Methods | Single institution, RCT | |
Participants | Patients with MRI confirmed 1 to 3 brain metastases, tumor volume < 30 cc and minimum of 3‐month life expectancy | |
Interventions | WBRT alone: 31 patients received 30 Gy in 10 fractions WBRT plus SRS: 37 patients, 30 Gy WBRT in 10 fractions plus GK SRS 20 Gy to the tumor margin |
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Outcomes | Primary outcome: median OS Secondary outcome: local control |
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Notes | Abstract form only. No difference in median OS was reported in the WBRT only and WBRT plus SRS groups. Local control was reported as being superior in the WBRT plus SRS group (91%) versus 62% in the WBRT‐only group. No other outcomes were evaluated in this trial. The abstract only reported median survival and local control in the different groups without providing P values or Kaplan‐Meier analysis | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Insufficient information to permit judgment |
Allocation concealment (selection bias) | Unclear risk | Insufficient information to permit judgment |
Blinding (performance bias and detection bias) All outcomes | Unclear risk | Insufficient information to permit judgment |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Insufficient information to permit judgment |
Selective reporting (reporting bias) | Unclear risk | Insufficient information to permit judgment |
Other bias | Unclear risk | Insufficient information to assess whether an important risk of bias exists |