints are urgent or unanticipated outpatient or emergency room visits for heart failure, arrhythmia, valvular disease or pericardial disease. The Radiotherapy Comparative Effectiveness (RadComp) Clinical Events Centre will conduct centralised, blinded adjudication of primary outcome events. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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