1995
DOI: 10.1016/0016-5085(95)90269-4
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Photodynamic therapy for obstructing esophageal cancer: Light dosimetry and randomized comparison with Nd: YAG laser therapy

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Cited by 132 publications
(61 citation statements)
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“…Meta-analysis was not possible due to heterogeneity between the trials. All trials reported morbidity results, seven reported on mortality [113][114][115][116][117][118][119] and four reported on QoL outcomes. [115][116][117][118] Only two of the studies reported resource use, both in terms of days of hospitalisation.…”
Section: Results Of Effectiveness (Palliative Intent)mentioning
confidence: 99%
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“…Meta-analysis was not possible due to heterogeneity between the trials. All trials reported morbidity results, seven reported on mortality [113][114][115][116][117][118][119] and four reported on QoL outcomes. [115][116][117][118] Only two of the studies reported resource use, both in terms of days of hospitalisation.…”
Section: Results Of Effectiveness (Palliative Intent)mentioning
confidence: 99%
“…Heier et al 114 found that patients receiving PDT were judged to have significantly greater improvements in dietary performance and Karnofsky performance status. Lightdale et al 112 did not report on this outcome.…”
Section: Quality Of Lifementioning
confidence: 99%
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“…13 Recently, there has been renewed interest in PDT for palliation of advanced oesophageal cancers, perhaps partly as a way of getting some application of PDT approved by the Food and Drugs Administration (FDA) in the USA. '6 17 The most comprehensive report is a phase III, randomised, multicentre study comparing PDT using Photofrin to Nd:YAG laser therapy in 236 patients with advanced malignant dysphagia from Lightdale et al '6 The response rates, median survival times (PDT: 123 days; Nd:YAG: 140 days), time to palliation failure (PDT: 34 days; Nd:YAG: 42 days) and dysphagia scores were similar for both groups, although the authors admit that their response rates in the Nd:YAG laser group (48% at one week and 29% at one month) are way below the figures of 65-80% in most other studies. They reported fewer treatment endoscopies with PDT, but including the debridement endoscopies required after each PDT treatment, the total number of procedures was similar for both.…”
Section: Leading Articlementioning
confidence: 99%
“…13,[16][17][18][19] This chemical, porfimer sodium (Photofrin II, Quadra Logic Technologies, Vancouver, British Columbia), is given intravenously in a dose of 2 mg/kg of body weight. After approximately 48 hours, the area of cancer is exposed to a red light with a wavelength of 630 nm provided by a continuous-wave argon-pumped dye laser via a quartz fiber passed through a standard videoendoscope.…”
Section: Photodynamic Therapymentioning
confidence: 99%