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Hyperthermia treatment in cancer
Heating tumours can make them more susceptible to treatment or have a direct active effect by killing of tumour tissue. The proposed mechanism for hyperthermia treatment is that the tumour is more susceptible to heat than the surrounding healthy tissue and that hyperthermia enhances the cell damaging effect of chemotherapy and radiation. It is however unclear if hyperthermia treatment has an effect when it is not combined with chemotherapy or radiation.
Questions
What scientific studies are there on the effect of hyperthermia treatment on cancer, when not combined with chemotherapy or radiation?
What systematic reviews are there on the effect of hyperthermia treatment on specific cancer types?
Identified literature
There were no scientific studies on the effect of hyperthermia treatment on cancer, when not combined with chemotherapy or radiation.
There were 13 systematic reviews [1-13] on the effect of hyperthermia treatment on specific cancer types, these were not assessed for risk of bias.
References
- Kirisits A, Wild C. Hyperthermia in breast-, bladder-, cervix carcinoma and soft tissue sarcoma patients (Structured abstract). In: Health Technology Assessment Database. Ludwig Boltzmann Institut fuer Health Technology Assessment (LBIHTA); 2012.
- Datta NR, Stutz E, Gomez S, Bodis S. Efficacy and Safety Evaluation of the Various Therapeutic Options in Locally Advanced Cervix Cancer: A Systematic Review and Network Meta-Analysis of Randomized Clinical Trials. International Journal of Radiation Oncology Biology Physics 2019;103:411-37.
- van der Horst A, Versteijne E, Besselink MGH, Daams JG, Bulle EB, Bijlsma MF, Wilmink JW, van Delden OM, van Hooft JE, Franken NAP, van Laarhoven HWM, Crezee J, van Tienhoven G. The clinical benefit of hyperthermia in pancreatic cancer: a systematic review. International Journal of Hyperthermia 2018;34:969-79.
- Hu Y, Li Z, Mi DH, Cao N, Zu SW, Wen ZZ, Yu XL, Qu Y. Chemoradiation combined with regional hyperthermia for advanced oesophageal cancer: a systematic review and meta-analysis. Journal of Clinical Pharmacy and Therapeutics 2017;42:155-64.
- Datta NR, Puric E, Klingbiel D, Gomez S, Bodis S. Hyperthermia and Radiation Therapy in Locoregional Recurrent Breast Cancers: A Systematic Review and Meta-analysis. International Journal of Radiation Oncology Biology Physics 2016;94:1073-87.
- Datta NR, Rogers S, Klingbiel D, Gómez S, Puric E, Bodis S. Hyperthermia and radiotherapy with or without chemotherapy in locally advanced cervical cancer: a systematic review with conventional and network meta-analyses. International Journal of Hyperthermia 2016;32:809-21.
- Datta NR, Rogers S, Ordóñez SG, Puric E, Bodis S. Hyperthermia and radiotherapy in the management of head and neck cancers: A systematic review and meta-analysis. International Journal of Hyperthermia 2016;32:31-40.
- Longo TA, Gopalakrishna A, Tsivian M, Van Noord M, Rasch CR, Inman BA, Geijsen ED. A systematic review of regional hyperthermia therapy in bladder cancer. International Journal of Hyperthermia 2016;32:381-9.
- Mathis S, Johansson T. Hyperthermie. http://eprints.hta.lbg.ac.at/883/1/DSD_36.pdf. Ludwig Boltzmann Institut fuer Health Technology Assessment (LBIHTA) 2010.
- Lutgens L, van der Zee J, Pijls-Johannesma M, De Haas-Kock Danielle FM, Buijsen J, Mastrigt Ghislaine APGv, et al. Combined use of hyperthermia and radiation therapy for treating locally advanced cervix carcinoma. In: Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd; 2010.
- De Haas-Kock DFM, Buijsen J, Pijls-Johannesma M, Lutgens L, Lammering G, Van Mastrigt GAPG, et al. Concomitant hyperthermia and radiation therapy for treating locally advanced rectal cancer. Cochrane Database of Systematic Reviews 2009.
- McDaid C, Hartley S, Bagnall AM, Ritchie G, Light K, Riemsma R. Systematic review of effectiveness of different treatments for childhood retinoblastoma. Health Technology Assessment 2005;9:iii-48.
- Widmark A, Flodgren P, Damber JE, Hellsten S, Cavallin-Stahl E. A systematic overview of radiation therapy effects in urinary bladder cancer. Acta Oncologica 2003;42:567-81.
