Evidence map›Paper›PMID 24751803›Full record

ReviewNature reviews. Clinical oncology2014

Can we deliver randomized trials of focal therapy in prostate cancer?

Hashim U Ahmed, Viktor Berge, David Bottomley, William Cross, Rakesh Heer, Richard Kaplan, Tom Leslie, Chris Parker, Clare Relton, Richard Stephens and 7 more

Erratum issuedAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Clinical oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 3% 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.

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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 11 institutions in 3 countries.

Hashim U AhmedDivision of Surgery, University College London, UK.
Viktor BergeOslo University Hospital, Oslo, Norway.
David BottomleySt James's Institute of Oncology, Leeds, UK.
William CrossSt James's Institute of Oncology, Leeds, UK.
Rakesh HeerNewcastle University and Freeman Hospital, Newcastle, UK.
Richard KaplanMRC Clinical Trials Unit, London, UK.
Tom LeslieUniversity of Oxford, Oxford, UK.
Chris ParkerRoyal Marsden Hospital, London, UK.
Clare ReltonUniversity of Sheffield, Sheffield, UK.
Richard StephensNational Cancer Research Institute, London, UK.
Matthew R SydesMRC Clinical Trials Unit, London, UK.
Lindsay TurnbullUniversity of Hull, Hull, UK.
Jan van der MeulenLondon School of Hygiene and Tropical Medicine, London, UK.
Andrew VickersMemorial Sloan-Kettering Cancer Center, New York, USA.
Timothy WiltUniversity of Minnesota School of Medicine, Minnesota, USA.
Mark EmbertonDivision of Surgery, University College London, UK.
Prostate Cancer RCT Consensus Group
Oslo University Hospital · NOSt James's University Hospital · GBUniversity College London · GBUniversity of Hull · GBUniversity of Minnesota · USUniversity of Oxford · GBFreeman Hospital · GBMemorial Sloan Kettering Cancer Center · USMRC Clinical Trials Unit at UCL · GBNational Cancer Research Institute · GBRoyal Marsden Hospital · GB

Funding

Cancer Research UK 12173Medical Research Council G0701302Medical Research Council G1002509Medical Research Council MC_EX_G0800814Medical Research Council MC_U122861330Prostate Cancer UK G2011/53
6 · The paper itself

Abstract

Tissue-preserving focal therapies, such as brachytherapy, cryotherapy, high-intensity focused ultrasound and photodynamic therapy, aim to target individual cancer lesions rather than the whole prostate. These treatments have emerged as potential interventions for localized prostate cancer to reduce treatment-related adverse-effects associated with whole-gland treatments, such as radical prostatectomy and radiotherapy. In this article, the Prostate Cancer RCT Consensus Group propose that a novel cohort-embedded randomized controlled trial (RCT) would provide a means to study men with clinically significant localized disease, which we defined on the basis of PSA level (≤ 15 ng/ml or ≤ 20 ng/ml), Gleason grade (Gleason pattern ≤ 4 + 4 or ≤ 4 + 3) and stage (≤ cT2cN0M0). This RCT should recruit men who stand to benefit from treatment, with the control arm being whole-gland surgery or radiotherapy. Composite outcomes measuring rates of local and systemic salvage therapies at 3-5 years might best constitute the basis of the primary outcome on which to change practice.

Indexed as

Disease ProgressionHumansMaleProstatic NeoplasmsRandomized Controlled Trials as Topic

Identifiers

PMID24751803
OpenAlexW2154072446

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.