Evidence map›Paper›PMID 34307443›Full record

ReviewFrontiers in surgery2021

Radiation Therapy After Radical Prostatectomy: What Has Changed Over Time?

Fabio Zattoni, Isabel Heidegger, Veeru Kasivisvanathan, Alexander Kretschmer, Giancarlo Marra, Alessandro Magli, Felix Preisser, Derya Tilki, Igor Tsaur, Massimo Valerio and 5 more

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. 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
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
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

15 authors at 14 institutions in 6 countries.

Fabio ZattoniUrology Unit, Azienda Sanitaria Universitaria Integrata di Udine, Udine, Italy.
Isabel HeideggerDepartment of Urology, Medical University Innsbruck, Innsbruck, Austria.
Veeru KasivisvanathanDivision of Surgery and Interventional Science, University College London, London, United Kingdom.
Alexander KretschmerDepartment of Urology, Ludwig-Maximilians-University of Munich, Munich, Germany.
Giancarlo MarraDepartment of Urology, San Giovanni Battista Hospital, University of Turin, Turin, Italy.
Alessandro MagliDepartment of Radiation Oncology, Udine General Hospital, Udine, Italy.
Felix PreisserDepartment of Urology, University Hospital Frankfurt, Frankfurt, Germany.
Derya TilkiMartini-Klinik Prostate Cancer Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
Igor TsaurDepartment of Urology and Pediatric Urology, Mainz University Medicine, Mainz, Germany.
Massimo ValerioDepartment of Urology, CHUV Lausanne, Lausanne, Switzerland.
Roderick van den BerghDepartment of Urology, Antonius Hospital, Utrecht, Netherlands.
Claudia KeschDepartment of Urology, University Hospital Essen, Essen, Germany.
Francesco CeciDivision of Nuclear Medicine, IEO European Institute of Oncology IRCCS, Milan, Italy.
Christian FankhauserUniversity Hospital Zürich, Zurich, Switzerland.
Giorgio GandagliaDivision of Oncology/Unit of Urology, Urological Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.
Essen University Hospital · DEEuropean Institute of Oncology · ITHôpital Orthopédique de la Suisse Romande · CHInnsbruck Medical University · ATIRCCS Ospedale San Raffaele · ITLudwig-Maximilians-Universität München · DEOspedale Santa Maria della Misericordia di Udine · ITSt. Antonius Ziekenhuis · NLUniversity College London · GBUniversity Hospital Frankfurt · DEUniversity Hospital of Zurich · CHUniversity Medical Center Hamburg-Eppendorf · DEUniversity of Turin · ITUniversity of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The role and timing of radiotherapy (RT) in prostate cancer (PCa) patients treated with radical prostatectomy (RP) remains controversial. While recent trials support the oncological safety of early salvage RT (SRT) compared to adjuvant RT (ART) in selected patients, previous randomized studies demonstrated that ART might improve recurrence-free survival in patients at high risk for local recurrence based on adverse pathology. Although ART might improve survival, this approach is characterized by a risk of overtreatment in up to 40% of cases. SRT is defined as the administration of RT to the prostatic bed and to the surrounding tissues in the patient with PSA recurrence after surgery but no evidence of distant metastatic disease. The delivery of salvage therapies exclusively in men who experience biochemical recurrence (BCR) has the potential advantage of reducing the risk of side effects without theoretically compromising outcomes. However, how to select patients at risk of progression who are more likely to benefit from a more aggressive treatment after RP, the exact timing of RT after RP, and the use of hormone therapy and its duration at the time of RT are still open issues. Moreover, what the role of novel imaging techniques and genomic classifiers are in identifying the most optimal post-operative management of PCa patients treated with RP is yet to be clarified. This narrative review summarizes most relevant published data to guide a multidisciplinary team in selecting appropriate candidates for post-prostatectomy radiation therapy.

Indexed as

adjuvant radiotherapybiochemical recurrencegenomic classifiershormonal therapyprostate cancersalvage radiotherapy

Identifiers

PMID34307443
PMCPMC8298897
OpenAlexW3181451815

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.