Evidence map›Paper›PMID 37725131›Full record

SynthesisWorld journal of urology2023

Stereotactic body radiation therapy after radical prostatectomy: current status and future directions.

Jennifer Le Guevelou, Nicolas Magne, Felipe Counago, Juan Martin Magsanoc, Matthieu Vermeille, Renaud De Crevoisier, Nicolas Benziane-Ouaritini, Piet Ost, Tamim Niazi, Stéphane Supiot and 1 more

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 18% 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, 5 citations in OpenAlex.

  1. Article
  2. 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

11 authors at 7 institutions in 5 countries.

Jennifer Le GuevelouRadiation Oncology Department, Centre Eugène-Marquis, Rennes, France.
Nicolas MagneDepartment of Radiotherapy, Institut Bergonié, Bordeaux, France.
Felipe CounagoRadiation Oncology Department, GenesisCare Madrid Clinical Director, San Francisco de Asis and La Milagrosa Hospitals, National Chair of Research and Clinical Trials, GenesisCare, Madrid, Spain.
Juan Martin MagsanocRadiation Oncology Department, St Lukes Hospital, Quezon City, Philippines.
Matthieu VermeilleRadiation Oncology Department, Genolier Swiss Radio-Oncology Network, Genolier, Switzerland.
Renaud De CrevoisierRadiation Oncology Department, Centre Eugène-Marquis, Rennes, France.
Nicolas Benziane-OuaritiniDepartment of Radiotherapy, Institut Bergonié, Bordeaux, France.
Piet OstRadiation Oncology Department, Iridium Network, Antwerp, Belgium.
Tamim NiaziDepartment of Radiation Oncology, Jewish General Hospital, Montreal, QC, Canada.
Stéphane SupiotRadiation Oncology Department, Institut de Cancérologie de L'Ouest, Nantes, France.
Paul SargosDepartment of Radiotherapy, Institut Bergonié, Bordeaux, France. P.Sargos@bordeaux.unicancer.fr.ORCID http://orcid.org/0000-0002-7301-0870
Institut Bergonié · FRCentre Eugène Marquis · FRClinique de Genolier · CHGhent University · BEInstitut de Cancérologie de l'Ouest · FRJewish General Hospital · CASt. Luke's Medical Center · PH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAround 40% of men with intermediate-risk or high-risk prostate cancer will experience a biochemical recurrence after radical prostatectomy (RP). The aim of this review is to describe both toxicity and oncological outcomes following stereotactic body radiation therapy (SBRT) delivered to the prostate bed (PB).

methodIn april 2023, we performed a systematic review of studies published in MEDLINE or ClinicalTrials.gov according to Preferred Reporting Items for Systematic Reviews, using the keywords "stereotactic radiotherapy" AND "postoperative" AND "prostate cancer".

resultsA total of 14 studies assessing either adjuvant or salvage SBRT to the whole PB or macroscopic local recurrence (MLR) within the PB, and SBRT on radiorecurrent MLR within the PB were included. Doses delivered to either whole PB or MLR between 30 to 40 Gy are associated with a low rate of late grade ≥ 2 genitourinary (GU) toxicity, ranging from 2.2 to 15.1%. Doses above 40 Gy are associated with increased rate of late GU toxicity, raising up to 38%. Oncological outcomes should be interpreted with caution, due to both short follow-up, heterogeneous populations and androgen deprivation therapy (ADT) use.

conclusionPB or MLR SBRT delivered at doses up to 40 Gy appears safe with relatively low late severe GU toxicity rates. Caution is needed with dose-escalated RT schedules above 40 Gy. Further prospective trials are eagerly awaited in this disease setting.

Indexed as

Prostatic NeoplasmsRadiosurgeryAndrogen AntagonistsHumansMaleProstateProstatectomySalvage TherapyAndrogen AntagonistsMacroscopic recurrencePostoperativeProstate cancerRe-irradiationStereotactic body radiation therapy

Identifiers

PMID37725131
OpenAlexW4386844926

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.