Evidence map›Paper›PMID 35492227›Full record

ArticleBJUI compass2022

Impact of age on treatment response in men with prostate cancer treated with radiotherapy.

Alex K Bryant, Tyler J Nelson, Rana R McKay, A Karim Kader, J Kellogg Parsons, John P Einck, Christopher J Kane, Ajay P Sandhu, Arno J Mundt, James D Murphy and 1 more

Open access · goldAbstract read
In one paragraph

Article in BJUI compass, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 33% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

11 authors at 2 institutions in 1 country.

Alex K BryantDepartment of Radiation Oncology University of Michigan Ann Arbor Michigan USA.ORCID https://orcid.org/0000-0003-0194-8381
Tyler J NelsonDepartment of Radiation Medicine and Applied Sciences University of California San Diego La Jolla California USA.
Rana R McKayDivision of Hematology-Oncology, Department of Internal Medicine University of California San Diego La Jolla California USA.
A Karim KaderDepartment of Urology University of California San Diego La Jolla California USA.
J Kellogg ParsonsDepartment of Urology University of California San Diego La Jolla California USA.ORCID https://orcid.org/0000-0002-3676-9730
John P EinckDepartment of Radiation Medicine and Applied Sciences University of California San Diego La Jolla California USA.
Christopher J KaneDepartment of Urology University of California San Diego La Jolla California USA.
Ajay P SandhuDepartment of Radiation Medicine and Applied Sciences University of California San Diego La Jolla California USA.
Arno J MundtDepartment of Radiation Medicine and Applied Sciences University of California San Diego La Jolla California USA.
James D MurphyDepartment of Radiation Medicine and Applied Sciences University of California San Diego La Jolla California USA.
Brent S RoseDepartment of Radiation Medicine and Applied Sciences University of California San Diego La Jolla California USA.
University of California San Diego · USUniversity of Michigan · US

Funding

UC San Diego Clinical and Translational Research InstituteTL1TR001443 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DEPP, COLIN A. · 2015 to 2019
$3.4M
NCATS NIH HHS TL1 TR001443
6 · The paper itself

Abstract

Objective: To analyse the effect of age at diagnosis on clinical outcomes of localized prostate cancer (PCa) treated with radiation therapy. Subjects and methods: We identified 12 784 patients with intermediate- or high-risk localized PCa treated with radiation therapy (RT) and neoadjuvant androgen deprivation therapy (ADT) between 2000 and 2015 from nationwide Veterans Affairs data. Patients were grouped into three age categories (≤59, 60-69, and ≥70 years old). Outcomes included immediate PSA response (3-month post-RT PSA and 2-year PSA nadir, grouped into <0.10 ng/ml, 0.10-0.49 ng/ml, and ≥0.50 ng/ml), biochemical recurrence, and PCa-specific mortality. Multivariable regression models included ordinal logistic regression for short-term PSA outcomes, Cox regression for biochemical recurrence, and Fine-Gray competing risks regression for PCa-specific mortality. Results: A total of 2136 patients (17%) were ≤59 years old at diagnosis, 6107 (48%) were 60-69 years old, and 4541 (36%) were ≥70 years old. Median follow-up was 6.3 years. Younger age was associated with greater odds of higher 3-month PSA group (≤59 vs. ≥70: adjusted odds ratio [aOR] 1.90, 95% CI 1.64-2.20; Conclusion: In a large nationwide sample of US veterans treated with ADT and RT for localized PCa, younger age was associated with inferior short-term PSA response and higher risk of biochemical recurrence.

Indexed as

hormone receptor agonistsneoadjuvant therapyprostatic neoplasmradiotherapyveterans

Identifiers

PMID35492227
PMCPMC9045578
OpenAlexW4200306628

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.