Evidence map›Paper›PMID 25588324›Full record

ReviewDer Urologe. Ausg. A2015

[Treatment of localized prostate cancer with high-intensity focused ultrasound].

D Baumunk, M Schostak

Abstract readEnglish AbstractReview
PubMed Publisher
In one paragraph

Review in Der Urologe. Ausg. A, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 41% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. 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

2 authors at 2 institutions in 1 country.

D BaumunkKlinik für Urologie und Kinderurologie, Universitätsklinikum Magdeburg A.ö.R., Medizinische Fakultät der Otto-von-Guericke-Universität Magdeburg, Leipziger Straße 44, 39120, Magdeburg, Deutschland, daniel.baumunk@med.ovgu.de.
M Schostak
Otto-von-Guericke University Magdeburg · DEUniversity Hospital Magdeburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh-intensity focused ultrasound (HIFU) is an alternative technique in the treatment of prostate cancer (PC). Despite proven oncologic efficacy, HIFU is still not establish as a standard therapy for PC in Germany due to insufficient clinical studies.

objectivesHIFU can be performed as primary whole gland treatment, primary focal treatment, or salvage treatment in patients with local recurrence after external radiation therapy (RT) or seeds (BT). This paper provides an overview of the current significance of HIFU therapy in Germany.

resultsPrimary whole gland HIFU treatment showed approximately similar oncologic efficacy and side effects when compared to radical prostatectomy (RP) and RT or BT but results were not better than standard therapies. Between the priorities of the active standard therapies, on the one hand, and active surveillance, on the other, primary focal HIFU treatment may offer a new therapeutic approach for patients with low- and early intermediate-risk diseases. Diagnostic uncertainties and the lack of validated oncological outcome data are currently strong limitations to the results of primary focal treatment. Salvage treatment may offer intermediate-term disease-free survival for patients with local recurrence after RT or BT, although it may be accompanied by increased side effects.

conclusionCurrently, there is only little need for an alternative whole gland treatment besides RP and RT/BT. The number of patients with low- and early intermediate-risk diseases continues to grow. Some of these patients may benefit from primary focal HIFU treatment. Prospective multicentric clinical trials are needed to validate the oncologic efficacy of primary focal HIFU treatment.

Indexed as

Evidence-Based MedicineHigh-Intensity Focused Ultrasound AblationHumansMaleProstatic NeoplasmsTreatment Outcome

Identifiers

PMID25588324
OpenAlexW408068545

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.