Cochrane · systematic review · CD007077

Partial breast irradiation versus whole breast radiotherapy for early breast cancer

Hickey, BE, Lehman, M · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Breast Cancer3 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 5 · 71.4%High 2 · 28.6%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 3 versions

Summary of Findings Table ‐ PBI?APBI compared to WBRT for early breast cancer

Population: health problem or population
7 questions
OutcomeEffectEvidenceStatus / GRADE
Local recurrence‐free survival ‐ total (LR‐FS)
Summary of Findings Table ‐ PBI?APBI vs WBRT
HR 1.21 [1.03, 1.42]8 studies · 13168 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Cosmesis, physician/nurse‐reported
Summary of Findings Table ‐ PBI?APBI vs WBRT
OR 1.57 [1.31, 1.87]6 studies · 3652 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Overall survival
Summary of Findings Table ‐ PBI?APBI vs WBRT
HR 0.99 [0.88, 1.12]8 studies · 13175 participantsHigh
Subcutaneous fibrosis (late RT toxicity)
Summary of Findings Table ‐ PBI?APBI vs WBRT
OR 5.07 [3.81, 6.74]2 studies · 3011 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Cause‐specific survival (C‐SS)
Summary of Findings Table ‐ PBI?APBI vs WBRT
HR 1.06 [0.83, 1.36]7 studies · 9865 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Distant metastasis‐free survival (DM‐FS)
Summary of Findings Table ‐ PBI?APBI vs WBRT
HR 0.95 [0.8, 1.13]7 studies · 11033 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Subsequent mastectomy
Summary of Findings Table ‐ PBI?APBI vs WBRT
OR 0.98 [0.78, 1.23]3 studies · 3740 participantsHigh