Evidence map›Paper›PMID 39871169›Full record

ArticleBMC cancer2025

External beam radiation therapy versus radical prostatectomy for high-risk prostate cancer: protocol of the RECOVER study.

Caroline M van der Starre, Chris H Bangma, Maarten J Bijlsma, Alfons C M van den Bergh, Lambertus A L M Kiemeney, Wietske Kievit, Kees Vos, Diederik M Somford, Sally M Wildeman, Katja K H Aben and 3 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05931419 (High-Risk prostatE Cancer radiatiOn Versus surgERy), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT05931419 recruitingnot on this map

High-Risk prostatE Cancer radiatiOn Versus surgERy (RECOVER)

Typeobservational_patient_registrySponsorComprehensive Cancer Centre The NetherlandsRan2023 to 2030Enrolled837ConditionsProstate Cancer, Prostate Adenocarcinoma
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Caroline M van der StarreNetherlands Comprehensive Cancer Organisation, Utrecht, the Netherlands.
Chris H BangmaDepartment of Urology, Erasmus University Medical Centre, Rotterdam, the Netherlands.
Maarten J BijlsmaNetherlands Comprehensive Cancer Organisation, Utrecht, the Netherlands.
Alfons C M van den BerghRadiation Oncology, The Netherlands Cancer Institute, Amsterdam, the Netherlands.
Lambertus A L M KiemeneyDepartment IQ Health, Radboud university medical center, Nijmegen, the Netherlands.
Wietske KievitDepartment IQ Health, Radboud university medical center, Nijmegen, the Netherlands.
Kees VosPatient Representative, Dutch Prostate Cancer Foundation (Prostaatkankerstichting), Utrecht, The Netherlands.
Diederik M SomfordDepartment of Urology, Canisius-Wilhelmina Hospital, Nijmegen, the Netherlands.
Sally M WildemanDepartment of Urology, Franciscus Gasthuis en Vlietland, Rotterdam, the Netherlands.
Katja K H Aben *Netherlands Comprehensive Cancer Organisation, Utrecht, the Netherlands. k.aben@iknl.nl.
Igle J de Jong *Department of Urology, University Medical Center Groningen, Groningen, the Netherlands.
Floris J Pos *Radiation Oncology, The Netherlands Cancer Institute, Amsterdam, the Netherlands.
Berdine L Heesterman *Netherlands Comprehensive Cancer Organisation, Utrecht, the Netherlands.

Funding

ZonMw 10330032010005
6 · The paper itself

Abstract

backgroundThis paper describes the rationale and design of the RECOVER study. Currently, there is no consensus regarding the optimal treatment for high-risk, non-metastatic prostate cancer (PCa). The study primarily aims to evaluate and compare the impact of treatment with robot-assisted radical prostatectomy (RP) versus external beam radiation therapy (EBRT) with androgen deprivation therapy (ADT) for men with high-risk, non-metastatic PCa regarding health-related quality of life (HRQoL) and functional outcomes. Secondary objectives are progression-free survival (PFS), distant metastasis-free survival (DMFS), costs and cost-effectiveness.

methodsThe RECOVER study is a comparative effectiveness study that prospectively includes newly diagnosed high-risk (cT3a-bN0M0, ISUP-grade ≥ 4 and/or PSA > 20 ng/mL), non-metastatic PCa patients. Four Dutch prostate cancer networks, comprising 29 hospitals, are currently participating in the study. Patient reported outcomes are collected before treatment initiation, 12 months and 36 months after treatment initiation and include the EORTC-QLQ-C30, the EPIC-26, an adapted version of the SCQ, an adapted version of the iMTA Productivity Cost Questionnaire and several specific questions regarding patient characteristics, treatment of PCa specific complaints and health resources used. Clinical data regarding patient-, tumor- and treatment characteristics and oncological outcomes are collected up to 5 years after diagnosis. For sufficient power, patient reported outcomes of 471 patients must be collected 36 months after treatment initiation. Descriptive statistics and mixed-effects models are used to assess differences in HRQoL and functional outcomes over time between the patients treated with radical prostatectomy versus EBRT (+ ADT). Inverse probability of treatment weighting or the g-formula are used to adjust for confounding covariates associated with treatment. Secondary endpoints PFS and DMFS are evaluated using a competing risk analysis and cost-utility and budget-impact analyses will be performed to determine cost and cost-effectiveness. DISCUSSION: An observational prospective design was chosen since a randomized controlled trial comparing surgery and radiotherapy was not deemed feasible. This study evaluates effectiveness of treatment in a routine clinical setting (with adjustment for confounding) and its findings will enhance patients' and healthcare professionals' awareness for the impact of both treatment modalities on (long-term) daily functioning and HRQoL and aid treatment decision making.

trial registrationThis study is registered at ClinicalTrials.gov (NCT05931419).

Indexed as

ProstatectomyProstatic NeoplasmsAndrogen AntagonistsCost-Benefit AnalysisHumansMaleProspective StudiesQuality of LifeRobotic Surgical ProceduresTreatment OutcomeAndrogen AntagonistsAndrogensCost effectivenessDistant metastasis free survival.Health-Related Quality of LifePatient reported outcomesProgression free survivalProstate cancerProstatectomy / methodsProstatic neoplasm / radiotherapyProstatic neoplasms / surgery

Identifiers

PMID39871169
PMCPMC11770930

What OpenQuestion holds

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Registered trials

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.