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ArticleStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2015

Three linked nomograms for predicting biochemical failure in prostate cancer treated with radiotherapy plus androgen deprivation therapy.

Jose López-Torrecilla, Anna Boladeras, María Angeles Cabeza, Almudena Zapatero, Josep Jove, Luis M Esteban, Ivan Henriquez, Manuel Casaña, Carmen González-San Segundo, Antonio Gómez-Caamaño and 4 more

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Article in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Jose López-TorrecillaServicio Oncología Radioterápica- ERESA, Hospital General Universitario, Avda. Tres Cruces s/n, 46014, Valencia, Spain. jltorrecilla@eresa.com.
Anna BoladerasS.Oncología Radioterápica, Institut Catala d'Oncologia, Hospitalet, Spain.
María Angeles CabezaS.Oncología Radioterápica, Hospital Universitario Doce de Octubre, Madrid, Spain.
Almudena ZapateroS.Oncología Radioterápica, Hospital Universitario de la Princesa, Madrid, Spain.
Josep JoveS.Oncología Radioterápica, Institut Catala d'Oncologia, Badalona, Spain.
Luis M EstebanEscuela Universitaria Politécnica de La Almunia, Universidad de Zaragoza, Zaragoza, Spain.
Ivan HenriquezS.Oncología Radioterápica, Hospital Universitari Sant Joan de Reus, Reus, Spain.
Manuel CasañaS.Oncología Radioterápica, Fundación Instituto Valenciano de Oncología, Valencia, Spain.
Carmen González-San SegundoS.Oncología Radioterápica, Hospital Universitario Gregorio Marañon, Madrid, Spain.
Antonio Gómez-CaamañoS.Oncología Radioterápica, Hospital Clínico Universitario de Santiago, Santiago de Compostela, Spain.
Jose Luis MengualS.Oncología Radioterápica, Fundación Instituto Valenciano de Oncología, Valencia, Spain.
Asunción HervásS.Oncología Radioterápica, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Julia Luisa MuñozS.Oncología Radioterápica, Hospital Infanta Cristina, Badajoz, Spain.
Gerardo SanzDepartamento de Métodos Estadísticos, Universidad de Zaragoza, Zaragoza, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNomograms were established to predict biochemical recurrence (BCR) after radiotherapy (RT) with a low weight of the characteristic variables of RT and androgen deprivation therapy (ADT). Our aim is to provide a new stratified tool for predicting BCR at 4 and 7 years in patients treated using RT with radical intent. MATERIALS AND

methodsA retrospective, nonrandomized analysis was performed on 5044 prostate cancer (PCa) patients with median age 70 years, who received RT-with or without ADT-between November 1992 and May 2007. Median follow-up was 5.5 years. BCR was defined as a rise in serum prostate-specific antigen (PSA) of 2 ng/ml over the post-treatment PSA nadir. Univariate association between predictor variables and BCR was assessed by the log-rank test, and three linked nomograms were created for multivariate prognosis of BCR-free survival. Each nomogram corresponds to a category of the Gleason score-either 6,7, or 8-10-and all of them were created from a single proportional hazards regression model stratified also by months of ADT (0, 1-6, 7-12, 13-24, 25-36, 36-60). The performance of this model was analyzed by calibration, discrimination, and clinical utility.

resultsInitial PSA, clinical stage, and RT dose were significant variables (p < 0.01). The model showed a good calibration. The concordance probability was 0.779, improving those obtained with other nomograms (0.587, 0.571, 0.554) in the database. Survival curves showed best clinical utility in a comparison with National Comprehensive Cancer Network (NCCN) risk groups.

conclusionFor each Gleason score category, the nomogram provides information on the benefit of adding ADT to a specific RT dose.

Indexed as

NomogramsAgedAndrogen AntagonistsBiomarkers, TumorChemotherapy, AdjuvantDisease-Free SurvivalHumansMaleNeoplasm GradingNeoplasm Recurrence, LocalNeoplasm StagingProportional Hazards ModelsProstate-Specific AntigenProstatic NeoplasmsRadiotherapy DosageRetrospective StudiesAndrogen AntagonistsBiomarkers, TumorProstate-Specific AntigenAdjuvant therapyGleason scoreProstate-specific antigenRadiation doseSurvival

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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.