Evidence map›Paper›PMID 33173205›Full record

ReviewNature reviews. Urology2020

Surgical management of high-risk, localized prostate cancer.

Lamont J Wilkins, Jeffrey J Tosoian, Debasish Sundi, Ashley E Ross, Dominic Grimberg, Eric A Klein, Brian F Chapin, Yaw A Nyame

Abstract readReview
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 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Prevalence of tumour-infiltrating CD103British journal of cancer · 2023
    Article
  9. Article
  10. Modular Smart Molecules for PSMA-Targeted Chemotherapy.Molecular cancer therapeutics · 2022
    Article
  11. Review
  12. Article
  13. Article
  14. Article
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 7 institutions in 1 country.

Lamont J WilkinsDepartment of Urology, Glickman Urologic and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.
Jeffrey J TosoianDepartment of Urology, University of Michigan, Ann Arbor, MI, USA.
Debasish SundiDepartment of Urology, Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Ashley E RossTexas Urology Specialists, US Oncology Research, Mary Crowley Cancer Research, Dallas, TX, USA.
Dominic GrimbergDivision of Urology, Duke University, Durham, NC, USA.ORCID 0000-0003-2289-4781
Eric A KleinDepartment of Urology, Glickman Urologic and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.ORCID 0000-0002-1783-0698
Brian F ChapinDepartment of Urology, MD Anderson Cancer Center, Houston, TX, USA.
Yaw A NyameDepartment of Urology, University of Washington Medical Center, Seattle, WA, USA. nyamey@uw.edu.ORCID 0000-0002-8799-6749
Cleveland Clinic · USDuke University · USMary Crowley Cancer Research Center · USThe Ohio State University · USThe University of Texas MD Anderson Cancer Center · USUniversity of Michigan · USUniversity of Washington Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High-risk prostate cancer is a heterogeneous disease that lacks clear consensus on its ideal management. Historically, non-surgical treatment was the preferred strategy, and several studies demonstrated improved survival among men with high-risk disease managed with the combination of radiotherapy and androgen deprivation therapy (ADT) compared with ADT alone. However, practice trends in the past 10-15 years have shown increased use of radical prostatectomy with pelvic lymph node dissection for primary management of high-risk, localized disease. Radical prostatectomy, as a primary monotherapy, offers the potential benefits of avoiding ADT, reducing rates of symptomatic local recurrence, enabling full pathological tumour staging and potentially reducing late adverse effects such as secondary malignancy compared with radiation therapy. Retrospective studies have reported wide variability in short-term (pathological) and long-term (oncological) outcomes of radical prostatectomy. Surgical monotherapy continues to be appropriate for selected patients, whereas in others the best treatment strategy probably involves a multimodal approach. Appropriate risk stratification utilizing clinical, pathological and potentially also genomic risk data is imperative in the initial management of men with prostate cancer. However, data from ongoing and planned prospective trials are needed to identify the optimal management strategy for men with high-risk, localized prostate cancer.

Indexed as

AdenocarcinomaAndrogen AntagonistsChemoradiotherapyHumansLymph Node ExcisionMaleNeoplasm Recurrence, LocalNeoplasm StagingPatient SelectionPelvisProstatectomyProstatic NeoplasmsRadiotherapyRiskRisk AssessmentAndrogen Antagonists

Identifiers

PMID33173205
OpenAlexW3104871353

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.