Evidence map›Paper›PMID 35037077›Full record

SynthesisInternational journal of colorectal disease2022

Prostate radiotherapy and the risk of secondary rectal cancer-a meta-analysis.

Timothy S Nugent, Ernest Z Low, Matthew R Fahy, Noel E Donlon, Paul H McCormick, Brian J Mehigan, Moya Cunningham, Charles Gillham, Dara O Kavanagh, Michael E Kelly and 1 more

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in International journal of colorectal disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

7 citing papers in PubMed, 8 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

11 authors at 1 institution in 1 country.

Timothy S NugentDepartment of Colorectal Surgery, St James's Hospital, Dublin 8, Ireland. nugentti@tcd.ie.ORCID http://orcid.org/0000-0003-2201-2769
Ernest Z LowDepartment of Colorectal Surgery, St James's Hospital, Dublin 8, Ireland.
Matthew R FahyDepartment of Colorectal Surgery, St James's Hospital, Dublin 8, Ireland.
Noel E DonlonDepartment of Colorectal Surgery, St James's Hospital, Dublin 8, Ireland.
Paul H McCormickDepartment of Colorectal Surgery, St James's Hospital, Dublin 8, Ireland.
Brian J MehiganDepartment of Colorectal Surgery, St James's Hospital, Dublin 8, Ireland.
Moya CunninghamDepartment of Radiotherapy, St James's Hospital, Dublin 8, Ireland.
Charles GillhamDepartment of Radiotherapy, St James's Hospital, Dublin 8, Ireland.
Dara O KavanaghDepartment of Colorectal Surgery, St James's Hospital, Dublin 8, Ireland.
Michael E KellyDepartment of Colorectal Surgery, St James's Hospital, Dublin 8, Ireland.
John O LarkinDepartment of Colorectal Surgery, St James's Hospital, Dublin 8, Ireland.
St. James's Hospital · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRadiotherapy is being used increasingly in the treatment of prostate cancer. However, ionising radiation may confer a small risk of a radiation-induced secondary malignancy. We aim to assess the risk of rectal cancer following pelvic radiotherapy for prostate cancer.

methodsA search was conducted of the PubMed/MEDLINE, EMBASE and Web of Science databases identifying studies reporting on the risk of rectal cancer following prostatic radiotherapy. Studies must have included an appropriate control group of non-irradiated prostate cancer patients. A meta-analysis was performed to assess the risk of prostatic radiotherapy on subsequent rectal cancer diagnosis.

resultsIn total, 4757 articles were screened with eight studies meeting the predetermined criteria. A total of 796,386 patients were included in this meta-analysis which showed an increased odds ratio (OR) for subsequent rectal cancer in prostate cancer patients treated with radiotherapy compared to those treated by non-radiotherapy means (OR 1.45, 1.07-1.97, p = 0.02).

conclusionThese findings confirm that prostate radiotherapy significantly increases the risk of subsequent rectal cancer. This risk has implications for treatment selection, surveillance and patient counselling. However, it is crucial that this information is presented in a rational and comprehensible manner that does not disproportionately frighten or deter patients from what might be their most suitable treatment modality.

Indexed as

Neoplasms, Radiation-InducedProstatic NeoplasmsRectal NeoplasmsHumansIncidenceMaleProstateRadiotherapyPelvic radiotherapyProstate cancerRadiation-induced secondary malignancy (RISM)Radiotherapy (RT)Rectal cancerSecond primary malignancy (SPM)

Identifiers

PMID35037077
OpenAlexW4205305084

What OpenQuestion holds

Textmetadata
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.