Evidence map›Paper›PMID 39610797›Full record

ArticleAdvances in radiation oncology2024

Microboost in Localized Prostate Cancer: Analysis of a Statewide Quality Consortium.

Samuel N Regan, Michael Dykstra, Huiying Yin, Margaret Grubb, Neil Vaishampayan, Mark Zaki, Mazen Mislmani, Patrick McLaughlin, Danielle Kendrick, Steven Miller and 9 more

Abstract read
In one paragraph

Article in Advances in radiation oncology, 2024. 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
–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

2 citing papers in PubMed.

  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

19 authors.

Samuel N ReganDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Michael DykstraDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Huiying YinDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Margaret GrubbDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Neil VaishampayanDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Mark ZakiDepartment of Radiation Oncology, Covenant Healthcare, Saginaw, Michigan.
Mazen MislmaniDepartment of Radiation Oncology, West Michigan Cancer Center, Kalamazoo, Michigan.
Patrick McLaughlinDepartment of Radiation Oncology, Ascension Providence Cancer Center, Novi, Michigan.
Danielle KendrickDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Steven MillerDepartment of Radiation Oncology, Karmanos Cancer Institute, Detroit, Michigan.
Daniel DrydenDepartment of Radiation Oncology, Covenant Healthcare, Saginaw, Michigan.
Murshed KhadijaDepartment of Radiation Oncology, University of Michigan Health West, Wyoming, Michigan.
Dale LitzenbergDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Melissa MietzelDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Vrinda NarayanaDepartment of Radiation Oncology, Ascension Providence Cancer Center, Novi, Michigan.
David HeimburgerDepartment of Radiation Oncology, Munson Healthcare, Traverse City, Michigan.
Matthew SchipperDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
William C JacksonDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Robert T DessDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Prospective trials have reported isotoxicity and improved oncologic outcomes with external beam radiation therapy (EBRT) microboost to a dominant intraprostatic lesion. There is often variability in the rate of adoption of new treatments, and current microboost practice patterns are unknown. We leveraged prospectively collected data from the multicenter Michigan Radiation Oncology Quality Consortium to understand the current state of microboost usage for localized prostate cancer. Materials and Methods: Men with intermediate- and high-risk prostate adenocarcinoma treated with curative-intent radiation between October, 26, 2020, and June, 26, 2023, were included across 26 centers. Demographic-, tumor-, and treatment-related data along with DICOM files were prospectively collected. Microboost intent was prospectively documented and DICOM-confirmed. Multivariable analyses were used to evaluate associations with microboost receipt, and mixed-effects modeling evaluated facility-level variation. Results: Most patients received EBRT without brachytherapy (71%, n = 524/741). Of those, a minority received an EBRT microboost (10%, n = 53/524) at a subset of sites (27%, n = 7/26), without a change in rate over the study period ( Conclusions: Despite prospective data demonstrating its benefit, EBRT microboost was used within a diverse statewide quality consortium in only 10% of cases at 27% of sites with significant facility-level heterogeneity. Concerted efforts are required to understand current barriers to microboost utilization, and results from trials such as PIVOTALboost (ISRCTN80146950) are eagerly awaited.

Identifiers

PMID39610797
PMCPMC11602997

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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.