Evidence map›Paper›PMID 39810310›Full record

ArticleThe Prostate2025

Relationship Between Radiation Therapy and Fecal Incontinence in Patients Treated for Localized Prostate Cancer: Results of the French ICONES Study.

Yazid Belkacemi, Gabriele Coraggio, Kamel Debbi, Laura Sirmai, Clemence Hollande, Elise Rambaud, Asma Hadhri, Xie Li, Wissal Hassani, Michael Levy and 4 more

Abstract read
In one paragraph

Article in The Prostate, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  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

14 authors.

Yazid BelkacemiAP-HP. Department of Radiation Oncology, Henri Mondor University Hospital, University of Paris-Est (UPEC), Creteil, France.ORCID 0000-0003-1343-8370
Gabriele CoraggioAP-HP. Department of Radiation Oncology, Henri Mondor University Hospital, University of Paris-Est (UPEC), Creteil, France.ORCID 0000-0002-9351-5155
Kamel DebbiAP-HP. Department of Radiation Oncology, Henri Mondor University Hospital, University of Paris-Est (UPEC), Creteil, France.
Laura SirmaiAP-HP. Department of Radiation Oncology, Henri Mondor University Hospital, University of Paris-Est (UPEC), Creteil, France.
Clemence HollandeAP-HP. Department of Radiation Oncology, Henri Mondor University Hospital, University of Paris-Est (UPEC), Creteil, France.
Elise RambaudAP-HP. Department of Radiation Oncology, Henri Mondor University Hospital, University of Paris-Est (UPEC), Creteil, France.
Asma HadhriAP-HP. Department of Radiation Oncology, Henri Mondor University Hospital, University of Paris-Est (UPEC), Creteil, France.
Xie LiAP-HP. Department of Radiation Oncology, Henri Mondor University Hospital, University of Paris-Est (UPEC), Creteil, France.
Wissal HassaniAP-HP. Department of Radiation Oncology, Henri Mondor University Hospital, University of Paris-Est (UPEC), Creteil, France.
Michael LevyAP-HP. Department of Gastro-intestinal diseases, Henri Mondor University Hospital, Creteil, France.
Dimitri VordosAP-HP. Department of Urology, Henri Mondor University Hospital, Creteil, France.
Alexandre IngelsAP-HP. Department of Urology, Henri Mondor University Hospital, Creteil, France.
Gokoulakrichenane LoganadaneAP-HP. Department of Radiation Oncology, Henri Mondor University Hospital, University of Paris-Est (UPEC), Creteil, France.
Alexandre De La TailleAP-HP. Department of Urology, Henri Mondor University Hospital, Creteil, France.

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

backgroundRadiation-induced late fecal incontinence (LFI) is one of the most quality-of-life impairing symptoms in prostate cancer. We aimed to assess the impact of radiotherapy (RT) technique and dose-volume effects on LFI using a robust score.

methodsWe identified 409 patients who underwent curative intent using standard fractionated radiation therapy, 190 of them were finally included and analyzed. The severity of LFI was assessed using the Jorge & Wexner score.

resultsWith a median follow-up of 55 months (range 15-96) months, LFI crude rate was 11.5%. In the multivariate analyses, image-guided radiotherapy (IGRT), rectal maximum dose (Dmax) and anal canal minimum dose (Dmin) were significantly associated with LFI risk. The use of IGRT was associated with lower risk of LFI (p = 0.02); higher rectum Dmax (≥ 68.4 Gy; p = 0.02) and anal canal Dmin (≥ 6.4 Gy; p = 0.04) were associated with increased risk.

conclusionOur results suggest a significant impact of the total dose delivered to the anorectal volumes and the use of IGRT to spare organs at risk during radiation delivery.

Indexed as

Fecal IncontinenceProstatic NeoplasmsRadiation InjuriesAgedAged, 80 and overAnal CanalFollow-Up StudiesFranceHumansMaleMiddle AgedQuality of LifeRadiotherapy, Image-GuidedRectumfecal incontinencegastro‐intestinal toxicityJorge & Wexner scoreprostate cancerQoL impairmentradiotherapy

Identifiers

PMID39810310
PMCPMC11848960

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.