Evidence map›Paper›PMID 32130741›Full record

ReviewThe Prostate2020

Optimizing the role of androgen deprivation therapy in advanced prostate cancer: Challenges beyond the guidelines.

Neal D Shore, Emmanuel S Antonarakis, Michael S Cookson, E David Crawford, Alicia K Morgans, David M Albala, Jason Hafron, Richard G Harris, Daniel Saltzstein, Gordon A Brown and 4 more

Open access · bronzeAbstract readReview
In one paragraph

Review in The Prostate, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% 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

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.

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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

14 authors at 14 institutions in 1 country.

Neal D ShoreCarolina Urologic Research Center, Atlantic Urology Clinics, Myrtle Beach, South Carolina.ORCID 0000-0001-5767-0548
Emmanuel S AntonarakisSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland.ORCID 0000-0003-0031-9655
Michael S CooksonDepartment of Urology, University of Oklahoma, Oklahoma City, Oklahoma.
E David CrawfordUniversity of California, San Diego, LaJolla, California.
Alicia K MorgansNorthwestern University, Robert H. Lurie Comprehensive Cancer Center, Chicago, Illinois.
David M AlbalaCrouse Hospital, Syracuse, New York.
Jason HafronWillam Beaumont School of Medicine, Oakland University, Rochester, Michigan.
Richard G HarrisUropartners, Melrose Park, Illinois.
Daniel SaltzsteinUrology San Antonio, San Antonio, Texas.
Gordon A BrownRowan-School of Medicine, Stratford, New Jersey.
Jonathan HendersonRegional Urology, LLC, Shreveport, Louisiana.
Benjamin LowentrittChesapeake Urology Associates in Maryland, Chesapeake, Maryland.
Jeffrey M SpierRio Grande Urology, El Paso, Texas.
Raoul ConcepcionIntegra Connect, West Palm Beach, Florida.
Carolina Urologic Research Center · USChesapeake Urology Associates · USCrouse Hospital · USNew Jersey Department of Health · USNorthwestern University · USOakland University · USOklahoma City University · USRegional Urology · USRio Grande Council of Governments · USShriners Hospitals for Children · USSidney Kimmel Comprehensive Cancer Center · USUniversity of California San Diego · USUrology San Antonio · USVanderbilt University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFor specific clinical indications, androgen deprivation therapy (ADT) will induce disease prostate cancer (PC) regression, relieve symptoms and prolong survival; however, ADT has a well-described range of side effects, which may have a detrimental effect on the patient's quality of life, necessitating additional interventions or changes in PC treatment. The risk-benefit analysis for initiating ADT in PC patients throughout the PC disease continuum warrants review.

methodsA 14-member panel comprised of urologic and medical oncologists were chosen for an expert review panel, to provide guidance on a more judicious use of ADT in advanced PC patients. Panel members were chosen based upon their academic and community experience and expertise in the management of PC patients. Four academic members of the panel served as group leaders; the remaining eight panel members were from Large Urology Group Practice Association practices with proven experience in leading their advanced PC clinics. The panel members were assigned to four separate working groups, and were tasked with addressing the role of ADT in specific PC settings.

resultsThis article describes the practical recommendations of an expert panel for the use of ADT throughout the PC disease continuum, as well as an algorithm summarizing the key recommendations. The target for this publication is all providers (urologists, medical oncologists, radiation oncologists, or advanced practice providers) who evaluate and manage advanced PC patients, regardless of their practice setting.

conclusionThe panel has provided recommendations for monitoring PC patients while on ADT, recognizing that PC patients will progress despite testosterone suppression and, therefore, early identification of conversion from castrate-sensitive to castration resistance is critical. Also, the requirement to both identify and mitigate side effects of ADT as well as the importance of quality of life maintenance are essential to the optimization of patient care, especially as more combinatorial therapeutic strategies with ADT continue to emerge.

Indexed as

Androgen AntagonistsHumansMaleNeoadjuvant TherapyOrchiectomyPractice Guidelines as TopicProstatic NeoplasmsRandomized Controlled Trials as TopicSalvage TherapyAndrogen Antagonistsandrogen deprivation therapycancerconsensusprostate

Identifiers

PMID32130741
PMCPMC7154535
OpenAlexW3009055724

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.