Evidence map›Paper›PMID 37623007›Full record

ArticleCurrent oncology (Toronto, Ont.)2023

Salvage Whole-Pelvic Radiation and Long-Term Androgen-Deprivation Therapy in the Management of High-Risk Prostate Cancer: Long-Term Update of the McGill 0913 Study.

Sara Elakshar, Marwan Tolba, Steven Tisseverasinghe, Laurie Pruneau, Vanessa Di Lalla, Boris Bahoric, Tamim Niazi

Open access · goldAbstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. 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

7 authors at 2 institutions in 2 countries.

Sara ElaksharDepartment of Radiation Oncology, Jewish General Hospital, McGill University, Montreal, QC H3T 1E2, Canada.
Marwan TolbaDepartment of Radiation Oncology, Jewish General Hospital, McGill University, Montreal, QC H3T 1E2, Canada.ORCID 0000-0003-2812-7348
Steven TisseverasingheDepartment of Radiation Oncology, Gatineau Hospital, McGill University, Gatineau, QC J8P 7H2, Canada.
Laurie PruneauDepartment of Radiation Oncology, Jewish General Hospital, McGill University, Montreal, QC H3T 1E2, Canada.ORCID 0000-0002-0125-3160
Vanessa Di LallaDepartment of Radiation Oncology, Jewish General Hospital, McGill University, Montreal, QC H3T 1E2, Canada.
Boris BahoricDepartment of Radiation Oncology, Jewish General Hospital, McGill University, Montreal, QC H3T 1E2, Canada.
Tamim NiaziDepartment of Radiation Oncology, Jewish General Hospital, McGill University, Montreal, QC H3T 1E2, Canada.
Jewish General Hospital · CAMcGill University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo report the long-term outcomes of the McGill 0913 study and the potential benefits of combining prostate-bed radiotherapy (PBRT), pelvic-lymph-node radiotherapy (PLNRT), and long term ADT (LT-ADT). MATERIALS AND

methodsFrom 2010 to 2016, 46 high-risk prostate cancer patients who experienced biochemical recurrence (BCR) after radical prostatectomy (RP) were enrolled in this single-arm phase II clinical trial. The patients were eligible if they had a Gleason score > 8, locally advanced disease (≥pT3), a preoperative PSA of >20 ng/mL, or positive lymph nodes (LN). The patients were treated with a combination of 24 months of ADT, PBRT, and PLNRT. The primary outcome was biochemical progression-free survival (bPFS) and the predefined secondary endpoints included distant-metastasis-free survival (DMFS), overall survival (OS), and toxicity. In this update, we also report the median follow-up of 8.8 years and 10 years OS.

resultsAt a median follow-up of 8.8 years, 43 patients were eligible for analysis. The median pre-salvage PSA was 0.30 μg/L. Half (51%) of the patients (

conclusionsOur study demonstrates that treatment escalation with PBRT, PLNRT, and LT-ADT improves long term outcomes. In view of the recently published SPPORT study, we conclude that this novel approach of treatment intensification in high-risk post-prostatectomy patients is safe and effective, and that it should be offered as the standard of care.

Indexed as

Prostatic NeoplasmsRadiation OncologyAndrogen AntagonistsAndrogensHumansMaleProstate-Specific AntigenAndrogen AntagonistsAndrogensProstate-Specific Antigencancerhormonal therapyprostateradical prostatectomyradiotherapysalvage

Identifiers

PMID37623007
PMCPMC10453184
OpenAlexW4385445532

What OpenQuestion holds

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LicenceCC BY
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.