Evidence map›Paper›PMID 35912436›Full record

ArticleDeutsches Arzteblatt international2022

The Treatment of Metastatic, Hormone-Sensitive Prostatic Carcinoma.

Axel S Merseburger, Laura-Maria Krabbe, Bernd Joachim Krause, Dirk Böhmer, Sven Perner, Gunhild von Amsberg

Abstract read
In one paragraph

Article in Deutsches Arzteblatt international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

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

6 authors.

Axel S MerseburgerDepartment of Urology, University Hospital Schleswig- Holstein, Campus Lübeck, Lübeck, Germany; University Hospital of Schleswig-Holstein, Campus Lübeck and Research Center Borstel, Leibniz Lung Center, Borstel, Germany; University Hospital Schleswig-Holstein, Campus Lübeck, Institute of Pathology, Lübeck, Germany; Department of Urology and Pediatric Urology, University Hospital Münster, Münster, Germany; Department of Nuclear Medicine, Rostock University Medical Center, Rostock, Germany; Department of Radiation Oncology and Radiation Therapy, Charité Universitäts - medizin - Campus Benjamin Franklin, Berlin, Germany; Department of Uro-Oncology of the Oncology Center and the Martini Clinic, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Laura-Maria Krabbe
Bernd Joachim Krause
Dirk Böhmer
Sven Perner
Gunhild von Amsberg

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFor many years, the standard treatment of metastatic, hormone-sensitive prostatic carcinoma (mHSPC) was androgen deprivation therapy (ADT) alone. By lowering the testosterone level into the castration range, ADT deprives the tumor of a key growth factor.

methodsFor this article, we evaluated the treatment recommendations contained in national and international guidelines (German S3 guidelines and those of the European Society for Medical Oncology [ESMO], European Association of Urology [EAU], and National Comprehensive Cancer Network [NCCN]), as well as pertinent publications revealed by a PubMed search and the congress abstracts of the ESMO and of the American Society of Clinical Oncology [ASCO].

resultsThe past few years have witnessed fundamental changes in the treatment of mHSPC. Treatment intensification with docetaxel or with the new drugs directed against the androgen receptor signal pathway (abiraterone, apalutamide and enzalutamide) has been found to lower mortality by 19-40% and is now an integral component of first-line therapy. Relevant new findings have also been obtained with threefold combinations of ADT, docetaxel, and abiraterone or darolutamide. For patients with a light tumor burden, local radiotherapy of the primary tumor improves the probability of survival at 3 years by 8% (45.4 versus 49.1 months, difference 3.6 months; 95% confidence interval, 1.0 to 6.2 months).

conclusionThe treatment of mHSPC is constantly changing. Phase III trials that are now in the recruitment stage, as well as our continually improving understanding of the underlying molecular-pathological mechanisms, will be altering the treatment landscape still further in the years to come.

Indexed as

CarcinomaProstatic NeoplasmsAndrogen AntagonistsAntineoplastic Combined Chemotherapy ProtocolsDocetaxelHormonesHumansMaleTreatment OutcomeAndrogen AntagonistsDocetaxelHormones

Identifiers

PMID35912436
PMCPMC9756320

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.