Evidence map›Paper›PMID 27502935›Full record

ReviewWorld journal of urology2017

Cytoreductive radical prostatectomy in metastatic prostate cancer: Does it really make sense?

Romain Mathieu, Stephan M Korn, Karim Bensalah, Gero Kramer, Shahrokh F Shariat

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in World journal of urology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05649943 (APPROACH), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% 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.

NCT05649943 narecruitingnot on this mapstarted 2023, after this paper: background citation

APPROACH : Multimodal Approach in Patients With mHSPC. A Pragmatic Randomized Trial of Apalutamide Plus Androgen Deprivation Therapy (APA-ADT) Versus APA-ADT Plus Local Treatment. A Meet-URO 29 Study

TypeinterventionalSponsorFondazione IRCCS Istituto Nazionale dei Tumori, MilanoRan2023 to 2029Enrolled566ConditionsMetastatic Hormone-Sensitive Prostate Cancer (mHSPC)ArmsAPA + ADT, Local Treatmetn RT or RP
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 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

5 authors at 2 institutions in 2 countries.

Romain MathieuDepartment of Urology, General Hospital, Medical University Vienna, Vienna, Austria.
Stephan M KornDepartment of Urology, General Hospital, Medical University Vienna, Vienna, Austria.
Karim BensalahDepartment of Urology, Rennes University Hospital, Rennes, France.
Gero KramerDepartment of Urology, General Hospital, Medical University Vienna, Vienna, Austria.
Shahrokh F ShariatDepartment of Urology, General Hospital, Medical University Vienna, Vienna, Austria. shahrokh.shariat@meduniwien.ac.at.
Vienna General Hospital · ATCentre Hospitalier Universitaire de Rennes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSurgical removal of the primary tumor in metastatic prostate cancer (mPCa) is becoming a hotly debated issue. The purpose of this review was to summarize the current knowledge on cytoreductive radical prostatectomy (cRP) in this setting. MATERIALS AND

methodsWe performed a non-systematic Medline/PubMed literature search of articles published in the field between January 2000 and April 2015.

resultsCytoreductive surgery has demonstrated its benefit in various malignancies with a solid biological rationale to justify its assessment in mPCa. cRP appears as a safe and feasible procedure in expert hands and well-selected patients. A growing body of evidence suggests a survival benefit for patients undergoing cRP as a part of a multimodal approach compared to those treated with systemic treatment alone. Nevertheless, little is known about the best clinical and tumor characteristics for the selection of patients most likely to benefit from cRP. The current literature is based on retrospective studies with small cohorts and limited follow-up or large uncontrolled population-based studies.

conclusionsData from various other malignancies together with the biological rationale and preliminary results in PCa suggest that cytoreductive surgery may be an option in some mPCa patients. The lack of randomized controlled trials and the low level of evidence in the current literature preclude any firms conclusion on the benefit of cRP in mPCa. Ongoing phase II and future phase III studies are mandatory to define the exact role of cRP in mPCa and to identify the patients who are most likely to benefit from cRP.

Indexed as

Bone NeoplasmsCarcinomaCytoreduction Surgical ProceduresHumansLymphatic MetastasisLymph NodesMaleNeoplasm MetastasisProstatectomyProstatic NeoplasmsSurvival RateCytoreductive surgical proceduresMetastatic prostate cancerOutcomeRadical prostatectomy

Identifiers

PMID27502935
OpenAlexW2516994642

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.