Evidence map›Paper›PMID 29114613›Full record

ReviewAdvances in radiation oncology

ACR Appropriateness Criteria for external beam radiation therapy treatment planning for clinically localized prostate cancer, part II of II.

Nicholas G Zaorsky, Timothy N Showalter, Gary A Ezzell, Paul L Nguyen, Dean G Assimos, Anthony V D'Amico, Alexander R Gottschalk, Gary S Gustafson, Sameer R Keole, Stanley L Liauw and 7 more

Abstract readReview
In one paragraph

Review in Advances in radiation oncology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

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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

17 authors.

Nicholas G ZaorskyFox Chase Cancer Center, Philadelphia, Pennsylvania (research author).
Timothy N ShowalterUniversity of Virginia, Charlottesville, Virginia (principal author).
Gary A EzzellMayo Clinic, Phoenix, Arizona (research author [contributing]).
Paul L NguyenDana-Farber Cancer Institute/Brigham and Women's Hospital, Boston, Massachusetts (panel vice-chair).
Dean G AssimosUniversity of Alabama School of Medicine, Birmingham, Alabama (American Urological Association).
Anthony V D'AmicoDana-Farber Cancer Institute/Brigham and Women's Hospital, Boston, Massachusetts (American Society of Clinical Oncology).
Alexander R GottschalkUniversity of California San Francisco, San Francisco, California.
Gary S GustafsonWilliam Beaumont Hospital, Troy, Michigan.
Sameer R KeoleMayo Clinic, Scottsdale, Arizona.
Stanley L LiauwThe University of Chicago Medical Center, Chicago, Illinois.
Shane LloydHuntsman Cancer Hospital, Salt Lake City, Utah.
Patrick W McLaughlinUniversity of Michigan, Novi, Michigan.
Benjamin MovsasHenry Ford Health System, Detroit, Michigan.
Bradley R PrestidgeBon Secours Cancer Institute, Norfolk, Virginia.
Al V TairaMills Peninsula Hospital, San Mateo, California.
Neha VapiwalaUniversity of Pennsylvania, Philadelphia, Pennsylvania.
Brian J DavisMayo Clinic, Rochester, Minnesota (panel chair).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo present the most updated American College of Radiology (ACR) Appropriateness Criteria formed by an expert panel on the appropriate delivery of external beam radiation to manage stage T1 and T2 prostate cancer (in the definitive setting and post-prostatectomy) and to provide clinical variants with expert recommendations based on accompanying Appropriateness Criteria for target volumes and treatment planning. METHODS AND MATERIALS: The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a panel of multidisciplinary experts. The guideline development and revision process includes an extensive analysis of current medical literature from peer-reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In instances in which evidence is lacking or equivocal, expert opinion may supplement available evidence to recommend imaging or treatment.

resultsThe panel summarizes the most recent and relevant literature on the topic, including organ motion and localization methods, image guidance, and delivery techniques (eg, 3-dimensional conformal intensity modulation). The panel presents 7 clinical variants, including (1) a standard case and cases with (2) a distended rectum, (3) a large-volume prostate, (4) bilateral hip implants, (5) inflammatory bowel disease, (6) prior prostatectomy, and (7) a pannus extending into the radiation field. Each case outlines the appropriate techniques for simulation, treatment planning, image guidance, dose, and fractionation. Numerical rating and commentary is given for each treatment approach in each variant.

conclusionsExternal beam radiation is a key component of the curative management of T1 and T2 prostate cancer. By combining the most recent medical literature, these Appropriateness Criteria can aid clinicians in determining the appropriate treatment delivery and personalized approaches for individual patients.

Identifiers

PMID29114613
PMCPMC5605284

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Registered trials

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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.