The effectiveness and safety of proton beam radiation therapy in children with malignant central nervous system (CNS) tumours: protocol for a systematic review

التفاصيل البيبلوغرافية
العنوان: The effectiveness and safety of proton beam radiation therapy in children with malignant central nervous system (CNS) tumours: protocol for a systematic review
المؤلفون: Main, Caroline, Dandapani, Madhumita, Pritchard, Mark, Dodds, Rachel, Stevens, Simon, Thorp, Nicky, Taylor, Roger, Wheatley, Keith, Pizer, Barry, Morrall, Matthew, Phillips, Robert, English, Martin, Kearns, Pamela, Wilne, Sophie, Wilson, Jayne
بيانات النشر: BioMed Central Ltd.
سنة النشر: 2016
المجموعة: BioMed Central
مصطلحات موضوعية: Children, Central nervous system tumours, Proton beam RT, Conventional photon RT, Systematic reviews
الوصف: Background The aim of this study is to use a systematic review framework to identify and synthesise the evidence on the use of proton beam therapy (PBT) for the treatment of children with CNS tumours and where possible compare this to the use of photon radiotherapy (RT). Methods Standard systematic review methods aimed at minimising bias will be employed for study identification, selection and data extraction. Twelve electronic databases have been searched, and further citation, hand searching and reference checking will be employed. Studies assessing the effects of PBT used either alone or as part of a multimodality treatment regimen in children with CNS tumours will be included. Relevant economic evaluations will also be identified. The outcomes are survival (overall, progression-free, event-free, disease-free), local and regional control rates, short- and long-term adverse events, functional status measures and quality of survival. Two reviewers will independently screen and select studies for inclusion in the review. All interventional study designs will be eligible for inclusion in the review. However, initial scoping searches indicate the evidence base is likely to be limited to case series studies, with no studies of a higher quality being identified. Quality assessment will be undertaken using pre-specified criteria and tailored to study design if applicable. Studies will be combined using a narrative synthesis, with differences in results between studies highlighted and discussed in relation to the patient population, intervention and study quality. Where appropriate, if no studies of a comparative design are identified, outcomes will be compared against a range of estimates from the literature for similar populations and treatment regimens from the best available evidence from studies that include the use of advanced conventional photon therapy. Discussion The evidence base for the use of PBT in children with CNS tumours is likely to be relatively sparse, highly heterogeneous and potentially ...
نوع الوثيقة: other/unknown material
اللغة: English
العلاقة: http://www.systematicreviewsjournal.com/content/5/1/124Test
الإتاحة: http://www.systematicreviewsjournal.com/content/5/1/124Test
حقوق: Copyright 2016 The Author(s).
رقم الانضمام: edsbas.5D02428D
قاعدة البيانات: BASE