Evidence map›Paper›PMID 27333148›Full record

ArticleScandinavian journal of urology2016

Long-term adverse effects after curative radiotherapy and radical prostatectomy: population-based nationwide register study.

Jón Ö Fridriksson, Yasin Folkvaljon, Per Nilsson, David Robinson, Ingela Franck-Lissbrant, Behfar Ehdaie, James A Eastham, Anders Widmark, Camilla T Karlsson, Pär Stattin

Open access · diamondAbstract read
In one paragraph

Article in Scandinavian journal of urology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 27 citations in OpenAlex.

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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

10 authors at 7 institutions in 2 countries.

Jón Ö Fridrikssona Department of Surgical and Perioperative Sciences, Urology and Andrology , Umeå University , Umeå , Sweden ;
Yasin Folkvaljonb Regional Cancer Center Uppsala Örebro , Uppsala University Hospital , Uppsala , Sweden ;
Per Nilssonc Department of Oncology and Radiation Physics , Skåne University Hospital, Lund University , Lund , Sweden ;
David Robinsona Department of Surgical and Perioperative Sciences, Urology and Andrology , Umeå University , Umeå , Sweden ;
Ingela Franck-Lissbrante Department of Oncology and Radiation Physics , Sahlgrenska University Hospital , Gothenburg , Sweden ;
Behfar Ehdaief Department of Surgery, Urology Service , Memorial Sloan-Kettering Cancer Center , New York City , NY , USA ;
James A Easthamf Department of Surgery, Urology Service , Memorial Sloan-Kettering Cancer Center , New York City , NY , USA ;
Anders Widmarkg Department of Radiation Sciences, Oncology , Umeå University , Umeå , Sweden ;
Camilla T Karlssong Department of Radiation Sciences, Oncology , Umeå University , Umeå , Sweden ;
Pär Stattina Department of Surgical and Perioperative Sciences, Urology and Andrology , Umeå University , Umeå , Sweden ;
Umeå University · SEMemorial Sloan Kettering Cancer Center · USRegional Research Council in Uppsala-Örebro Region · SERyhov Hospital Jönköping · SESahlgrenska University Hospital · SESkåne University Hospital · SEUppsala University · SE

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

objectiveThe aim of this study was to assess the risk of serious adverse effects after radiotherapy (RT) with curative intention and radical prostatectomy (RP). MATERIALS AND

methodsMen who were diagnosed with prostate cancer between 1997 and 2012 and underwent curative treatment were selected from the Prostate Cancer data Base Sweden. For each included man, five prostate cancer-free controls, matched for birth year and county of residency, were randomly selected. In total, 12,534 men underwent RT, 24,886 underwent RP and 186,624 were controls. Adverse effects were defined according to surgical and diagnostic codes in the National Patient Registry. The relative risk (RR) of adverse effects up to 12 years after treatment was compared to controls and the risk was subsequently compared between RT and RP in multivariable analyses.

resultsMen with intermediate- and localized high-risk cancer who underwent curative treatment had an increased risk of adverse effects during the full study period compared to controls: the RR of undergoing a procedures after RT was 2.64 [95% confidence interval (CI) 2.56-2.73] and after RP 2.05 (95% CI 2.00-2.10). The risk remained elevated 10-12 years after treatment. For all risk categories of prostate cancer, the risk of surgical procedures for urinary incontinence was higher after RP (RR 23.64, 95% CI 11.71-47.74), whereas risk of other procedures on the lower urinary tract and gastrointestinal tract or abdominal wall was higher after RT (RR 1.67, 95% CI 1.44-1.94, and RR 1.86, 95% CI 1.70-2.02, respectively).

conclusionThe risk of serious adverse effects after curative treatment for prostate cancer remained significantly elevated up to 12 years after treatment.

Indexed as

AgedHumansMaleMiddle AgedProstatectomyProstatic NeoplasmsRadiotherapyRegistriesSwedenTime FactorsAdverse effectsprostate cancerradical prostatectomyradiotherapy

Identifiers

PMID27333148
PMCPMC5020330
OpenAlexW2475312067

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.