Evidence map›Paper›PMID 26055506›Full record

ArticleThe British journal of radiology2015

Salvage image-guided intensity modulated or stereotactic body reirradiation of local recurrence of prostate cancer.

D Zerini, B A Jereczek-Fossa, C Fodor, F Bazzani, A Maucieri, S Ronchi, S Ferrario, S P Colangione, M A Gerardi, M Caputo and 9 more

Abstract readEvaluation Study
In one paragraph

Article in The British journal of radiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Stereotactic body radiotherapy (SBRT) re-irradiation for local failures following radical prostatectomy and post-operative radiotherapy.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2024
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  9. Review
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  12. Linac-based SBRT as a feasible salvage option for local recurrences in previously irradiated prostate cancer.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2020
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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

19 authors.

D Zerini1 Department of Radiotherapy, European Institute of Oncology, Milan, Italy.
B A Jereczek-Fossa1 Department of Radiotherapy, European Institute of Oncology, Milan, Italy.
C Fodor1 Department of Radiotherapy, European Institute of Oncology, Milan, Italy.
F Bazzani1 Department of Radiotherapy, European Institute of Oncology, Milan, Italy.
A Maucieri1 Department of Radiotherapy, European Institute of Oncology, Milan, Italy.
S Ronchi1 Department of Radiotherapy, European Institute of Oncology, Milan, Italy.
S Ferrario1 Department of Radiotherapy, European Institute of Oncology, Milan, Italy.
S P Colangione1 Department of Radiotherapy, European Institute of Oncology, Milan, Italy.
M A Gerardi1 Department of Radiotherapy, European Institute of Oncology, Milan, Italy.
M Caputo1 Department of Radiotherapy, European Institute of Oncology, Milan, Italy.
A Cecconi1 Department of Radiotherapy, European Institute of Oncology, Milan, Italy.
F Gherardi1 Department of Radiotherapy, European Institute of Oncology, Milan, Italy.
A Vavassori1 Department of Radiotherapy, European Institute of Oncology, Milan, Italy.
S Comi3 Department of Medical Physics, European Institute of Oncology, Milan, Italy.
R Cambria3 Department of Medical Physics, European Institute of Oncology, Milan, Italy.
C Garibaldi3 Department of Medical Physics, European Institute of Oncology, Milan, Italy.
F Cattani3 Department of Medical Physics, European Institute of Oncology, Milan, Italy.
O De Cobelli2 Department of Health Sciences, University of Milan, Milan, Italy.
R Orecchia1 Department of Radiotherapy, European Institute of Oncology, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo retrospectively evaluate external beam reirradiation (re-EBRT) delivered to the prostate/prostatic bed for local recurrence, after radical or adjuvant/salvage radiotherapy (RT).

methods32 patients received re-EBRT between February 2008 and October 2013. All patients had clinical/radiological local relapse in the prostate or prostatic bed and no distant metastasis. re-EBRT was delivered with selective RT technologies [stereotactic RT including CyberKnife(TM) (Accuray, Sunnyvale, CA); image-guidance and intensity-modulated RT etc.]. Toxicity was evaluated using the Radiation Therapy Oncology Group/European Organization for Research and Treatment of Cancer criteria. Biochemical control was assessed according to the Phoenix definition (NADIR + 2 ng ml(-1)).

resultsAcute urinary toxicity: G0, 24 patients; G1, 6 patients; G2, 2 patients. Acute rectal toxicity: G0, 28 patients; G1, 2 patients; and G2, 1 patient. Late urinary toxicity (evaluated in 30 cases): G0, 23 patients; G1, 6 patients; G2, 1 patient. Late renal toxicity: G0, 25 patients; G1, 5 patients. A mean follow-up of 21.3 months after re-EBRT showed that 13 patients were free of cancer, 3 were alive with biochemical relapse and 12 patients were alive with clinically evident disease. Four patients had died: two of disease progression and two of other causes.

conclusionre-EBRT using modern technology is a feasible approach for local prostate cancer recurrence offering 2-year tumour control in about half of the patients. Toxicity of re-EBRT is low. Future studies are needed to identify the patients who would benefit most from this treatment. ADVANCES IN KNOWLEDGE: Our series, based on experience in one hospital alone, shows that re-EBRT for local relapse of prostate cancer is feasible and offers a 2-year cure in about half of the patients.

Indexed as

AgedAged, 80 and overHumansMaleMiddle AgedMultimodal ImagingNeoplasm Recurrence, LocalPositron-Emission TomographyProstatic NeoplasmsRadiosurgeryRadiotherapy, Image-GuidedRadiotherapy, Intensity-ModulatedReoperationRetrospective StudiesSalvage TherapyTomography, X-Ray Computed

Identifiers

PMID26055506
PMCPMC4651383

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.