Evidence map›Paper›PMID 39434746›Full record

ArticleTranslational andrology and urology2024

Lost opportunities: the underutilization of castrate-resistant prostate cancer treatment in real-world settings.

Rene Gatsinga, Yu Guang Tan, Weiren Chen, Xinyan Yang, Jeffrey Kit Loong Tuan, Melvin Lee Kiang Chua, Johan Chan, Ravindran Kanesvaran, Kae Jack Tay, Kenneth Chen and 1 more

Abstract read
In one paragraph

Article in Translational andrology and urology, 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
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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.

Rene GatsingaDepartment of Urology, Singapore General Hospital, Singapore, Singapore.
Yu Guang TanDepartment of Urology, Singapore General Hospital, Singapore, Singapore.
Weiren ChenDepartment of Urology, Singapore General Hospital, Singapore, Singapore.
Xinyan YangDepartment of Urology, Singapore General Hospital, Singapore, Singapore.
Jeffrey Kit Loong TuanDivision of Radiation Oncology, National Cancer Center Singapore, Singapore, Singapore.
Melvin Lee Kiang ChuaDivision of Radiation Oncology, National Cancer Center Singapore, Singapore, Singapore.
Johan ChanDivision of Medical Oncology, National Cancer Center Singapore, Singapore, Singapore.
Ravindran KanesvaranDivision of Medical Oncology, National Cancer Center Singapore, Singapore, Singapore.
Kae Jack TayDepartment of Urology, Singapore General Hospital, Singapore, Singapore.
Kenneth ChenDepartment of Urology, Singapore General Hospital, Singapore, Singapore.
John Shyi Peng YuenDepartment of Urology, Singapore General Hospital, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Various treatment regimens are now available for metastatic castrate-resistant prostate cancer (CRPC). This work evaluates the real-world prescription patterns of CRPC in a large tertiary care center and the factors influencing them. Methods: Health records of 330 patients with Results: The median age was 74 years [interquartile range (IQR), 67-80 years] at diagnosis of CRPC. At CRPC, beyond androgen deprivation therapy (ADT) monotherapy, 70.3% (n=232) of patients received at least one additional line, 21.5% (n=71) received two lines, and 5.5% (n=18) received three lines of systemic treatments. As first-line treatment, novel hormonal agents (NHAs) were the most prescribed at 57.6% (n=190). The likelihood of receiving treatment was associated with age <65 years [odds ratio (OR) 2.08, P=0.01, 95% confidence interval (CI): 1.22-3.57] and lower Charlson Comorbidity Index (CCI) score (OR: 2.62, P=0.04, 95% CI: 1.07-6.45), treatment intensification for HSPC (OR 2.45, P=0.04, 95% CI: 1.07-5.62) and primary physician being an oncologist (OR 1.59, P=0.04, 95% CI: 1.04-2.48). Patients who received additional treatment lines at CRPC had longer survival (median: 23 Conclusions: More than one in four patients do not receive any additional treatment line beyond ADT monotherapy and have worse survival outcomes. Health status, prescribing physician, and treatment at HSPC appear to affect prescription patterns at the CRPC stage.

Indexed as

Metastatic prostate cancerprescription patternsprostate cancerreal-world prescription patternstreatment underutilization

Identifiers

PMID39434746
PMCPMC11491230

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