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[Intensity-modulated radiation therapy for breast cancer] |
Rodríguez B, Augustovski F, Pichon-Riviere A, García Martí S, Alcaraz A, Bardach A, Ciapponi A |
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Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Rodríguez B, Augustovski F, Pichon-Riviere A, García Martí S, Alcaraz A, Bardach A, Ciapponi A. [Intensity-modulated radiation therapy for breast cancer] Buenos Aires: Institute for Clinical Effectiveness and Health Policy (IECS). Documentos de Evaluación de Tecnologías Sanitarias, Informe de Respuesta Rapida No 525. 2017 Authors' conclusions No good quality evidence was found assessing the long-term effect of intensity-modulated radiation therapy for breast cancer.
Low quality evidence (from one randomized comparative study) shows that it would not be better than three-dimensional radiation therapy when considering outcomes such as overall survival, disease-free survival, local recurrence or serious adverse effects. Moderate quality evidence suggests that it would reduce skin scaling and have some cosmetic improvement, although its effect on quality of life is still uncertain.
The clinical practice guidelines assessed, mentioning intensity-modulated radiation therapy, do not recommend its use as routine practice and they restrict it to specific cases when excess toxicity with standard techniques is foreseen.
Although some health sponsors definitely do not consider its coverage, others cover it when standard radiation therapy assumes greater toxicity to the surrounding healthy organs. Final publication URL www.iecs.org.ar Indexing Status Subject indexing assigned by CRD MeSH Breast Neoplasms; Humans; Radiotherapy, Intensity-Modulated Language Published Spanish Country of organisation Argentina English summary There is no English language summary available. Address for correspondence Institute for Clinical Effectiveness and Health Policy, Viamonte 2146 - 3 Piso, C1056ABH Ciudad de Buenos Aires, Argentina Tel: +54 11 49 66 00 82 Fax:+54 11 49 53 40 58 Email: info@iecs.org.ar AccessionNumber 32017000290 Date abstract record published 13/06/2017 |
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