Evidence map›Paper›PMID 33586699›Full record

SynthesisAsian journal of andrology

Neoadjuvant hormone therapy for patients with high-risk prostate cancer: a systematic review and meta-analysis.

Wen Liu, Yu Yao, Xue Liu, Yong Liu, Gui-Ming Zhang

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Asian journal of andrology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Relationship between [European journal of nuclear medicine and molecular imaging · 2026
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  17. Effect of preoperative PI-RADS assessment on pathological outcomes in patients who underwent radical prostatectomy.Cancer imaging : the official publication of the International Cancer Imaging Society · 2023
    Article
  18. Head-to-head comparisons of [European journal of nuclear medicine and molecular imaging · 2023
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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

5 authors.

Wen LiuDepartment of Urology, The Affiliated Hospital of Qingdao University, Qingdao 266003, China.
Yu YaoDepartment of Urology, The Affiliated Hospital of Qingdao University, Qingdao 266003, China.
Xue LiuDepartment of Anesthesiology, The Affiliated Hospital of Qingdao University, Qingdao 266003, China.
Yong LiuDepartment of Urology, The Affiliated Hospital of Qingdao University, Qingdao 266003, China.
Gui-Ming ZhangDepartment of Urology, The Affiliated Hospital of Qingdao University, Qingdao 266003, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to identify the pathological outcomes and survival benefits of neoadjuvant hormone therapy (NHT) combined with radical prostatectomy (RP) and radiotherapy (RT) administered to patients with high-risk prostate cancer (HRPCa). We searched PubMed, Embase, and the Cochrane Library for studies comparing NHT plus RP or RT with RP or RT alone, administered to patients with HRPCa. We used a random-effects model to compute risk estimates with 95% confidence intervals (CIs) and quantified heterogeneity using the I "2" statistic. Subgroup and sensitivity analyses were performed to identify potential sources of heterogeneity. We selected 16 studies. NHT before RP significantly decreased lymph node involvement (risk ratio [RR] = 0.69, 95% CI: 0.56-0.87) and increased the rates of pathological downstaging (RR = 2.62, 95% CI: 1.22-5.61) and organ-confinement (RR = 2.24, 95% CI: 1.54-3.25), but did not improve overall survival and biochemical progression-free survival (bPFS). The administration of NHT before RT to patients with HRPCa was associated with significant benefits for cancer-specific survival (hazard ratio [HR] = 0.51, 95% CI: 0.39-0.68), disease-free survival (HR = 0.51, 95% CI: 0.44-0.60), and bPFS (HR = 0.54, 95% CI: 0.46-0.64). Short-term NHT combined with RT administered to patients with HRPCa conferred significant improvements. Although the advantage of local control was observed when NHT was administered before RP, there was no significant survival benefit associated with HRPCa. Therefore, short-term NHT combined with RT is recommended for implementation in standard clinical practice but not for patients who undergo RP.

Indexed as

Androgen AntagonistsHormone Replacement TherapyHumansMaleNeoadjuvant TherapyOutcome Assessment, Health CareProstatectomyProstatic NeoplasmsAndrogen Antagonistshigh-risk diseasesmeta-analysisneoadjuvant hormone therapyprostate cancerprostatectomyradiotherapy

Identifiers

PMID33586699
PMCPMC8269824

What OpenQuestion holds

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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.