Literature search
The search result, usually found at the end of the documentation, forms the list of abstracts. au = Author; MeSH = Term from the Medline controlled vocabulary, including terms found below this term in the MeSH hierarchy; this term only = Does not include terms found below this term in the MeSH hierarchy; :ti = Title; :ab = Abstract; :kw = Keyword; * = Truncation; “ “ = Citation Marks; searches for an exact phrase; CDSR = Cochrane Database of Systematic Review; CENTRAL = Cochrane Central Register of Controlled Trials, “trials”; CRM = Method Studies; DARE = Database Abstracts of Reviews of Effects, “other reviews”; EED = Economic Evaluations; HTA = Health Technology Assessments | ||
Search terms | Items found | |
Population: | ||
1. | MeSH descriptor: [Neoplasms] explode all trees | 69 457 |
2. | "malignant":ti,ab,kw (Word variations have been searched) | 14 965 |
3. | cancer:ti,ab,kw (Word variations have been searched) | 141 162 |
4. | "metastases":ti,ab,kw (Word variations have been searched) | |
Intervention: | ||
5. | hyperthermi*:ti,ab,kw (Word variations have been searched) | 1 761 |
6. | whole body:ti,ab,kw (Word variations have been searched) | 8 558 |
7. | "WBH":ti,ab,kw (Word variations have been searched) | 28 |
Combined sets: | ||
8. | #1 or #2 or #3 or #4 | 172 830 |
9. | #8 and #5 | 822 |
10. | (#9 and #6) or #7 | 43 |
Final I | #9 with Cochrane Library publication date from Jan 2013 to Dec 2019 | CENTRAL/499 |
Final II | #10 with Cochrane Library publication date from Jan 2013 to Dec 2019 | CENTRAL/25 |
/de = Term from the EMTREE controlled vocabulary; /exp = Includes terms found below this term in the EMTREE hierarchy; /mj = Major Topic; :ab = Abstract; :au = Author; :ti = Article Title; :ab,ti = Title or abstract; * = Truncation; ’ ’ = Citation Marks; searches for an exact phrase | ||
Search terms | Items found | |
Population: | ||
1. | 'neoplasm'/exp OR 'neoplasm' AND neoplasm:ab,ti | 73 041 |
2. | 'metastasis'/exp OR 'metastasis' OR metastas*:ab,ti | 720 101 |
3. | 'cancer'/exp OR cancer:ab,ti | 4 014 687 |
4. | 'metastases'/exp | 596 656 |
Intervention: | ||
5. | 'hyperthermic therapy'/exp OR 'hyperthermic therapy' | 24 336 |
6. | 'hyperthermia'/exp OR 'hyperthermia' OR hyperthermi*:ab,ti | 45 251 |
7. | 'malignant hyperthermia'/exp OR 'malignant hyperthermia' | 6 745 |
8. | 'whole body' OR WBH | 100 594 |
Limits: | ||
9. | 'systematic review'/exp OR systematic:ab,ti OR meta:ab,ti | 553 733 |
10. | 'clinical trial'/exp OR 'clinical trial' OR (clinical:ab,ti AND trial:ab,ti) AND random*:ab,ti | 611 376 |
11. | 'controlled clinical trial'/exp | 709 431 |
12. | 'phase 3 clinical trial'/exp OR 'phase 4 clinical trial'/exp | 41 572 |
13. | [2013-2019]/py | |
Final I | ((#1 OR #2 OR #3 OR #4) AND (#5 OR #6 OR #7) AND 9) AND 13 | 311 |
Final II | ((#1 OR #2 OR #3 OR #4) AND (#5 OR #6 OR #7) AND 8) AND 13 | 78 |
Final III | ((#1 OR #2 OR #3 OR #4) AND (#5 OR #6 OR #7) AND (#10 OR #11 OR #12)) AND 13 | 345 |
Search terms | Items found | |
Population: | ||
1. | (neoplas*) OR (Cancer) OR (metastas*) | 13 230 |
Intervention: | ||
2. | MeSH DESCRIPTOR Hyperthermia, Induced EXPLODE ALL TREES | 226 |
3. | MeSH DESCRIPTOR Malignant Hyperthermia EXPLODE ALL TREES | 2 |
4. | (hyperthermia) | 123 |
5. | (whole body) or WBH | 156 |
Combined sets: | ||
6. | #1 AND (#2 OR #3 OR #4) | 93 |
7. | #1 AND #5 | 72 |
Limits: | ||
8. | * FROM 2013 TO 2019 | |
Final I | #6 AND #8 | 26 |
Final II | #7 AND #8 | 12 |
The search result, usually found at the end of the documentation, forms the list of abstracts. ab,ti = abstract or title; exp = explosion searches, mapped searches of index terms; MeSH = term from the controlled vocabulary, including terms found below this term in mesh hierarchy; No index = free text search in all fields |
