Evidence map›Paper›PMID 26250766›Full record

ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2016

The impact of prostate gland dimension in genitourinary toxicity after definitive prostate cancer treatment with moderate hypofractionation and volumetric modulated arc radiation therapy.

R Mazzola, S Fersino, A Fiorentino, F Ricchetti, N Giaj Levra, G Di Paola, G Sicignano, S Naccarato, R Ruggieri, F Alongi

Abstract read
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In one paragraph

Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Biochemical control and 2-year tolerability following stereotactic body radiotherapy for localized prostate cancer: a multicenter study in Spain.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Observational
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Radiation dose intensification in pre-operative chemo-radiotherapy for locally advanced rectal cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2017
    Article
  9. Article
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

10 authors.

R MazzolaRadiation Oncology, Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy.
S FersinoRadiation Oncology, Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy.
A FiorentinoRadiation Oncology, Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy. albafiorentino@hotmail.it.
F RicchettiRadiation Oncology, Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy.
N Giaj LevraRadiation Oncology, Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy.
G Di PaolaStatistic Sciences Faculty, University of Palermo, Palermo, Italy.
G SicignanoRadiation Oncology, Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy.
S NaccaratoRadiation Oncology, Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy.
R RuggieriRadiation Oncology, Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy.
F AlongiRadiation Oncology, Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo analyze clinical-dosimetric predictors of genitourinary (GU) toxicity in a cohort of prostate cancer (PC) patients treated with moderate hypofractionation and simultaneous integrated boost (SIB) using volumetric modulated arc therapy (VMAT) technique. MATERIALS AND

methods60 patients were selected. Patients were stratified into low (43 %), intermediate (30 %) and high-risk (27 %) groups. Low-risk patients received 73.5 Gy to PTV1; intermediate-risk received 73.5 Gy to PTV1 and 60 Gy to PTV2; high-risk received 73.5 Gy to PTV1, 60 Gy to PTV2, and 54 Gy to PTV3. All patients were treated in 30 fractions. Androgen deprivation therapy (ADT) was prescribed upfront in intermediate and high-risk categories. Toxicity was scored according to Common Terminology Criteria for Adverse Events v4.0 scoring system.

resultsMedian follow-up was 30 months (range 16-36 months). GU acute toxicity was recorded as followS: G0 = 16/60 (27 %), G1 = 18/60 (30 %); G2 = 26/60 (43 %). GU late toxicity was recorded as follows: G0 = 20/60 (34 %); G1 = 29/60 (48 %); G2 = 11/56 (18 %). The risk of acute G2 GU toxicity was three times higher for prostate volume ≥80 cc. In 60 % of the patients with a prostate volume ≥80 cc, the first 3 weeks are at particular risk for toxicity onset. In the late setting, no statistical significance was found between GU toxicity and prostate gland dimension.

conclusionProstate volume ≥80 cc resulted a predictive factor of acute G2 GU toxicity, in moderate hypofractionation and volumetric modulated arc radiation therapy for definitive PC.

Indexed as

ProstateAdenocarcinomaAgedAged, 80 and overCohort StudiesHumansMaleMiddle AgedOrgans at RiskOrgan SizeProstatic NeoplasmsRadiation Dose HypofractionationRadiation InjuriesRadiotherapy DosageRadiotherapy, Intensity-ModulatedUrogenital SystemHypofractionationProstate cancerRadiotherapyToxicity

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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.