Evidence map›Paper›PMID 24382757›Full record

ArticleCancer2014

Comparative effectiveness study of patient-reported outcomes after proton therapy or intensity-modulated radiotherapy for prostate cancer.

Bradford S Hoppe, Jeff M Michalski, Nancy P Mendenhall, Christopher G Morris, Randal H Henderson, Romaine C Nichols, William M Mendenhall, Christopher R Williams, Meredith M Regan, Jonathan J Chipman and 4 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03624660 (A Phase II Study of Dose-Escalated Proton-Based Radiation Therapy Delivered With a Simultaneous Integrated Boost), which is not on this map. Cited by 50 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 4% of its field
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.

NCT03624660 phase2active not recruitingnot on this mapstarted 2018, after this paper: background citation

A Phase II Study of Dose-Escalated Proton-Based Radiation Therapy Delivered With a Simultaneous Integrated Boost (SIB) to Intraprostatic Tumors (IPT) Visible on Pretreatment Magnetic Resonance Image

TypeinterventionalSponsorUniversity of FloridaRan2018 to 2029Enrolled100ConditionsAdenocarcinoma of the ProstateArmsHR-A, HR-B
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 2 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Evidence-based indications for proton therapy in adults determined using the GRADE approach.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. ACR-ARS Practice Parameter for the Performance of Proton Beam Therapy.International journal of particle therapy · 2024
    Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. 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

14 authors at 8 institutions in 1 country.

Bradford S HoppeUniversity of Florida Proton Therapy Institute, Jacksonville, Florida.
Jeff M Michalski
Nancy P Mendenhall
Christopher G Morris
Randal H Henderson
Romaine C Nichols
William M Mendenhall
Christopher R Williams
Meredith M Regan
Jonathan J Chipman
Catrina M Crociani
Howard M Sandler
Martin G Sanda
Daniel A Hamstra
University of Florida Health · USDana-Farber Cancer Institute · USBeth Israel Deaconess Medical Center · USCedars-Sinai Medical Center · USEmory University · USUniversity of Florida · USUniversity of Michigan–Ann Arbor · USWashington University in St. Louis · US

Funding

Survivor QOL/Spouse Satisfaction after Prostate TherapyR01CA095662 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SANDA, MARTIN G · 2002 to 2007
$3.3M
NCI NIH HHS 1RC1CA14596NCI NIH HHS R01 CA095662NCI NIH HHS R01 CA95662
6 · The paper itself

Abstract

backgroundData continue to emerge on the relative merits of different treatment modalities for prostate cancer. The objective of this study was to compare patient-reported quality-of-life (QOL) outcomes after proton therapy (PT) and intensity-modulated radiation therapy (IMRT) for prostate cancer.

methodsA comparison was performed of prospectively collected QOL data using the Expanded Prostate Cancer Index Composite (EPIC) questionnaire. QOL data were collected during the first 2 years after treatment for men who received PT and IMRT. PT was delivered to 1243 men at a single center at doses from 76 grays (Gy) to 82 Gy. IMRT was delivered to 204 men who were included in the Prostate Cancer Outcomes and Satisfaction with Treatment Quality Assessment (PROSTQA) study in doses from 75.6 Gy to 79.4 Gy. The Wilcoxon rank-sum test was used to compare EPIC outcomes by modality using baseline-adjusted scores at different time points. Individual questions were assessed by converting to binary outcomes and testing with generalized estimating equations.

resultsNo differences were observed in summary score changes for bowel, urinary incontinence, urinary irritative/obstructive, and sexual domains between the 2 cohorts. However, more men who received IMRT reported moderate/big problems with rectal urgency (P = 0.02) and frequent bowel movements (P = 0.05) than men who received PT.

conclusionsThere were no differences in QOL summary scores between the IMRT and PT cohorts during early follow-up (up to 2-years). Response to individual questions suggests possible differences in specific bowel symptoms between the 2 cohorts. These outcomes highlight the need for further comparative studies of PT and IMRT.

Indexed as

AgedAged, 80 and overCohort StudiesComparative Effectiveness ResearchHumansMaleMiddle AgedPatient Outcome AssessmentPatient SatisfactionProstatic NeoplasmsProton TherapyQuality of LifeRadiotherapy, Intensity-ModulatedSurveys and QuestionnairesTreatment Outcomegenitourinaryintensity-modulated radiotherapyoutcomesprostate cancerproton therapy

Identifiers

PMID24382757
PMCPMC4103169
OpenAlexW1494104030

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.