Evidence map›Paper›PMID 32888035›Full record

ArticleJournal of radiation research2020

The effects of PSA kinetics on the outcome of hypofractionated salvage radiotherapy for biochemical recurrence of prostate cancer after prostatectomy.

Hitoshi Ishikawa, Keiko Higuchi, Takuya Kaminuma, Yutaka Takezawa, Yoshitaka Saito, Toru Etsunaga, Kazushi Maruo, Hidemasa Kawamura, Nobuteru Kubo, Takashi Nakano and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of radiation research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 30% 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

4 citing papers in PubMed, 16 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

11 authors at 5 institutions in 1 country.

Hitoshi IshikawaDepartment of Radiation Oncology, Isesaki Municipal Hospital, Tsunatorimoto 12-1, Isesaki, 372-0802 Gunma, Japan.
Keiko HiguchiDepartment of Radiation Oncology, Isesaki Municipal Hospital, Tsunatorimoto 12-1, Isesaki, 372-0802 Gunma, Japan.
Takuya KaminumaDepartment of Radiation Oncology, Gunma University Graduate School of Medicine, Showa 3-39-22, Maebashi, 371-8511 Gunma, Japan.
Yutaka TakezawaDepartment of Urology, Isesaki Municipal Hospital, Tsunatorimoto 12-1, Isesaki, 372-0802 Gunma, Japan.
Yoshitaka SaitoDepartment of Urology, Isesaki Municipal Hospital, Tsunatorimoto 12-1, Isesaki, 372-0802 Gunma, Japan.
Toru EtsunagaDepartment of Urology, Isesaki Municipal Hospital, Tsunatorimoto 12-1, Isesaki, 372-0802 Gunma, Japan.
Kazushi MaruoDepartment of Biostatistics, Faculty of Medicine, University of Tsukuba, Tennodai 1-1-1, Tsukuba, 305-8575 Ibaraki, Japan.
Hidemasa KawamuraDepartment of Radiation Oncology, Gunma University Graduate School of Medicine, Showa 3-39-22, Maebashi, 371-8511 Gunma, Japan.
Nobuteru KuboDepartment of Radiation Oncology, Gunma University Graduate School of Medicine, Showa 3-39-22, Maebashi, 371-8511 Gunma, Japan.
Takashi NakanoHospital of the National Institute of Radiological Sciences, National Institutes for Quantum and Radiological Sciences and Technology, Anagawa 4-9-7, Inage, 263-8555 Chiba, Japan.
Mikio KobayashiDepartment of Urology, Isesaki Municipal Hospital, Tsunatorimoto 12-1, Isesaki, 372-0802 Gunma, Japan.
Gunma University · JPIsesaki Fukushima Hospital · JPIsesaki Municipal HospitalNational Institutes for Quantum and Radiological Science and Technology · JPUniversity of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The feasibility and efficacy of hypofractionated salvage radiotherapy (HS-RT) for prostate cancer (PC) with biochemical recurrence (BR) after prostatectomy, and the usefulness of prostate-specific antigen (PSA) kinetics as a predictor of BR, were evaluated in 38 patients who received HS-RT without androgen deprivation therapy between May 2009 and January 2017. Their median age, PSA level and PSA doubling time (PSA-DT) at the start of HS-RT were 68 (53-74) years, 0.28 (0.20-0.79) ng/ml and 7.7 (2.3-38.5) months, respectively. A total dose of 60 Gy in 20 fractions (three times a week) was three-dimensionally delivered to the prostate bed. After a median follow-up of 62 (30-100) months, 19 (50%) patients developed a second BR after HS-RT, but only 1 patient died before the last follow-up. The 5-year overall survival and BR-free survival rates were 97.1 and 47.4%, respectively. Late grade 2 gastrointestinal and genitourinary morbidities were observed in 0 and 5 (13%) patients, respectively. The PSA level as well as pathological T-stage and surgical margin status were regarded as significant predictive factors for a second BR by multivariate analysis. BR developed within 6 months after HS-RT in 11 (85%) of 13 patients with a PSA-DT < 10 months compared with 1 (17%) of 6 with a PSA-DT ≥ 10 months (median time to BR: 3 vs 14 months, P < 0.05). Despite the small number of patients, our HS-RT protocol seems feasible, and PSA kinetics may be useful for predicting the risk of BR and determining the appropriate follow-up schedule.

Indexed as

Dose Fractionation, RadiationAgedAndrogensDisease-Free SurvivalFollow-Up StudiesHumansKaplan-Meier EstimateKineticsMaleMiddle AgedNeoplasm Recurrence, LocalPrognosisProstateProstatectomyProstate-Specific AntigenProstatic NeoplasmsAndrogensProstate-Specific Antigenbiochemical recurrencehypofractionated radiotherapyprostate cancerprostate-specific antigenprostate-specific antigen doubling timesalvage radiotherapy

Identifiers

PMID32888035
PMCPMC7674678
OpenAlexW3083151589

What OpenQuestion holds

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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.