Evidence map›Paper›PMID 28485390›Full record

ArticleProstate cancer and prostatic diseases2017

The survival impact of neoadjuvant hormonal therapy before radical prostatectomy for treatment of high-risk prostate cancer.

L Tosco, A Laenen, A Briganti, P Gontero, R J Karnes, M Albersen, P J Bastian, P Chlosta, F Claessens, F K Chun and 18 more

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Prostate cancer and prostatic diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
1.8field-weighted citation impact, top 14% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Neoadjuvant Therapy in High-Risk Prostate Cancer.Indian journal of urology : IJU : journal of the Urological Society of India
    Review
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

28 authors at 16 institutions in 8 countries.

L ToscoDepartment of Development and Regeneration, University Hospitals Leuven, Urology, Leuven, Belgium.
A LaenenDepartment of Public Health and Primary Care, Leuven Biostatistics and Statistical Bioinformatics Center, KU Leuven, Leuven, Belgium.
A BrigantiDepartment of Urology, San Raffaele Hospital, University VitaSalute, Milan, Italy.
P GonteroDepartment of University Urology, Urologia U, Città della Salue e della Scienza di Torino, Molinette Hospital, Turin, Italy.
R J KarnesDepartment of Urology, Mayo Clinic, Rochester, MN, USA.
M AlbersenDepartment of Development and Regeneration, University Hospitals Leuven, Urology, Leuven, Belgium.
P J BastianDepartment of Urology, Urologische Klinik Und Poliklinik, Klinikum Der Universität München Campus Großhadern, Munich, Germany.
P ChlostaDepartment of Urology, Jagiellonian University Medical College, Krakow, Poland.
F ClaessensDepartment of Cellular and Molecular Medicine, Laboratory of Molecular Endocrinology, KU Leuven, Leuven, Belgium.
F K ChunDepartment of Urology, University of Hamburg, Hamburg, Germany.
W EveraertsDepartment of Development and Regeneration, University Hospitals Leuven, Urology, Leuven, Belgium.
C GratzkeDepartment of Urology, Urologische Klinik Und Poliklinik, Klinikum Der Universität München Campus Großhadern, Munich, Germany.
M GraefenDepartment of Urology, Martini Klinik am UKE GmbH, Hamburg, Germany.
B KneitzDepartment of Urology and Pediatric Urology, University Hospital Wurzburg, Wurzburg, Germany.
G MarchioroDepartment of Urology, University of Piemonte Orientale, Novara, Italy.
R S SalasDepartment of Urology, Institut Mutualiste Montsouris and Paris Descartes University, Paris, France.
B TombalDepartment of Urology, Cliniques Universitaires SaintLuc, Brussels, Belgium.
T Van den BroeckDepartment of Cellular and Molecular Medicine, Laboratory of Molecular Endocrinology, KU Leuven, Leuven, Belgium.
L MorisDepartment of Cellular and Molecular Medicine, Laboratory of Molecular Endocrinology, KU Leuven, Leuven, Belgium.
A BattagliaDepartment of University Urology, Urologia U, Città della Salue e della Scienza di Torino, Molinette Hospital, Turin, Italy.
H van der PoelDepartment Of Urology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
J WalzDepartment of Urology, Institut Paoli Calmettes Cancer Centre, Marseille, France.
A BossiDepartment of Radiation Oncology, Gustave Roussy Cancer Institute, Villejuif, France.
G De MeerleerDepartment of Radiation Oncology, University Hospitals Leuven, Leuven, Belgium.
K HaustermansDepartment of Radiation Oncology, University Hospitals Leuven, Leuven, Belgium.
H Van PoppelDepartment of Development and Regeneration, University Hospitals Leuven, Urology, Leuven, Belgium.
M SpahnDepartment of Urology, University Hospital Bern, Inselspital, Berne, Switzerland.
S JoniauDepartment of Development and Regeneration, University Hospitals Leuven, Urology, Leuven, Belgium.
KU Leuven · BEFondazione Ricerca Molinette · ITLMU Klinikum · DECliniques Universitaires Saint-Luc · BEInstitute Mutualiste Montsouris · FRInstitut Gustave Roussy · FRInstitut Paoli-Calmettes · FRJagiellonian University · PLMayo Clinic · USThe Netherlands Cancer Institute · NLUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITUniversität Hamburg · DEUniversitätsklinikum Würzburg · DEUniversity Hospital of Bern · CHUniversity Medical Center Hamburg-Eppendorf · DEVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral randomized controlled trials assessed the outcomes of patients treated with neoadjuvant hormonal therapy (NHT) before radical prostatectomy (RP). The majority of them included mainly low and intermediate risk prostate cancer (PCa) without specifically assessing PCa-related death (PCRD). Thus, there is a lack of knowledge regarding a possible effect of NHT on PCRD in the high-risk PCa population. We aimed to analyze the effect of NHT on PCRD in a multicenter high-risk PCa population treated with RP, using a propensity-score adjustment.

methodsThis is a retrospective multi-institutional study including patients with high-risk PCa defined as: clinical stage T3-4, PSA >20 ng ml

resultsAfter application of the inclusion/exclusion criteria, 1573 patients remained for analysis; 1170 patients received RP and 403 NHT+RP. Median follow-up was 56 months (interquartile range 29-88). Eighty-six patients died of PCa and 106 of other causes. NHT decreased the risk of PCRD (hazard ratio (HR) 0.5; 95% confidence interval (CI) 0.32-0.80; P=0.0014). An interaction effect between NHT and radiotherapy (RT) was observed (HR 0.3; 95% CI 0.21-0.43; P<0.0008). More specifically, of patients who received adjuvant RT, those who underwent NHT+RP had decreased PCRD rates (2.3% at 5 year) compared to RP (7.5% at 5 year). The retrospective design and lack of specific information about NHT are possible limitations.

conclusionsIn this propensity-score adjusted analysis from a large high-risk PCa population, NHT before surgery significantly decreased PCRD. This effect appeared to be mainly driven by the early addition of RT post-surgery. The specific sequence of NHT+RP and adjuvant RT merits further study in the high-risk PCa population.

Indexed as

AdultAgedAged, 80 and overAndrogen AntagonistsAntineoplastic Agents, HormonalHumansMaleMiddle AgedNeoadjuvant TherapyProstatectomyProstate-Specific AntigenProstatic NeoplasmsRetrospective StudiesRisk FactorsAndrogen AntagonistsAntineoplastic Agents, HormonalProstate-Specific Antigen

Identifiers

PMID28485390
OpenAlexW2614074722

What OpenQuestion holds

Textmetadata
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.