The search result, usually found at the end of the documentation, forms the list of abstracts. au = Author; MeSH = Term from the Medline controlled vocabulary, including terms found below this term in the MeSH hierarchy; this term only = Does not include terms found below this term in the MeSH hierarchy; :ti = Title; :ab = Abstract; :kw = Keyword; * = Truncation; “ “ = Citation Marks; searches for an exact phrase; CDSR = Cochrane Database of Systematic Review; CENTRAL = Cochrane Central Register of Controlled Trials, “trials”; CRM = Method Studies; DARE = Database Abstracts of Reviews of Effects, “other reviews”; EED = Economic Evaluations; HTA = Health Technology Assessments | ||
Search terms | Items found | |
Population: | ||
1. | MeSH descriptor: [Neoplasms] explode all trees | 46 935 |
2. | "malignant":ti,ab,kw (Word variations have been searched) | 3 982 |
3. | cancer:ti,ab,kw (Word variations have been searched) | 49 294 |
4. | "metastases":ti,ab,kw (Word variations have been searched) | 7 312 |
Intervention: | ||
5. | hyperthermi*:ti,ab,kw (Word variations have been searched) | 902 |
6. | whole body:ti,ab,kw (Word variations have been searched) | 3 238 |
7. | "WBH":ti,ab,kw (Word variations have been searched) | 13 |
Combined sets: | ||
8. | #1 or #2 or #3 or #4 | 70 950 |
9. | #8 and #5< | 378 |
10. | (#9 and #6) or #7 | 20 |
Final I | Cochrane rev=3/ Other rev=19/ Trials=335/ TA=18/Economic=3 |
378 |
Final II | Cochrane rev=0/ Other rev=0/ Trials=19/ TA=1/Economic=0 |
20 |
Search terms | Items found | |
Population: | ||
1. | 'neoplasm'/exp OR 'neoplasm' AND neoplasm:ab,ti | 47 694 |
2. | 'metastasis'/exp OR 'metastasis' OR metastas*:ab,ti | 455 906 |
3. | 'cancer'/exp OR cancer:ab,ti | 3 519 387 |
4. | 'metastases'/exp | 377 423 |
Intervention: | ||
5. | 'hyperthermic therapy'/exp OR 'hyperthermic therapy' | 12 838 |
6. | 'hyperthermia'/exp OR 'hyperthermia' OR hyperthermi*:ab,ti | 34 900 |
7. | 'malignant hyperthermia'/exp OR 'malignant hyperthermia' | 5 969 |
8. | 'whole body' OR WBH | 67 809 |
Limits: | ||
9. | 'systematic review'/exp OR systematic:ab,ti OR meta:ab,ti | 269 871 |
10. | 'clinical trial'/exp OR 'clinical trial' OR (clinical:ab,ti AND trial:ab,ti) AND random*:ab,ti | 368 311 |
11. | 'controlled clinical trial'/exp | 451 567 |
12. | 'phase 3 clinical trial'/exp OR 'phase 4 clinical trial'/exp | 17 364 |
Final I | (#1 OR #2 OR #3 OR #4) AND (#5 OR #6 OR #7) AND 9 | 187 |
Final II | (#1 OR #2 OR #3 OR #4) AND (#5 OR #6 OR #7) AND 8 | 457 |
Final III | (#1 OR #2 OR #3 OR #4) AND (#5 OR #6 OR #7) AND (#10 OR #11 OR #12) | 729 |
/de = Term from the EMTREE controlled vocabulary; /exp = Includes terms found below this term in the EMTREE hierarchy; /mj = Major Topic; :ab = Abstract; :au = Author; :ti = Article Title; :ab,ti = Title or abstract; * = Truncation; ’ ’ = Citation Marks; searches for an exact phrase |
The search result, usually found at the end of the documentation, forms the list of abstracts. ab,ti = abstract or title; exp = explosion searches, mapped searches of index terms; MeSH = term from the controlled vocabulary, including terms found below this term in mesh hierarchy; No index = free text search in all fields | ||
Search terms | Items found | |
Population: | ||
1. | (neoplas*) OR (Cancer) OR (metastas*) | 9 654 |
Intervention: | ||
2. | MeSH DESCRIPTOR Hyperthermia, Induced EXPLODE ALL TREES | 178 |
3. | MeSH DESCRIPTOR Malignant Hyperthermia EXPLODE ALL TREES | 2 |
4. | (hyperthermia) | 96 |
5. | (whole body) or WBH | 130 |
Combined sets: | ||
6. | #1 AND (#2 OR #3 OR #4) | 98 |
7. | #1 AND #6 | 1 |
Final I | 98 | |
Final II | #7 AND #8 | 1 |