Evidence map›Paper›PMID 29052761›Full record

ArticleWorld journal of urology2018

Does surgical delay for radical prostatectomy affect biochemical recurrence? A retrospective analysis from a Canadian cohort.

Marc Zanaty, Mansour Alnazari, Khaled Ajib, Kelsey Lawson, Mounsif Azizi, Emad Rajih, Abdullah Alenizi, Pierre-Alain Hueber, Côme Tolmier, Malek Meskawi and 5 more

Abstract read
PubMed Publisher
In one paragraph

Article in World journal of urology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
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  13. Optimizing Time to Treatment to Achieve Durable Biochemical Disease Control after Surgery in Prostate Cancer: A Multi-Institutional Cohort Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2019
    Article
  14. Improved specificity withEuropean journal of nuclear medicine and molecular imaging · 2019
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 2 institutions in 1 country.

Marc ZanatyDivision of Urology, Department of Surgery, Montreal University, Montreal, Canada.
Mansour AlnazariDivision of Urology, Department of Surgery, Montreal University, Montreal, Canada.
Khaled AjibDivision of Urology, Department of Surgery, Montreal University, Montreal, Canada.
Kelsey LawsonDivision of Urology, Department of Surgery, Montreal University, Montreal, Canada.
Mounsif AziziDivision of Urology, Department of Surgery, Montreal University, Montreal, Canada.
Emad RajihDivision of Urology, Department of Surgery, Montreal University, Montreal, Canada.
Abdullah AleniziDivision of Urology, Department of Surgery, Montreal University, Montreal, Canada.
Pierre-Alain HueberDivision of Urology, Department of Surgery, Montreal University, Montreal, Canada.
Côme TolmierDivision of Urology, Department of Surgery, Montreal University, Montreal, Canada.
Malek MeskawiDivision of Urology, Department of Surgery, Montreal University, Montreal, Canada.
Fred SaadDivision of Urology, Department of Surgery, Montreal University, Montreal, Canada.
Raisa S PompeDivision of Urology, Department of Surgery, Montreal University, Montreal, Canada.
Pierre I KarakiewiczDivision of Urology, Department of Surgery, Montreal University, Montreal, Canada.
Assaad El-HakimDivision of Urology, Department of Surgery, Montreal University, Montreal, Canada.
Kevin C ZornDivision of Urology, Department of Surgery, Montreal University, Montreal, Canada. zorn.chumurology@gmail.com.
Université de Montréal · CAHôpital du Sacré-Cœur de Montréal · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimWe sought to explore the impact of surgical wait time (SWT) to robot-assisted radical prostatectomy (RARP) on biochemical recurrence (BCR).

methodRetrospective review of a prospectively collected database between 2006 and 2015 was conducted on all RARP cases. SWT was defined as period from prostate biopsy to surgery. Primary outcome was the impact on BCR, which was defined as two consecutive PSA ≥ 0.2 ng/dl, or salvage external beam radiation therapy and/or salvage androgen deprivation therapy. Patients were stratified according to D'Amico risk categories. Univariable analysis (UVA) and multivariable analyses (MVA) with a Cox proportional hazards regression model were used to evaluate the effect of SWT and other predictive factors on BCR, in each D'Amico risk group and on the overall collective sample.

resultsPatients eligible for analysis were 619. Mean SWT was 153, 169, 150, and 125 days, for overall, low-, intermediate-, and high-risk patients, respectively. Multivariate analysis on the overall cohort did not show a significant relation between SWT and BCR. On subgroup analysis of D'Amico risk group, SWT was positively correlated to BCR for high-risk group (p = 0.001). On threshold analysis, cut-off was found to be 90 days. SWT did not significantly affect BCR on UVA and MVA in the low- and intermediate-risk groups.

conclusionIncreased delay to surgery could affect the BCR, as there was a positive association in high-risk group. Further studies with longer follow-up are necessary to assess the impact of wait time on BCR, cancer specific survival and overall survival.

Indexed as

AgedCanadaHumansMaleMiddle AgedNeoplasm Recurrence, LocalProstatectomyProstate-Specific AntigenProstatic NeoplasmsRetrospective StudiesRobotic Surgical ProceduresTime-to-TreatmentProstate-Specific AntigenBiochemical recurrenceProstate cancerRadical prostatectomyRobot-assisted radical prostatectomySurgical wait time

Identifiers

PMID29052761
OpenAlexW2766221112

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.