Evidence map›Paper›PMID 27622157›Full record

ArticleFrontiers in oncology2016

Dose-Escalated Stereotactic Body Radiation Therapy for Prostate Cancer: Quality-of-Life Comparison of Two Prospective Trials.

Harvey C Quon, Hima Bindu Musunuru, Patrick Cheung, Geordi Pang, Alexandre Mamedov, Laura D'Alimonte, Andrea Deabreu, Liying Zhang, Andrew Loblaw

3 registry-linked trialsAbstract read
In one paragraph

Article in Frontiers in oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

NCT01146340 phase1 / phase2completednot on this map

Phase I/II Study of Dose-Escalated Hypofractionated Radiotherapy for Low- and Intermediate-Risk Prostate Cancer

TypeinterventionalSponsorSunnybrook Health Sciences CentreRan2010 to 2016Enrolled30ConditionsProstate CancerArmsHypofractionated radiotherapy
NCT01578902 nacompletednot on this map

Hypofractionated Accelerated Radiotherapy for Low Risk Localized Prostate Cancer (pHART 3)

TypeinterventionalSponsorSunnybrook Health Sciences CentreRan2006 to 2013Enrolled84ConditionsProstate CancerArmsStereotactic ablative body radiotherapy
NCT04004312 narecruitingnot on this mapstarted 2018, after this paper: background citation

Single Fractions SBRT in the Treatment of Prostate Cancer: A Phase I Study

TypeinterventionalSponsorFabio CuryRan2018 to 2027Enrolled12ConditionsProstate CancerArmsStereotactic Body Radiation Therapy (SBRT)
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Hypofractionated Radiation Therapy for Localized Prostate Cancer: An ASTRO, ASCO, and AUA Evidence-Based Guideline.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018
    Article
  9. Article
  10. 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

9 authors.

Harvey C QuonUniversity of Calgary, Calgary, AB, Canada; Tom Baker Cancer Centre, Calgary, AB, Canada.
Hima Bindu MusunuruUniversity of Toronto, Toronto, ON, Canada; Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Patrick CheungUniversity of Toronto, Toronto, ON, Canada; Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Geordi PangOdette Cancer Centre, Sunnybrook Health Sciences Centre , Toronto, ON , Canada.
Alexandre MamedovOdette Cancer Centre, Sunnybrook Health Sciences Centre , Toronto, ON , Canada.
Laura D'AlimonteOdette Cancer Centre, Sunnybrook Health Sciences Centre , Toronto, ON , Canada.
Andrea DeabreuOdette Cancer Centre, Sunnybrook Health Sciences Centre , Toronto, ON , Canada.
Liying ZhangOdette Cancer Centre, Sunnybrook Health Sciences Centre , Toronto, ON , Canada.
Andrew LoblawUniversity of Toronto, Toronto, ON, Canada; Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe optimal prostate stereotactic body radiation therapy (SBRT) dose-fractionation scheme is controversial. This study compares long-term quality of life (QOL) from two prospective trials of prostate SBRT to investigate the effect of increasing dose (NCT01578902 and NCT01146340). MATERIAL AND

methodsPatients with localized prostate cancer received SBRT 35 or 40 Gy delivered in five fractions, once per week. QOL was measured using the Expanded Prostate Cancer Index Composite at baseline and every 6 months. Fisher's exact test and generalized estimating equations were used to analyze proportions of patients with clinically significant change and longitudinal changes in QOL.

resultsOne hundred fourteen patients were included, 84 treated with 35 Gy and 30 treated with 40 Gy. Median QOL follow-up was 56 months [interquartile range (IQR) 46-60] and 38 months (IQR 32-42), respectively. The proportion of patients reporting clinically significant declines in average urinary, bowel, and sexual scores were not significantly different between dose levels, and were 20.5 vs. 24.1% (p = 0.60), 26.8 vs. 41.4% (p = 0.16), and 42.9 vs. 38.5% (p = 0.82), respectively. Similarly, longitudinal analysis did not identify significant differences in QOL between treatment groups.

conclusionDose-escalated prostate SBRT from 35 to 40 Gy in five fractions was not associated with significant decline in long-term QOL.

Indexed as

clinical trialprostatic neoplasmsquality of liferadiation effectsradiotherapystereotactic body radiotherapy

Identifiers

PMID27622157
PMCPMC5002986

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.