Evidence map›Paper›PMID 34235090›Full record

ArticleFrontiers in oncology2021

Patient-Reported and Oncological Outcomes of Salvage Therapies for PSMA-Positive Nodal Recurrent Prostate Cancer: Real-Life Experiences and Implications for Future Trial Design.

Alexander Kretschmer, Johanna Milow, Chukwuka Eze, Alexander Buchner, Minglun Li, Thilo Westhofen, Frederik Fuchs, Paul Rogowski, Christian Trapp, Ute Ganswindt and 8 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 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 31% 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, 7 citations in OpenAlex.

  1. Review
  2. Controversies in the use of next-generation imaging for evaluation and treatment decision-making in patients with prostate cancer after biochemical recurrence: views from a Spanish expert panel.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  3. Review
  4. Article
  5. 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

18 authors at 3 institutions in 2 countries.

Alexander KretschmerDepartment of Urology, LMU Klinikum, Ludwig-Maximilians University Munich, Munich, Germany.
Johanna MilowDepartment of Urology, LMU Klinikum, Ludwig-Maximilians University Munich, Munich, Germany.
Chukwuka EzeDepartment of Radiation Oncology, LMU Klinikum, Ludwig-Maximilians University Munich, Munich, Germany.
Alexander BuchnerDepartment of Urology, LMU Klinikum, Ludwig-Maximilians University Munich, Munich, Germany.
Minglun LiDepartment of Radiation Oncology, LMU Klinikum, Ludwig-Maximilians University Munich, Munich, Germany.
Thilo WesthofenDepartment of Urology, LMU Klinikum, Ludwig-Maximilians University Munich, Munich, Germany.
Frederik FuchsDepartment of Radiation Oncology, LMU Klinikum, Ludwig-Maximilians University Munich, Munich, Germany.
Paul RogowskiDepartment of Radiation Oncology, LMU Klinikum, Ludwig-Maximilians University Munich, Munich, Germany.
Christian TrappDepartment of Radiation Oncology, LMU Klinikum, Ludwig-Maximilians University Munich, Munich, Germany.
Ute GanswindtDepartment of Therapeutic Radiology and Oncology, Innsbruck Medical University, Innsbruck, Austria.
Mathias Johannes ZacherlDepartment of Nuclear Medicine, LMU Klinikum, Ludwig-Maximilians University Munich, Munich, Germany.
Leonie BeyerDepartment of Nuclear Medicine, LMU Klinikum, Ludwig-Maximilians University Munich, Munich, Germany.
Vera WenterDepartment of Nuclear Medicine, LMU Klinikum, Ludwig-Maximilians University Munich, Munich, Germany.
Peter BartensteinDepartment of Nuclear Medicine, LMU Klinikum, Ludwig-Maximilians University Munich, Munich, Germany.
Boris SchlenkerDepartment of Urology, LMU Klinikum, Ludwig-Maximilians University Munich, Munich, Germany.
Christian G StiefDepartment of Urology, LMU Klinikum, Ludwig-Maximilians University Munich, Munich, Germany.
Claus BelkaDepartment of Radiation Oncology, LMU Klinikum, Ludwig-Maximilians University Munich, Munich, Germany.
Nina-Sophie Schmidt-HegemannDepartment of Radiation Oncology, LMU Klinikum, Ludwig-Maximilians University Munich, Munich, Germany.
LMU Klinikum · DELudwig-Maximilians-Universität München · DEInnsbruck Medical University · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe role of salvage lymph node dissection (SLND) and radiotherapy (SLNRT) in the management of nodal-only recurrent prostate cancer (PC) remains controversial. In addition, impact on health-related quality of life (HRQOL) has not been adequately evaluated yet. MATERIALS AND

methodsAnalysis was limited to patients that were diagnosed with nodal-only recurrent PC

results138 patients (SLND: 71; SLNRT: 67) were included in the retrospective analysis. Median follow-up was 47 months (mo) for SLNRT patients (IQR 40-61), and 33mo for SLND patients (IQR 20-49; p<0.001). In total, 61 patients (91.0%) in the SLNRT cohort and 43 patients (65.2%; p<0.001) in the SLND cohort underwent ADT anytime during the follow-up period. In multivariate Cox regression analysis, SLNRT could be confirmed as an independent predictor for increased PSA progression-free survival (PFS; HR 0.08, 95%CI 0.040 - 0.142, p<0.001). Estimated median metastasis-free survival (MFS) was 70mo for the total cohort without statistically significant differences between both subgroups (p=0.216). There were no significant differences regarding general HRQOL, daily pad usage, and ICIQ-SF scores between the respective cohorts.

conclusionsIn a large contemporary series of patients with nodal-only recurrent PC based on PSMA-PET/CT staging, we observed significantly increased PSA PFS in patients undergoing SLNRT while no significant differences could be observed in MFS, and functional outcomes including HRQOL.

Indexed as

PROMSprostate cancerPSMA - prostate specific membrane antigensalvage lymph node dissectionsalvage radiotherapy

Identifiers

PMID34235090
PMCPMC8255992
OpenAlexW3175132304

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.