Evidence map›Paper›PMID 37160450›Full record

ArticleWorld journal of urology2023

Personalizing approaches to the management of metastatic hormone sensitive prostate cancer: role of advanced imaging, genetics and therapeutics.

Soum D Lokeshwar, Ankur U Choksi, Daniel Haltstuch, Syed N Rahman, Benjamin H Press, Jamil Syed, Michael E Hurwitz, Isaac Y Kim, Michael S Leapman

Abstract read
PubMed Publisher
In one paragraph

Article in World journal of urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

9 authors.

Soum D LokeshwarDepartment of Urology, Yale University School of Medicine, New Haven, CT, 06511, USA.
Ankur U ChoksiDepartment of Urology, Yale University School of Medicine, New Haven, CT, 06511, USA.
Daniel HaltstuchDepartment of Urology, Yale University School of Medicine, New Haven, CT, 06511, USA.
Syed N RahmanDepartment of Urology, Yale University School of Medicine, New Haven, CT, 06511, USA.
Benjamin H PressDepartment of Urology, Yale University School of Medicine, New Haven, CT, 06511, USA.
Jamil SyedDepartment of Urology, Yale University School of Medicine, New Haven, CT, 06511, USA.
Michael E HurwitzDepartment of Urology, Yale University School of Medicine, New Haven, CT, 06511, USA.
Isaac Y KimDepartment of Urology, Yale University School of Medicine, New Haven, CT, 06511, USA.
Michael S LeapmanDepartment of Urology, Yale University School of Medicine, New Haven, CT, 06511, USA. michael.leapman@yale.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo summarize contemporary and emerging strategies for the diagnosis and management of metastatic hormone sensitive prostate cancer (mHSPC), focusing on diagnostic testing and therapeutics.

methodsLiterature review using PUBMED-Medline databases as well as clinicaltrials.gov to include reported or ongoing clinical trials on treatment for mHSPC. We prioritized the findings from phase III randomized clinical trials, systematic reviews, meta-analyses and clinical practice guidelines.

resultsThere have been significant changes to the diagnosis and staging evaluation of mHSPC with the integration of increasingly accurate positron emission tomography (PET) imaging tracers that exceed the performance of conventional computerized tomography (CT) and bone scan. Germline multigene testing is recommended for the evaluation of patients newly diagnosed with mHSPC given the prevalence of actionable alterations that may create candidacy for specific therapies. Although androgen deprivation therapy (ADT) remains the backbone of treatment for mHSPC, approaches to first-line treatment include the integration of multiple agents including androgen receptor synthesis inhibitors (ARSI; abiraterone) Androgen Receptor antagonists (enzalutamide, darolutamide, apalautamide), and docetaxel chemotherapy. The combination of ADT, ARSI, and docetaxel chemotherapy has recently been evaluated in a randomized trial and was associated with significantly improved overall survival including in patients with a high burden of disease. The role of local treatment to the prostate with radiation has been evaluated in randomized trials with additional studies underway evaluating the role of cytoreductive radical prostatectomy.

conclusionThe staging and initial management of patients with mHSPC has undergone significant advances in the last decade with advancements in the diagnosis, treatment and sequencing of therapies.

Indexed as

Prostatic NeoplasmsAndrogen AntagonistsAntineoplastic Combined Chemotherapy ProtocolsDocetaxelHormonesHumansMaleTreatment OutcomeAndrogen AntagonistsDocetaxelHormonesClinical trialsHormone sensitiveMetastasisProstate cancer

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.