Evidence map›Paper›PMID 36477219›Full record

ReviewNature reviews. Urology2023

High-dose chemotherapy for relapsed testicular germ cell tumours.

Michal Chovanec, Nabil Adra, Mohammad Abu Zaid, Rafat Abonour, Lawrence Einhorn

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 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

5 authors at 1 institution in 2 countries.

Michal ChovanecDivision of Hematology Oncology, Indiana University Simon Cancer Center, Indianapolis, IN, USA. michal.chovanec1@gmail.com.ORCID 0000-0002-5653-2909
Nabil AdraDivision of Hematology Oncology, Indiana University Simon Cancer Center, Indianapolis, IN, USA.
Mohammad Abu ZaidDivision of Hematology Oncology, Indiana University Simon Cancer Center, Indianapolis, IN, USA.
Rafat AbonourDivision of Hematology Oncology, Indiana University Simon Cancer Center, Indianapolis, IN, USA.
Lawrence EinhornDivision of Hematology Oncology, Indiana University Simon Cancer Center, Indianapolis, IN, USA.
Indiana University Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Relapsed testicular germ cell tumours (GCTs) might be cured with salvage chemotherapy. Accepted salvage treatment is conventional-dose chemotherapy (CDCT) or high-dose chemotherapy (HDCT). HDCT with peripheral blood stem cell transplant might produce a higher number of durable responses than CDCT. We discuss studies reporting on outcomes of salvage HDCT in relapsed GCTs. The most reproducible results were achieved with HDCT with two cycles of etoposide and carboplatin or three cycles of the paclitaxel, ifosfamide, carboplatin and etoposide regime. Using these two regimens, sustained cure rates of 50-66% were reported in phase I, phase II and retrospective studies published in the past two decades. Cure rates in patients with cisplatin-resistant disease are between 30% and 45%. Two phase III randomized studies were conducted with certain limitations and were unsuccessful in showing a survival benefit of HDCT. Thus, salvage treatment remains a controversial topic. Salvage HDCT with peripheral blood stem cell transplant and CDCT are two recommended treatment options for relapsed GCTs. Consistently reported cure rates from phase I, phase II and large retrospective studies support the use of HDCT in the hands of an experienced team of oncologists.

Indexed as

Neoplasms, Germ Cell and EmbryonalTesticular NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsCarboplatinEtoposideHumansMalePrognosisRetrospective StudiesSalvage TherapyCarboplatinEtoposide

Identifiers

PMID36477219
OpenAlexW4310946033

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.