Evidence map›Paper›PMID 34912711›Full record

ArticleFrontiers in oncology2021

Does the Identification of a Minimum Number of Cases Correlate With Better Adherence to International Guidelines Regarding the Treatment of Penile Cancer? Survey Results of the European PROspective Penile Cancer Study (E-PROPS).

Steffen Lebentrau, Gamal Anton Wakileh, Martin Schostak, Hans-Peter Schmid, Rodrigo Suarez-Ibarrola, Axel S Merseburger, Georg C Hutterer, Ulrike H Necknig, Michael Rink, Martin Bögemann and 6 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
1.9field-weighted citation impact, top 14% 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, 13 citations in OpenAlex.

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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

16 authors at 14 institutions in 4 countries.

Steffen LebentrauDepartment of Urology, Werner Forßmann Hospital, Eberswalde, Germany.
Gamal Anton WakilehDepartment of Urology, Ulm University Hospital, Ulm, Germany.
Martin SchostakDepartment of Urology and Urooncology, University Medical Center Magdeburg, Magdeburg, Germany.
Hans-Peter SchmidDepartment of Urology, School of Medicine, University of St. Gallen, St. Gallen, Switzerland.
Rodrigo Suarez-IbarrolaDepartment of Urology, Faculty of Medicine, University of Freiburg Medical Centre, Freiburg, Germany.
Axel S MerseburgerDepartment of Urology, University of Schleswig-Holstein, Lübeck, Germany.
Georg C HuttererDepartment of Urology, Medical University of Graz, Graz, Austria.
Ulrike H NecknigDepartment of Urology and Pediatric Urology, Klinikum Garmisch-Partenkirchen, Garmisch-Partenkirchen, Germany.
Michael RinkDepartment of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Martin BögemannDepartment of Urology and Pediatric Urology, University Medical Center Münster, Münster, Germany.
Luis Alex KluthDepartment of Urology, University Medical Center Frankfurt a.M., Frankfurt/Main, Germany.
Armin PychaDepartment of Urology, Hospital of Bolzano, Bolzano-Bozen, Italy.
Maximilian BurgerDepartment of Urology, Caritas St. Josef Medical Centre, University of Regensburg, Regensburg, Germany.
Sabine D Brookman-MayDepartment of Urology, University Hospital Großhadern, Ludwig-Maximilians-University Munich, Munich, Germany.
Johannes BründlDepartment of Urology, Caritas St. Josef Medical Centre, University of Regensburg, Regensburg, Germany.
Matthias MayDepartment of Urology, Caritas St. Josef Medical Centre, University of Regensburg, Regensburg, Germany.
University of Regensburg · DEBarmherzige Brüder Klinikum St. Elisabeth in Straubing · DEGarmisch-Partenkirchen Medical Center · DEGoethe University Frankfurt · DELudwig-Maximilians-Universität München · DEMedical University of Graz · ATSigmund Freud University Vienna · ATUniversitätsmedizin Greifswald · DEUniversity Hospital Magdeburg · DEUniversity Hospital Münster · DEUniversity Hospital Ulm · DEUniversity Medical Center Freiburg · DEUniversity Medical Center Hamburg-Eppendorf · DEUniversity of St. Gallen · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPenile cancer represents a rare malignant disease, whereby a small caseload is associated with the risk of inadequate treatment expertise. Thus, we hypothesized that strict guideline adherence might be considered a potential surrogate for treatment quality. This study investigated the influence of the annual hospital caseload on guideline adherence regarding treatment recommendations for penile cancer.

methodsIn a 2018 survey study, 681 urologists from 45 hospitals in four European countries were queried about six hypothetical case scenarios (CS): local treatment of the primary tumor pTis (CS1) and pT1b (CS2); lymph node surgery inguinal (CS3) and pelvic (CS4); and chemotherapy neoadjuvant (CS5) and adjuvant (CS6). Only the responses from 206 head and senior physicians, as decision makers, were evaluated. The answers were assessed based on the applicable European Association of Urology (EAU) guidelines regarding their correctness. The real hospital caseload was analyzed based on multivariate logistic regression models regarding its effect on guideline adherence.

resultsThe median annual hospital caseload was 6 (interquartile range (IQR) 3-9). Recommendations for CS1-6 were correct in 79%, 66%, 39%, 27%, 28%, and 28%, respectively. The probability of a guideline-adherent recommendation increased with each patient treated per year in a clinic for CS1, CS2, CS3, and CS6 by 16%, 7.8%, 7.2%, and 9.5%, respectively (each

conclusionsGuideline adherence for most treatment recommendations increases with growing annual penile cancer caseload. Thus, the results of our study call for a stronger centralization of diagnosis and treatment strategies regarding penile cancer.

Indexed as

chemotherapyguideline adherencelymph node dissectionorgan-sparing treatmentpenile neoplasms

Identifiers

PMID34912711
PMCPMC8667688
OpenAlexW3215774888

What OpenQuestion holds

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Registered trials

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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.