Evidence map›Paper›PMID 25847819›Full record

Trial reportCancer2015

Preliminary patient-reported outcomes analysis of 3-dimensional radiation therapy versus intensity-modulated radiation therapy on the high-dose arm of the Radiation Therapy Oncology Group (RTOG) 0126 prostate cancer trial.

Deborah W Bruner, Daniel Hunt, Jeff M Michalski, Walter R Bosch, James M Galvin, Mahul Amin, Canhua Xiao, Jean-Paul Bahary, Malti Patel, Susan Chafe and 6 more

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
–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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Quality of life and testosterone recovery after androgen deprivation therapy in high-risk prostate cancer patients: long-term data from a phase III trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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  15. Salvage radiation therapy in prostate cancer: relationship between rectal dose and long-term, self-reported rectal bleeding.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Deborah W BrunerNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia.
Daniel HuntRadiation Therapy Oncology Group-Statistical Center, Philadelphia, Pennsylvania.
Jeff M MichalskiDepartment or Radiation Oncology, Washington University, St. Louis, Missouri.
Walter R BoschImage-Guided Therapy Quality Assurance Center, Washington University, St. Louis, Missouri.
James M GalvinDepartment of Radiation Oncology, Thomas Jefferson University Hospital.
Mahul AminDepartment of Pathology and Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, California.
Canhua XiaoNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia.
Jean-Paul BaharyDepartment of Radiation Oncology, University of Montreal Hospital Center-Notre Dame, Montreal, Quebec, Canada.
Malti PatelDepartment of Radiation Oncology, Juravinski Cancer Center, Hamilton, Ontario, Canada.
Susan ChafeDepartment of Radiation Oncology, Cross Cancer Institute, Edmonton, Alberta, Canada.
George RodriguesLondon Health Sciences Center, University of Western Ontario, London, Ontario, Canada.
Harold LauDepartment of Oncology, Tom Baker Cancer Center, Calgary, Alberta, Canada.
Marie DuclosDepartment of Oncology, McGill University, Montreal, Quebec, Canada.
Madhava BaikadiDepartment of Radiation Oncology, Thomas Jefferson University Hospital.
Snehal DeshmukhRadiation Therapy Oncology Group-Statistical Center, Philadelphia, Pennsylvania.
Howard M SandlerDepartment of Pathology and Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, California.

Funding

NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
RTOG Foreign AccrualU10CA021661 · NCI · AMERICAN COLLEGE OF RADIOLOGY · PI CURRAN, WALTER J. · 1985 to 2013
$150.3M
Statistics CoreU10CA180822 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI James J. Dignam, GREG YOTHERS · 2014 to 2026
$146.4M
NRG Oncology NCORP Research Base-BIQSFPUG1CA189867 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI Deborah Watkins Bruner, Lisa A. Kachnic · 2014 to 2026
$140.5M
Winship Cancer Institute Cancer Center Support GrantP30CA138292 · NCI · EMORY UNIVERSITY · PI MADHAV V DHODAPKAR · 2009 to 2026
$47.5M
RTOG Foreign AccrualsU10CA037422 · NCI · AMERICAN COLLEGE OF RADIOLOGY · PI BRUNER, DEBORAH WATKINS · 1985 to 2013
$30.4M
ADVANCED TECHNOLOGY QA CENTERU24CA081647 · NCI · WASHINGTON UNIVERSITY · PI MICHALSKI, JEFF M. · 1999 to 2013
$22.8M
NCI NIH HHS P30 CA138292NCI NIH HHS U10 CA021661NCI NIH HHS U10 CA037422NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180868NCI NIH HHS U10 CA21661NCI NIH HHS U10 CA37422NCI NIH HHS U24 CA081647NCI NIH HHS U24 CA 81647NCI NIH HHS UG1 CA189867
6 · The paper itself

Abstract

backgroundThe authors analyzed a preliminary report of patient-reported outcomes (PROs) among men who received high-dose radiation therapy (RT) on Radiation Therapy Oncology Group study 0126 (a phase 3 dose-escalation trial) with either 3-dimensional conformal RT (3D-CRT) or intensity-modulated RT (IMRT).

methodsPatients in the 3D-CRT group received 55.8 gray (Gy) to the prostate and proximal seminal vesicles and were allowed an optional field reduction; then, they received 23.4 Gy to the prostate only. Patients in the IMRT group received 79.2 Gy to the prostate and proximal seminal vesicles. PROs were assessed at 0 months (baseline), 3 months, 6 months, 12 months, and 24 months and included bladder and bowel function assessed with the Functional Alterations due to Changes in Elimination (FACE) instrument and erectile function assessed with the International Index of Erectile Function (IIEF). Analyses included the patients who completed all data at baseline and for at least 1 follow-up assessment, and the results were compared with an imputed data set.

resultsOf 763 patients who were randomized to the 79.2-Gy arm, 551 patients and 595 patients who responded to the FACE instrument and 505 patients and 577 patients who responded to the IIEF were included in the completed and imputed analyses, respectively. There were no significant differences between modalities for any of the FACE or IIEF subscale scores or total scores at any time point for either the completed data set or the imputed data set.

conclusionsDespite significant reductions in dose and volume to normal structures using IMRT, this robust analysis of 3D-CRT and IMRT demonstrated no difference in patient-reported bowel, bladder, or sexual functions for similar doses delivered to the prostate and proximal seminal vesicles with IMRT compared with 3D-CRT delivered either to the prostate and proximal seminal vesicles or to the prostate alone.

Indexed as

Radiotherapy, ConformalRadiotherapy, Intensity-ModulatedAgedAged, 80 and overErectile DysfunctionHumansImaging, Three-DimensionalIncidenceIntestinesMaleMiddle AgedPatient SatisfactionPenile ErectionProstatic NeoplasmsRadiation InjuriesRadiotherapy Dosagecomparative effectivenesspatient-reported outcomesquality of liferadiation therapytechnology assessment

Identifiers

PMID25847819
PMCPMC4490066

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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.