Evidence map›Paper›PMID 33402486›Full record

ArticleIn vivo (Athens, Greece)

Prognostic Factors in Hormone-sensitive Prostate Cancer Patients Treated With Combined Androgen Blockade: A Consecutive 15-year Study at a Single Japanese Institute.

Yoshiyuki Miyazawa, Yoshitaka Sekine, Seiji Arai, Daisuke Oka, Hiroshi Nakayama, Takahiro Syuto, Masashi Nomura, Hidekazu Koike, Hiroshi Matsui, Yasuhiro Shibata and 1 more

Open access · diamondAbstract read
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
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  5. Observational
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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 1 institution in 1 country.

Yoshiyuki MiyazawaDepartment of Urology, Gunma University Graduate School of Medicine, Gunma, Japan miya.yoshi@gunma-u.ac.jp.
Yoshitaka SekineDepartment of Urology, Gunma University Graduate School of Medicine, Gunma, Japan.
Seiji AraiDepartment of Urology, Gunma University Graduate School of Medicine, Gunma, Japan.
Daisuke OkaDepartment of Urology, Gunma University Graduate School of Medicine, Gunma, Japan.
Hiroshi NakayamaDepartment of Urology, Gunma University Graduate School of Medicine, Gunma, Japan.
Takahiro SyutoDepartment of Urology, Gunma University Graduate School of Medicine, Gunma, Japan.
Masashi NomuraDepartment of Urology, Gunma University Graduate School of Medicine, Gunma, Japan.
Hidekazu KoikeDepartment of Urology, Gunma University Graduate School of Medicine, Gunma, Japan.
Hiroshi MatsuiDepartment of Urology, Gunma University Graduate School of Medicine, Gunma, Japan.
Yasuhiro ShibataDepartment of Urology, Gunma University Graduate School of Medicine, Gunma, Japan.
Kazuhiro SuzukiDepartment of Urology, Gunma University Graduate School of Medicine, Gunma, Japan.
Gunma University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimThere are several treatment options for metastatic hormone-sensitive prostate cancer (mHSPC) in the world. In recent years, the use of docetaxel, abiraterone, enzalutamide, and apalutamide has been used for mHSPC, but combined androgen blockade (CAB) therapy using first-generation antiandrogens has been widely used in Japan. There is a background. We performed a consecutive study of patients who received combined androgen blockade (CAB) at a single institute to determine the prognostic factors for mHSPC. PATIENTS AND

methodsWe conducted a consecutive study of 237 mHSPC patients treated with CAB from 2003 to 2017 at the Gunma University Hospital. Prostate-specific antigen progression-free survival (PSA-PFS) and overall survival (OS) were estimated by the Kaplan-Meier method. The associations between pre-treatment risk factors and the PSA response 3 months after starting CAB, PSA-PFS, and OS were evaluated by the Cox proportional hazards model.

resultsAmong the 237 cases, the median PSA-PFS and OS times were 63.0 and 91.4 months, respectively. The median PSA-PFS and OS times of M1 cases (174 cases, 73.4% of all 237 cases) were 36.1 and 75.9 months, respectively. The Eastern Cooperative Oncology Group performance status (ECOG PS) score, hemoglobin (Hb), lactate dehydrogenase, extent of disease, visceral metastasis (no vs. yes), and PSA response after 3 months were significant predictors of OS according to Cox regression analysis of prognostic factors in M1 patients. The ECOG PS, Hb, visceral metastasis (no vs. yes), and PSA response after 3 months predicted OS high-risk patients in LATITUDE criteria. The OS was 92.1 months in the low-risk group (0-1 risk factors), 48.2 months in the intermediate-risk group (2 risk factors), and 16.9 months in the high-risk group (3-4 risk factors).

conclusionCAB should be considered as a treatment option for strictly selected patients with mHSPC, even though novel treatments are available.

Indexed as

AndrogensProstatic NeoplasmsAndrogen AntagonistsHumansJapanMalePrognosisAndrogen AntagonistsAndrogensandrogen deprivation therapycombined androgen blockademetastatic hormone-sensitive prostate cancerProstate cancerrisk classification

Identifiers

PMID33402486
PMCPMC7880762
OpenAlexW3119906131

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.