Evidence map›Paper›PMID 32606361›Full record

ReviewNature reviews. Urology2020

Intermittent versus continuous androgen deprivation therapy for advanced prostate cancer.

Marlon Perera, Matthew J Roberts, Laurence Klotz, Celestia S Higano, Nathan Papa, Shomik Sengupta, Damien Bolton, Nathan Lawrentschuk

Abstract readComparative StudyReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
3.9field-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

38 citing papers in PubMed, 56 citations in OpenAlex.

  1. Trial
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  5. Prostate Cancer: Etiology, Diagnosis, and Treatment.Serican journal of medicine · 2026
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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

8 authors at 6 institutions in 3 countries.

Marlon PereraUniversity of Melbourne, Department of Surgery, Austin Health, Melbourne, Victoria, Australia. marlonlperera@gmail.com.
Matthew J RobertsThe University of Queensland Centre for Clinical Research, Faculty of Medicine, Brisbane, Queensland, Australia.ORCID 0000-0003-0552-7402
Laurence KlotzDivision of Urology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
Celestia S HiganoDivision of Oncology, University of Washington, Washington, WA, USA.
Nathan PapaUniversity of Melbourne, Department of Surgery, Austin Health, Melbourne, Victoria, Australia.
Shomik SenguptaUniversity of Melbourne, Department of Surgery, Austin Health, Melbourne, Victoria, Australia.
Damien BoltonUniversity of Melbourne, Department of Surgery, Austin Health, Melbourne, Victoria, Australia.ORCID 0000-0002-5145-6783
Nathan LawrentschukDepartment of Surgical Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
The University of Melbourne · AUThe University of Queensland · AUBox Hill Hospital · AUSunnybrook Health Science Centre · CAThe Royal Melbourne Hospital · AUUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Androgen deprivation therapy (ADT) is still a mainstay of treatment for advanced prostate cancer. Continuous ADT causes considerable patient morbidity including sexual dysfunction, poor mood and physical capacity, changes in body composition and health-care-related costs. Intermittent ADT has been used as an approach to ADT monotherapy to limit morbidity by enabling cyclical recovery of serum testosterone levels. To date, a number of well-performed randomized controlled trials and meta-analyses have demonstrated statistically insignificant differences in oncological outcomes between intermittent and continuous ADT monotherapy. Sexual outcomes, morbidity profiles and cost-savings favour intermittent therapy in most randomized trials, but the benefit for clinical practice is unclear. Despite the growing body of evidence, the optimal administration regime for ADT has not been clearly established and incorporation of adjunctive upfront treatments such as chemotherapy and novel anti-androgen agents has further hampered progress. Recommendations by authoritative urological and oncological societies regarding the use of intermittent ADT are limited. The potential benefits of reduced morbidity for a particular patient must be considered in light of the possible oncological outcomes. Although the oncological changes associated with intermittent ADT are controversial, intermittent ADT does seem to provide symptomatic benefit in patients compared with continuous ADT. However, careful selection of suitable patients is crucial.

Indexed as

Androgen AntagonistsHumansMaleNeoplasm StagingProstatic NeoplasmsAndrogen Antagonists

Identifiers

PMID32606361
OpenAlexW3039085269

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.