Evidence map›Paper›PMID 30267117›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2019

Salvage extended field or involved field nodal irradiation in

Alexis Lépinoy, Yannick E Silva, Etienne Martin, Aurélie Bertaut, Magali Quivrin, Léone Aubignac, Alexandre Cochet, Gilles Créhange

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In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
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  13. Review
  14. Radiotherapy in nodal oligorecurrent prostate cancer.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2021
    Review
  15. Review
  16. Article
  17. Clinical outcome of PSMA-guided radiotherapy for patients with oligorecurrent prostate cancer.European journal of nuclear medicine and molecular imaging · 2021
    Article
  18. CombiningFrontiers in oncology · 2021
    Article
  19. Salvage radiotherapy in patients affected by oligorecurrent pelvic nodal prostate cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2020
    Article
  20. 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

8 authors.

Alexis LépinoyDepartment of Radiation Oncology, University Hospital Jean Minjoz, 25000, Besançon, France.
Yannick E SilvaDepartment of Nuclear Medicine, Unicancer-Georges François Leclerc Cancer Center, 21000, Dijon, France.
Etienne MartinDepartment of Radiation Oncology, Unicancer-Georges François Leclerc Cancer Center, 21000, Dijon, France.
Aurélie BertautDepartment of Biostatistics, Unicancer-Georges François Leclerc Cancer Center, 21000, Dijon, France.
Magali QuivrinDepartment of Radiation Oncology, Unicancer-Georges François Leclerc Cancer Center, 21000, Dijon, France.
Léone AubignacDepartment of Medical Physics and Radiation Oncology, Unicancer-Georges François Leclerc Cancer Center, 21000, Dijon, France.
Alexandre CochetDepartment of Nuclear Medicine, Unicancer-Georges François Leclerc Cancer Center, 21000, Dijon, France.
Gilles CréhangeDepartment of Radiation Oncology, Unicancer-Georges François Leclerc Cancer Center, 21000, Dijon, France. gcrehange@cgfl.fr.ORCID http://orcid.org/0000-0002-7127-9323

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe concept of metastasis-directed therapy for nodal oligorecurrences with stereotactic body radiotherapy is increasingly accepted. Hence, the comparison between salvage extended field radiotherapy (s-EFRT) and salvage involved field radiotherapy (s-IFRT) in patients with

methodsPatients with oligorecurrent nodes on FCH PET/CT treated with salvage radiotherapy between 2009 and 2017 in a single tertiary cancer centre were selected for this study. Patients treated with s-IFRT were compared with those treated with s-EFRT. Toxicities and times to failure (TTF) were compared between the two groups.

resultsThe study included 62 patients with positive lymph nodes only who underwent FCH PET/CT for a rising PSA level after radical prostatectomy or radiotherapy. Of these patients, 35 had s-IFRT and 27 had s-EFRT. After a median follow-up of 41.8 months (range 5.9-108.1 months), no differences were observed in acute or late gastrointestinal and genitourinary toxicities of grade 2 or more between the two groups. The 3-year failure rates were 55.3% (95% CI 37.0-70.3%) in the s-IFRT group and 88.3% (95% CI 66.9-96.1%) in the s-EFRT group (p = 0.0094). In multivariate analysis of TTF, an interval of >5 years was significantly correlated with better outcomes (HR = 0.33, 95% CI 0.13-0.86, p = 0.023). There was a strong trend toward better outcomes with s-EFRT even after adjusting for concomitant androgen-deprivation therapy (HR = 0.38, 95% CI 0.12-1.27, p = 0.116).

conclusionFCH PET-positive node-targeted s-EFRT is feasible with low rates of toxicity and longer TTF, suggesting that oligorecurrent nodal disease diagnosed on FCH PET is unlikely.

Indexed as

Positron Emission Tomography Computed TomographySalvage TherapyAgedAged, 80 and overCholineHumansMaleMiddle AgedProstatic NeoplasmsRecurrenceTreatment FailureCholinefluorocholine18F-FluorocholineNodal failurePET/CTProstate cancerSalvage radiotherapy

Identifiers

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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.