Evidence map›Paper›PMID 38195916›Full record

ArticleProstate cancer and prostatic diseases2024

A multi-center international study to evaluate the safety, functional and oncological outcomes of irreversible electroporation for the ablation of prostate cancer.

Kai Zhang, Phillip Stricker, Martin Löhr, Michael Stehling, Michel Suberville, Olivier Cussenot, Luca Lunelli, Chi-Fai Ng, Jeremy Teoh, Pilar Laguna and 1 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Prostate cancer and prostatic diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
7.3field-weighted citation impact, top 3% 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

17 citing papers in PubMed, 19 citations in OpenAlex.

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  14. The use of focal therapy for the treatment of prostate cancer in Canada Where are we, how did we get here, and where are we going?Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025
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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 6 institutions in 5 countries.

Kai ZhangDepartment of Urology, Beijing United Family Hospital and Clinics, Beijing, China.ORCID 0000-0002-5289-3619
Phillip StrickerDepartment of Urology, St Vincents Private Hospital Sydney, St Vincents Prostate Cancer Research Centre and The Garvan Institute, Sydney, Australia.ORCID 0000-0002-0934-0656
Martin LöhrDepartment of Urology, Klinik für Prostata-Therapie, Heidelberg, Germany.
Michael StehlingVITUS Privatklinik and Institut für Bildgebende Diagnostik, Strahlenbergerstrasse, Offenbach, Germany.
Michel SubervilleDoctor Michel SUBERVILLE Chief of Pôle, Pôle SAINT GERMAIN - CENTRE HOSPITALIER, Brive la Gaillarde, France.
Olivier CussenotDepartment of Urology, Tenon Hospital, Paris, France.
Luca LunelliDepartment of Urology, Hospital Louis Pasteur, Chartres, France.ORCID 0000-0002-1162-8923
Chi-Fai NgS.H. Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong, China.ORCID 0000-0002-1723-9646
Jeremy TeohS.H. Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong, China.ORCID 0000-0002-9361-2342
Pilar LagunaDepartment of Urology, Medipol Mega hospital, Istanbul Medipol University, Istanbul, Türkiye.
Jean de la RosetteDepartment of Urology, Medipol Mega hospital, Istanbul Medipol University, Istanbul, Türkiye. j.j.delarosette@gmail.com.ORCID 0000-0002-6308-1763
Chinese University of Hong Kong · HKIstanbul Medipol University · TRBeijing United Family Hospital · CNLes Hôpitaux de Chartres · FRSorbonne Université · FRSt Vincent’s Private Hospital Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIrreversible electroporation (IRE) is a novel technique to treat localized prostate cancer with the aim of achieving oncological control while reducing related side effects. We present the outcomes of localized prostate cancer treated with IRE from a multi-center prospective registry.

methodsMen with histologically confirmed prostate cancer were recruited to receive IRE. All the patients were proposed for prostate biopsy at 1-year post-IRE ablation. The functional outcomes were measured by the International Prostate Symptom Score (IPSS) and International Index of Erectile Function (IIEF-5) questionnaires. The safety of IRE was graded by the treatment-related adverse events (AEs) according to the Common Terminology Criteria for Adverse Events (CTCAE).

results411 patients were recruited in this study from July 2015 to April 2020. The median follow-up time was 24 months (IQR 15-36). 116 patients underwent repeat prostate biopsy during 12-18 months after IRE. Clinically significant prostate cancer (Gleason ≥ 3 + 4) was detected in 24.1% (28/116) of the patients; any grade prostate cancers were found in 59.5% (69/116) of the patients. The IPSS score increased significantly from 7.1 to 8.2 (p = 0.015) at 3 months but decreased to 6.1 at 6 months (p = 0.017). Afterwards, the IPSS level remained stable during follow-up. The IIEF-5 score decreased at 3 months from 16.0 to 12.1 (p < 0.001) and then maintained equable afterwards. The rate of AEs was 1.8% at 3 months and then dropped to less than 1% at 6 months and remained stable until 48 months after IRE. Major AEs (Grade 3 or above) were rare.

conclusionFor men with localized prostate cancer, IRE could achieve good urinary and sexual function outcomes and a reasonable oncological result. The real-world data are consistent with earlier studies, including recently published randomized controlled studies. The long-term oncological results need further investigation and follow-up.

Indexed as

ElectroporationProstatic NeoplasmsAblation TechniquesAgedFollow-Up StudiesHumansMaleMiddle AgedNeoplasm GradingPrognosisProspective StudiesTreatment Outcome

Identifiers

PMID38195916
PMCPMC11319192
OpenAlexW4390706214

What OpenQuestion holds

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LicenceCC BY
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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.