Evidence map›Paper›PMID 31039111›Full record

ReviewCanadian Urological Association journal = Journal de l'Association des urologues du Canada2020

Management algorithms for metastatic prostate cancer.

Shawn Malone, Bobby Shayegan, Naveen S Basappa, Kim Chi, Henry J Conter, Robert J Hamilton, Sebastien J Hotte, Fred Saad, Alan I So, Laura Park-Wyllie and 3 more

Abstract readReview
In one paragraph

Review in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

13 authors.

Shawn MaloneThe Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada.
Bobby ShayeganJuravinski Cancer Centre, McMaster University, Hamilton, ON, Canada.
Naveen S BasappaCross Cancer Institute, University of Alberta, Edmonton, AB, Canada.
Kim ChiBC Cancer Agency, Vancouver, BC, Canada.
Henry J ConterWilliam Osler Health System, University of Western Ontario, Brampton, ON, Canada.
Robert J HamiltonPrincess Margaret Cancer Centre, University of Toronto, Toronto, ON, Canada.
Sebastien J HotteJuravinski Cancer Centre, McMaster University, Hamilton, ON, Canada.
Fred SaadCentre Hospitalier de l'Université de Montréal, Montreal, QC, Canada.
Alan I SoVancouver Prostate Centre, University of British Columbia, Vancouver, BC, Canada.
Laura Park-WyllieMedical Affairs, Janssen Inc., Toronto, ON, Canada.
Huong HewMedical Affairs, Janssen Inc., Toronto, ON, Canada.
Deanna McLeodKaleidoscope Strategic Inc., Toronto, ON, Canada.
Geoffrey GottoUniversity of Calgary, Calgary, AB, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionProstate cancer poses a significant lifetime risk to Canadian men. Treatment for metastatic prostatic cancer (mPCa) is an area of ongoing research with a lack of up-to-date clinical guidance. The multidisciplinary Canadian Genitourinary Research Consortium (GURC) determined that additional guidance focusing on management of mPCa was warranted.

methodsThe most up-to-date guidelines, consensus statements, and emerging phase 3 trials were identified and used to inform development of algorithms by a multidisciplinary genitourinary oncology panel outlining recommendations for the management of mPCa.

resultsA single pan-Canadian guideline and five national and international guidelines or consensus statements published since 2015 were identified, along with two new phase 3 trials and one additional randomized comparison. Iterative GURC discussions led to the development of two mPCa algorithms: the first addressing management of newly diagnosed metastatic castration-sensitive prostate cancer (mCSPC) patients and the second addressing treatment of patients with metastatic castration-resistant prostate cancer (mCRPC). For newly diagnosed mCSPC patients with high-volume/high-risk disease, either docetaxel or abiraterone acetate and prednisone (AAP) added to androgen-deprivation therapy (ADT) is recommended. The addition of radiotherapy to ADT is suggested for those with low-volume disease and/or AAP to ADT for low-volume or low-risk disease. For first-line mCRPC, androgen receptor-axis-targeted (ARAT) therapy is recommended for most patients, while sequencing with docetaxel, radium-223, ARAT therapy, and/or cabazitaxel is recommended for later lines of therapy.

conclusionsTwo treatment algorithms were developed for the management of mPC and can be used by multidisciplinary specialist teams to guide treatment.

Identifiers

PMID31039111
PMCPMC7012295

What OpenQuestion holds

Textmetadata
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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.