Evidence map›Paper›PMID 33861622›Full record

Observational studyThe British journal of radiology2021

Safety of image-guided radiotherapy in definitive radiotherapy for localized prostate cancer: a population-based analysis.

Yao-Hung Kuo, Ji-An Liang, Guan-Heng Chen, Chia-Chin Li, Chun-Ru Chien

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in The British journal of radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Impact of image-guided radiation therapy with intraprostatic seeds on long-term toxicity in prostate cancer patients undergoing risk-adapted intensification therapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  2. Article
  3. Article
  4. Review
  5. Technology in cancer research & treatment
    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

5 authors at 3 institutions in 1 country.

Yao-Hung KuoDepartment of Radiation Oncology, E-Da Hospital, Kaohsiung, Taiwan.
Ji-An LiangDepartment of Radiation Oncology, China Medical University Hospital, Taichung, Taiwan.
Guan-Heng ChenDepartment of Urology, China Medical University Hsinchu Hospital, Hsinchu, Taiwan.
Chia-Chin LiDepartment of Radiation Oncology, China Medical University Hsinchu Hospital, Hsinchu, Taiwan.
Chun-Ru ChienDepartment of Radiation Oncology, China Medical University Hospital, Taichung, Taiwan.
China Medical University · TWChina Medical University Hospital · TWE-Da Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesImage-guided radiotherapy (IGRT) is a recommended advanced radiation technique that is associated with fewer acute and chronic toxicities. However, one Phase III trial showed worse overall survival in the IGRT arm. The purpose of this observational study is to evaluate the impact of IGRT on overall survival.

methodsWe used the Taiwan Cancer Registry Database to enroll cT1-4N0M0 prostate cancer patients who received definitive radiotherapy between 2011 and 2015. We used inverse probability treatment weighting (IPW) to construct balanced IGRT and non-IGRT groups. We compared the overall survival of those in the IGRT and non-IGRT groups. Supplementary analyses (SA) were performed with alternative covariates in propensity score (PS) models and PS approaches. The incidence rates of prostate cancer mortality (IPCM), other cancer mortality (IOCM), and cardiovascular mortality (ICVM) were also evaluated.

resultsThere were 360 patients in the IGRT arm and 476 patients in the non-IGRT arm. The median follow-up time was 50 months. The 5-year overall survival was 88% in the IGRT arm and 86% in the non-IGRT arm (adjusted hazard ratio [HR] of death = 0.93; 95% CI, 0.61-1.45;

conclusionsThe overall survival of localized prostate cancer patients who underwent IGRT was not inferior to those who did not. ADVANCES IN KNOWLEDGE: We demonstrated that the overall survival for prostate cancer patients with IGRT was not worse than those who did not undergo IGRT; this important outcome comparison has not been previously examined in the general population.

Indexed as

AdenocarcinomaAdultAgedAged, 80 and overCardiovascular DiseasesDatabases, FactualFollow-Up StudiesHumansMaleMiddle AgedProbabilityPropensity ScoreProportional Hazards ModelsProstatic NeoplasmsRadiotherapy, Image-GuidedTaiwan

Identifiers

PMID33861622
PMCPMC8506193
OpenAlexW3153973942

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.