Evidence map›Paper›PMID 36579470›Full record

ArticleCancer2023

Body composition and mortality in men receiving prostate radiotherapy: A pooled analysis of NRG/RTOG 9406 and NRG/RTOG 0126.

Andrew M McDonald, Lyudmila DeMora, Eddy S Yang, John M Hoyle, Andrew Lenzie, Grant R Williams, Jeff M Michalski, Don Yee, Jean-Paul Bahary, Robert B Den and 13 more

Open access · greenAbstract read
In one paragraph

Article in Cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 16 institutions in 3 countries.

Andrew M McDonaldDepartment of Radiation Oncology, University of Alabama at Birmingham O'Neal Comprehensive Cancer Center, Birmingham, Alabama, USA.
Lyudmila DeMoraStatistics and Data Management Department, NRG Oncology, Philadelphia, Pennsylvania, USA.
Eddy S YangDepartment of Radiation Oncology, University of Alabama at Birmingham O'Neal Comprehensive Cancer Center, Birmingham, Alabama, USA.
John M HoyleSchool of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Andrew LenzieSchool of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Grant R WilliamsInstitute for Cancer Outcomes and Survivorship, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID 0000-0003-4294-5232
Jeff M MichalskiDepartment of Radiation Oncology, Washington University School of Medicine, Saint Louis, Missouri, USA.
Don YeeRadiation Oncology Department of Radiation Oncology, Edmonton Cross Cancer Institute, Edmonton, Alberta, Canada.
Jean-Paul BaharyDepartment of Radio Oncology, CHUM - Centre Hospitalier de l'Universite de Montreal, Montreal, Quebec, Canada.
Robert B DenRadiation Oncology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Mack RoachDepartment of Radiation Oncology, UCSF Medical Center-Mount Zion, San Francisco, California, USA.
Robert DessDepartment of Radiation Oncology, University of Michigan Comprehensive Cancer Center, Ann Arbor, Michigan, USA.ORCID 0000-0003-2331-3758
Mark V MishraDepartment of Radiation Oncology, University of Maryland/Greenebaum Cancer Center, Baltimore, Maryland, USA.
Richard K ValicentiDepartment of Radiation Oncology, University of California Davis, Sacramento, California, USA.
Harold Y LauDepartment of Oncology, Tom Baker Cancer Centre, Calgary, Alberta, Canada.
Samuel R MarcromDepartment of Radiation Oncology, University of Alabama at Birmingham O'Neal Comprehensive Cancer Center, Birmingham, Alabama, USA.
Luis SouhamiThe Research Institute, McGill University Health Centre (MUHC), Montreal, Quebec, Canada.
Lucas C MendezDepartment of Oncology, London Regional Cancer Program, London, Ontario, Canada.
Yuhchyau ChenDepartment of Radiation Oncology, University of Rochester, Rochester, New York, USA.
Desiree E DoncalsDepartment of Radiation Oncology, Summa Health System - Akron Campus, Akron, Ohio, USA.
Stephanie L PughStatistics and Data Management Department, NRG Oncology, Philadelphia, Pennsylvania, USA.
Felix Y FengDepartment of Radiation Oncology, UCSF Medical Center-Mission Bay, San Francisco, California, USA.
Howard M SandlerDepartment of Radiation Oncology, Cedars-Sinai Medical Center, Los Angeles, California, USA.
University of Alabama at Birmingham · USAlberta Cancer Foundation · CAAmerican College of Radiology · USCancer Care Ontario · CACedars-Sinai Medical Center · USCentre Hospitalier de l’Université de Montréal · CAMcGill University Health Centre · CASumma Health System · USThe Mount · GBThomas Jefferson University Hospital · USUniversity of California, Davis · USUniversity of California San Francisco Medical Center · USUniversity of Maryland, Baltimore · USUniversity of Michigan · USUniversity of Rochester · USWashington University in St. Louis · US

Funding

NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
Statistics CoreU10CA180822 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI James J. Dignam, GREG YOTHERS · 2014 to 2026
$146.4M
NRG Oncology NCORP Research Base-BIQSFPUG1CA189867 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI Deborah Watkins Bruner, Lisa A. Kachnic · 2014 to 2026
$140.5M
IROC: Enhancing local enrolling site radiological data capture capabilities for NCTN trialsU24CA180803 · NCI · AMERICAN COLLEGE OF RADIOLOGY · PI Thomas J. FitzGerald, MICHAEL V KNOPP · 2014 to 2026
$116.2M
WASHINGTON UNIVERSITY / SITEMAN CANCER CENTER LEAD ACADEMIC SITEUG1CA233339 · NCI · WASHINGTON UNIVERSITY · PI NANCY L BARTLETT, Clifford Grant Robinson · 2019 to 2026
$11.3M
NCTN Deep South Research ConsortiumUG1CA233330 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Charles A. Leath, Andrew M McDonald · 2019 to 2026
$3.7M
UCDCCC NCTN UG1 PROGRAMUG1CA233340 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI GANDARA, DAVID R, VALICENTI, RICHARD · 2019 to 2025
$3.7M
NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180868NCI NIH HHS U10CA180868, U10CA180822, UG1CA189867, U24CA180803NCI NIH HHS U24 CA180803NCI NIH HHS UG1 CA189867NCI NIH HHS UG1 CA233339NCI NIH HHS UG1 CA233340
6 · The paper itself

Abstract

purposeTo validate the association between body composition and mortality in men treated with radiation for localized prostate cancer (PCa). Secondarily, to integrate body composition as a factor to classify patients by risk of all-cause mortality. MATERIALS AND

methodsParticipants of NRG/Radiation Therapy Oncology Group (RTOG) 9406 and NRG/RTOG 0126 with archived computed tomography were included. Muscle mass and muscle density were estimated by measuring the area and attenuation of the psoas muscles on a single slice at L4-L5. Bone density was estimated by measuring the attenuation of the vertebral body at mid-L5. Survival analyses, including Cox proportional hazards models, assessed the relationship between body composition and mortality. Recursive partitioning analysis (RPA) was used to create a classification tree to classify participants by risk of death.

resultsData from 2066 men were included in this study. In the final multivariable model, psoas area, comorbidity score, baseline prostate serum antigen, and age were significantly associated with survival. The RPA yielded a classification tree with four prognostic groups determined by age, comorbidity, and psoas area. Notably, the classification among older (≥70 years) men into prognostic groups was determined by psoas area.

conclusionsThis study strongly supports that body composition is related to mortality in men with localized PCa. The inclusion of psoas area in the RPA classification tree suggests that body composition provides additive information to age and comorbidity status for mortality prediction, particularly among older men. More research is needed to determine the clinical impact of body composition on prognostic models in men with PCa.

Indexed as

ProstateProstatic NeoplasmsAgedBody CompositionHumansMalePrognosisSurvival Analysisanthropometrybody compositionclinical trialsmortalitymuscle massprostate cancer

Identifiers

PMID36579470
PMCPMC10231027
OpenAlexW4313281081

What OpenQuestion holds

Textmetadata
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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.