Evidence map›Paper›PMID 19680688›Full record

SynthesisJournal of cancer research and clinical oncology2010

Posttreatment surveillance after paraaortic radiotherapy for stage I seminoma: a systematic analysis.

Johannes Classen, Rainer Souchon, Thomas Hehr, Michael Hartmann, Jörg T Hartmann, Michael Bamberg

Abstract readMeta-Analysis
In one paragraph

Synthesis in Journal of cancer research and clinical oncology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Erratum to: Dendritic cells as therapeutic targets in neuroinflammation.Cellular and molecular life sciences : CMLS · 2016
    Article
  2. Interdisciplinary evidence-based recommendations for the follow-up of early stage seminomatous testicular germ cell cancer patients.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2011
    Article
  3. Article
  4. Outcome of different post-orchiectomy management for stage I seminoma: Japanese multi-institutional study including 425 patients.International journal of urology : official journal of the Japanese Urological Association · 2010
    Article
  5. [Germ cell cancer--an update].Der Urologe. Ausg. A · 2010
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Johannes ClassenDepartment of Radiation Oncology, Tübingen University Hospital, Hoppe-Seyler-Str. 3, 72079, Tübingen, Germany. johannes.classen@vincentius-ka.de
Rainer Souchon
Thomas Hehr
Michael Hartmann
Jörg T Hartmann
Michael Bamberg

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextThe extent and duration of routine follow-up after paraaortic (PA) radiotherapy for stage I seminoma remain controversial in terms of efficacy, costs of technical investigations and long-term morbidity.

objectiveTo analyze the current literature assessing routine follow-up after PA radiotherapy for stage I seminoma. EVIDENCE ACQUISITION: We identified all published reports on PA radiotherapy for stage I seminoma (1986-2005). We analyzed time patterns of recurrence, sites and methods of detection of relapse, and follow-up programs used. EVIDENCE SYNTHESIS: We identified 11 publications reporting outcome in 2,280 patients. Median time to recurrence in 80 relapsing patients was 15.5 months. Less than 10% of recurrences were diagnosed beyond the third year of follow-up. Isolated locoregional or distant recurrence was observed in 52 and 20 patients, respectively, without significant difference in median time to relapse. 19 out of 43 recurrences with reported method of detection of relapse were diagnosed by routine technical investigations. There was no significant difference in time to relapse between those patients followed with low volume as compared to high-volume imaging protocols.

conclusionsOur data suggest that technical investigations in posttreatment surveillance should be restricted to the first 3 years of follow-up. Furthermore, surveillance programs with a high volume of imaging apparently do not lead to earlier detection or less advanced stage at the time of relapse as compared to protocols with low volume imaging.

Indexed as

Population SurveillanceAortaHumansLymphatic MetastasisLymph NodesMaleNeoplasm Recurrence, LocalNeoplasm StagingRadiotherapy DosageSeminomaTesticular NeoplasmsTime FactorsTomography, X-Ray Computed

Identifiers

PMID19680688
PMCPMC11828293

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.