Evidence map›Paper›PMID 35488182›Full record

ArticleBJU international2022

Event-free survival after radical prostatectomy according to prostate-specific membrane antigen-positron emission tomography and European Association of Urology biochemical recurrence risk groups.

Matthew J Roberts, Mark D Chatfield, George Hruby, Rohan Nandurkar, Paul Roach, Jo Anne Watts, Thomas Cusick, Andrew Kneebone, Thomas Eade, Bao Ho and 6 more

Abstract read
In one paragraph

Article in BJU international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Article
  2. PSMA PET/CT SUVmax as a prognostic biomarker in patients with metachronous metastatic hormone-sensitive prostate cancer (mHSPC).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Higher Preoperative Maximum Standardised Uptake Values (SUVDiagnostics (Basel, Switzerland) · 2023
    Article
  8. Article
  9. 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

16 authors.

Matthew J RobertsDepartment of Urology, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.ORCID 0000-0003-0552-7402
Mark D ChatfieldFaculty of Medicine, University of Queensland Centre for Clinical Research, Brisbane, QLD, Australia.
George HrubyDepartment of Radiation Oncology, Royal North Shore Hospital, Sydney, NSW, Australia.
Rohan NandurkarFaculty of Medicine, University of New South Wales, Sydney, NSW, Australia.ORCID 0000-0002-9763-5656
Paul RoachFaculty of Medicine, University of Sydney, Sydney, NSW, Australia.
Jo Anne WattsDepartment of Nuclear Medicine/WA PET Services, Sir Charles Gairdner Hospital, Perth, WA, Australia.
Thomas CusickGarvan Institute of Medical Research and The Kinghorn Cancer Centre, Sydney, NSW, Australia.
Andrew KneeboneDepartment of Radiation Oncology, Royal North Shore Hospital, Sydney, NSW, Australia.
Thomas EadeDepartment of Radiation Oncology, Royal North Shore Hospital, Sydney, NSW, Australia.
Bao HoDepartment of Theranostics and Nuclear Medicine, St Vincent's Hospital, Sydney, NSW, Australia.
Andrew NguyenFaculty of Medicine, University of New South Wales, Sydney, NSW, Australia.
Colin TangDepartment of Radiation Oncology, Sir Charles Gairdner Hospital, Perth, WA, Australia.
Michael McCarthyDepartment of Nuclear Medicine, Fiona Stanley Hospital, Perth, WA, Australia.
Roslyn FrancisFaculty of Health and Medical Science, University of Western Australia, Perth, WA, Australia.
Phillip StrickerFaculty of Medicine, University of Sydney, Sydney, NSW, Australia.
Louise EmmettFaculty of Medicine, University of New South Wales, Sydney, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess European Association of Urology (EAU) risk groups for biochemical recurrence (BCR) of prostate cancer relative to prostate-specific membrane antigen-positron emission tomography (PSMA-PET) status and oncological outcomes. PATIENTS AND

methodsA retrospective analysis of a study that incorporated PSMA-PET for men with BCR after radical prostatectomy (RP) was undertaken. EAU risk groups were considered relative to clinical variables, PSMA-PET findings, and deployment of salvage radiotherapy (SRT). The primary oncological outcome was event-free survival (EFS) and this was analysed relative to clinical and imaging variables. An 'event' occurred if prostate-specific antigen (PSA) level rose >0.2 ng/mL above nadir or additional therapies were introduced.

resultsA total of 137 patients were included, most of whom had EAU high-risk disease (76%) and/or low PSA levels (80% <0.5 ng/mL) at the time of PSMA-PET. EAU risk group was not associated with regional nodal/distant metastasis on PSMA-PET. Regional nodal/distant metastasis on PSMA PET (compared to negative/local recurrence: hazard ratio [HR] 2.2; P = 0.002) and SRT use (vs no SRT: HR 0.44; P = 0.004) were associated with EFS. EAU high-risk status was not significantly associated with worse EFS (HR 1.7, P = 0.12) compared to EAU low-risk status. Among patients who received SRT, both regional/distant metastasis on PSMA-PET (HR 3.1; P < 0.001) and EAU high-risk status (HR 2.9; P = 0.04) were independently associated with worse EFS, which was driven by patients in the EAU high-risk group with regional/distant metastases (38%; HR 3.1, P = 0.001).

conclusionsIn patients with post-RP BCR, PSMA-PET findings and receipt of SRT predicted EFS. In patients receiving SRT, PSMA status combined with EAU risk grouping was most predictive of EFS. These findings suggest that the EAU risk groups could be improved with the addition of PSMA-PET.

Indexed as

Prostatic NeoplasmsUrologyGallium RadioisotopesHumansMaleNeoplasm Recurrence, LocalPositron-Emission TomographyPositron Emission Tomography Computed TomographyProgression-Free SurvivalProstateProstatectomyProstate-Specific AntigenRetrospective StudiesGallium RadioisotopesProstate-Specific Antigenbiochemical failurePET/CTprostate-specific membrane antigenPSMAradical prostatectomysalvage RT

Identifiers

PMID35488182
PMCPMC9796546

What OpenQuestion holds

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LicenceCC BY-NC
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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.