Evidence map›Paper›PMID 38584883›Full record

ArticleJournal of contemporary brachytherapy2024

Low-dose-rate brachytherapy and long-term treatment outcomes in patients younger than 60 years of age.

Alexander Armstrong, Huong Ho, MBiostat Mark Tacey, Damien Bolton, Yee Chan, Alwin Tan, Chee Wee Cham, Trung Pham, Kevin McMillan, George Koufogiannis and 8 more

Abstract read
In one paragraph

Article in Journal of contemporary brachytherapy, 2024. 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. Article
  2. Article
  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

18 authors.

Alexander ArmstrongDepartment of Radiation Oncology, North Coast Cancer Institute, Lismore Cancer Care and Hematology Unit, Lismore, NSW, Australia.
Huong HoGenesisCare Ringwood Vic., Australia.
MBiostat Mark TaceyDepartment of Radiation Oncology, Austin Health, Heidelberg, Australia.
Damien BoltonDepartment of Surgery, Austin Health, Heidelberg, Vic., Australia.
Yee ChanDepartment of Surgery, Olivia Newton-John Cancer Wellness and Research Centre, Austin Health, Heidelberg, Vic., Australia.
Alwin TanThe Bays Hospital, Mornington, Vic., Australia.
Chee Wee ChamThe Bays Hospital, Mornington, Vic., Australia.
Trung PhamMulgrave Private Hospital, Mulgrave, Vic., Australia.
Kevin McMillanBox Hill Hospital, Box Hill, Vic., Australia.
George KoufogiannisDepartment of Radiation Oncology, North Coast Cancer Institute, Lismore Cancer Care and Hematology Unit, Lismore, NSW, Australia.
Grad DipRingwood Private Hospital, Ringwood East, Vic., Australia.
Paul ManoharSt John of God Specialist Centre, Berwick, Vic., Australia.
Mario GuerrieriGenesis Cancer Care Victoria, Melbourne, Australia.
Michael NgGenesis Cancer Care Victoria, Melbourne, Australia.
Daryl Lim JoonDepartment of Radiation Oncology, Olivia Newton-John Cancer Wellness and Research Centre, Austin Health, Heidelberg, Vic., Australia.
Farshad ForoudiDepartment of Radiation Oncology, Olivia Newton-John Cancer Wellness and Research Centre, Austin Health, Heidelberg, Vic., Australia.
Mun Yee TanDepartment of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Vic., Australia.
Michael ChaoGenesis Cancer Care Victoria, Melbourne, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Low-dose-rate (LDR) brachytherapy in young men remains controversial amongst urologists due to their concerns regarding long-term biochemical control and treatment-related toxicities. The purpose of this study was to evaluate the treatment outcomes of men under 60 years of age who underwent LDR brachytherapy with iodine-125 ( Material and methods: All consecutive patients with clinically localized prostate cancer treated at our institution from 2003 to 2016 with Results: A total of 161 patients were included, with a median follow-up of 6.8 years (range, 3-14.54 years). Median age at implant was 57 years (range, 53-59 years). Mean prostate specific antigen (PSA) level at diagnosis was 4.43 ng/ml (SD = 2.29). Majority of men had low-risk prostate cancer (70.2%). Biochemical progression-free survival at 8 years was 94% for the entire cohort. Median PSA at 4 years was 0.169 (IQR, 0.096-0.360), with 45% of patients having a PSA greater than 0.2. OS was 96.9%, with 5 deaths reported but only one was secondary to prostate cancer. Late grade > 2 genitourinary toxicities were reported in 18 patients (11.2%). Three patients (1.9%) developed secondary cancers, all considered unrelated to their LDR brachytherapy. Conclusions: With excellent long-term treatment outcomes and minimal associated toxicities, our results showed that LDR brachytherapy can be an effective treatment of choice in younger men.

Indexed as

brachytherapylong-term treatment outcomeslow-dose-rateprostate cancertoxicity

Identifiers

PMID38584883
PMCPMC10993894

What OpenQuestion holds

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Registered trials

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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.