Evidence map›Paper›PMID 39886635›Full record

ArticleIndian journal of urology : IJU : journal of the Urological Society of India

Shifting tides: A survey analysis of urologists' evolving attitudes toward focal therapy for prostate cancer.

Jason Koehler, Alon Lazarovich, Shima Tayebi, Vijay Viswanath, Arvin George, Wei-Wen Hsu, Abhinav Sidana

Abstract read
In one paragraph

Article in Indian journal of urology : IJU : journal of the Urological Society of India. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. What's inside.Indian journal of urology : IJU : journal of the Urological Society of India
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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

7 authors.

Jason KoehlerUniversity of Cincinnati College of Medicine, Cincinnati, OH, USA.
Alon LazarovichSection of Urology, Department of Surgery, University of Chicago, Chicago, IL, USA.
Shima TayebiDepartment of Radiology, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Vijay ViswanathUniversity of Cincinnati College of Medicine, Cincinnati, OH, USA.
Arvin GeorgeDepartment of Urology, University of Michigan, Ann Arbor, MI, USA.
Wei-Wen HsuDivision of Biostatistics and Bioinformatics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Abhinav SidanaSection of Urology, Department of Surgery, University of Chicago, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Focal therapy (FT) is emerging as an alternative to radical treatment for prostate cancer (CaP). The purpose of this study is to assess the current perceptions of FT amongst urologists. Methods: A 22-item questionnaire was e-mailed to members of the American Urological Association. Multivariate logistic regression analysis was used to identify predictors of FT utilization. Results were compared to a previous survey from 2019. Results: Two hundred and sixty-four responses were recorded. Less than half (115/264, 43.6%) of respondents utilize FT; among them, 42% perform FT on more than 10 patients/year. Reasons for avoiding FT included: lack of experience (51.8%), belief that CaP is multifocal (46.0%), and lack of infrastructure (43.1%). The most common modalities for FT were high-intensity focused ultrasound (63.4%) and cryoablation (47.3%). Preferred patients for FT were primarily unilateral/anterior only Gleason Grade Group 2 (95/110, 86.4%). A fellowship training in urologic oncology (odds ratio [OR] = 2.86, Conclusions: Less than half of the respondents utilize FT in their practice. Fellowship training in urologic oncology and a higher volume of CaP patients were correlated with FT utilization. As urologists gain more experience, the trend of further utilization of FT for CaP may continue.

Identifiers

PMID39886635
PMCPMC11778692

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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.