Evidence map›Paper›PMID 27926521›Full record

SynthesisOncotarget2017

Moderate hypofractionated radiotherapy is more effective and safe for localized prostate cancer patients: a meta-analysis.

Ling Cao, Yong-Jing Yang, Zhi-Wen Li, Hong-Fen Wu, Zhu-Chun Yang, Shi-Xin Liu, Ping Wang

Abstract readMeta-Analysis
In one paragraph

Synthesis in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 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.

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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. 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
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

7 authors.

Ling CaoDepartment of Radiation Oncology, Cancer Hospital of Jilin Province, Changchun 130012, People's Republic of China.
Yong-Jing YangDepartment of Radiation Oncology, Cancer Hospital of Jilin Province, Changchun 130012, People's Republic of China.
Zhi-Wen LiDepartment of Anesthesiology, The First Hospital Affiliated to Jilin University, Changchun 130012, People's Republic of China.
Hong-Fen WuDepartment of Radiation Oncology, Cancer Hospital of Jilin Province, Changchun 130012, People's Republic of China.
Zhu-Chun YangDepartment of Radiation Oncology, Cancer Hospital of Jilin Province, Changchun 130012, People's Republic of China.
Shi-Xin LiuDepartment of Radiation Oncology, Cancer Hospital of Jilin Province, Changchun 130012, People's Republic of China.
Ping WangDepartment of Radiotherapy, Cancer Institute and Hospital of Tianjin Medical University, Tianjin 300060, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To compare the efficacy and safety of moderate hypofractionated radiotherapy (H-RT) with those of conventional radiotherapy (C-RT) in patients with localized prostate cancer, we conducted extensive literature searches of The Web of Science, Embase, Pubmed and Cochrane Library databases. We identified nine studies with 5969 patients for a meta-analysis. We calculated pooled risk ratios (RRs) and the 95% confidence intervals (CIs) for multiple parameters and performed statistical analysis using RevMan 5.3 software. Our analysis showed that the H-RT group obtained greater improvements in the 5-year biochemical or clinical failure-free survival (RR = 1.04, 95% CI:1.01-1.08; P = 0.01) and 5-year disease-free survival(RR = 1.04, 95% CI: 1.01-1.07, P = 0.02) than the C-RT group. However, the 5-year overall survival rates were comparable in the two groups (RR = 1.02, 95% CI: 0.99-1.04; P = 0.18). Comparison of multiple secondary parameters, including grade 2-4 acute/late gastrointestinal toxicity, grade 2-4 acute/late genitourinary toxicity, biochemical failure, local failure, distant failure and prostate cancer-specific mortality between the H-RT and the C-RT groups showed no statistical differences. This meta-analysis thus indicates that in patients with localized prostate cancer, moderate H-RT exerts a great beneficial effect on the primary parameters than C-RT without enhancing adverse events.

Indexed as

Radiation Dose HypofractionationRadiotherapyHumansMaleNeoplasm Recurrence, LocalNeoplasm StagingOdds RatioProstatic NeoplasmsSurvival AnalysisTreatment FailureTreatment Outcomehypofractionationmeta-analysisprostatic neoplasmsradiotherapy

Identifiers

PMID27926521
PMCPMC5356830

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.