Evidence map›Paper›PMID 36882564›Full record

ReviewNature reviews. Urology2023

Treatment de-escalation for stage II seminoma.

Georgina E Wood, Florence Chamberlain, Ben Tran, Ciara Conduit, Elizabeth Liow, David L Nicol, Jonathan Shamash, Constantine Alifrangis, Prabhakar Rajan

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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
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

9 authors.

Georgina E WoodDepartment of Medical Oncology, University College London Hospitals NHS Foundation Trust, London, UK.
Florence ChamberlainDepartment of Medical Oncology, Barts Health NHS Trust, London, UK.
Ben TranDepartment of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Ciara ConduitDepartment of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Elizabeth LiowDivision of Personalized Medicine, Walter and Eliza Hall Institute of Medical Research, Melbourne, Victoria, Australia.
David L NicolDepartment of Urology, The Royal Marsden Hospital NHS Foundation Trust, London, UK.
Jonathan ShamashDepartment of Medical Oncology, Barts Health NHS Trust, London, UK.
Constantine Alifrangis *Department of Medical Oncology, University College London Hospitals NHS Foundation Trust, London, UK. Constantine.Alifrangis1@nhs.net.
Prabhakar Rajan *Centre for Cancer Cell and Molecular Biology, Barts Cancer Institute, Queen Mary University of London, London, UK. p.rajan@qmul.ac.uk.ORCID 0000-0001-8064-9878

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

International Germ Cell Cancer Collaborative Group good-risk metastatic seminoma has cure rates of >95%. Within this risk group, patients with stage II disease exhibit the best oncological outcomes with the standard-of-care treatment strategies of radiotherapy or combination chemotherapy. However, these treatments can be associated with substantial early and late toxic effects. Therapy de-escalation aims to reduce treatment morbidity whilst preserving oncological outcomes. The evidence supporting such approaches is largely from non-randomized institutional data, and therefore this strategy is not recognized as standard of care. Current de-escalation approaches for stage II seminoma include single-agent chemotherapy, radiotherapy and surgery based on early data from clinical studies. Increased recognition of emerging data on treatment modification to reduce morbidity whilst maintaining cure rates and consideration of therapy de-escalation could improve patient survivorship outcomes.

Indexed as

Neoplasms, Germ Cell and EmbryonalSeminomaTesticular NeoplasmsChemotherapy, AdjuvantHumansMaleNeoplasm StagingRisk Factors

Identifiers

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.