Evidence map›Paper›PMID 40047924›Full record

ArticleJournal of cancer research and clinical oncology2025

Impact of interdisciplinary tumor boards (ITB) and personalized treatment on survival outcomes in metastatic castration-resistant prostate cancer.

Laura Lawaczeck, Anna Rüdiger, Jörg Hennenlotter, Joël Hammes, Valentina Spingler, Simon Walz, Eva Erne, Igor Tsaur, Steffen Rausch

Abstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

9 authors.

Laura LawaczeckDepartment of Urology, Klinik Für Urologie, Eberhard-Karls-University, Universitätsklinik Tübingen, Hoppe-Seyler-Straße 3, 72076, Tübingen, Germany.
Anna RüdigerDepartment of Urology, Klinik Für Urologie, Eberhard-Karls-University, Universitätsklinik Tübingen, Hoppe-Seyler-Straße 3, 72076, Tübingen, Germany.
Jörg HennenlotterDepartment of Urology, Klinik Für Urologie, Eberhard-Karls-University, Universitätsklinik Tübingen, Hoppe-Seyler-Straße 3, 72076, Tübingen, Germany.
Joël HammesDepartment of Urology, Klinik Für Urologie, Eberhard-Karls-University, Universitätsklinik Tübingen, Hoppe-Seyler-Straße 3, 72076, Tübingen, Germany.
Valentina SpinglerDepartment of Urology, Klinik Für Urologie, Eberhard-Karls-University, Universitätsklinik Tübingen, Hoppe-Seyler-Straße 3, 72076, Tübingen, Germany.
Simon WalzDepartment of Urology, Klinik Für Urologie, Eberhard-Karls-University, Universitätsklinik Tübingen, Hoppe-Seyler-Straße 3, 72076, Tübingen, Germany.
Eva ErneDepartment of Urology, Klinik Für Urologie, Eberhard-Karls-University, Universitätsklinik Tübingen, Hoppe-Seyler-Straße 3, 72076, Tübingen, Germany.
Igor TsaurDepartment of Urology, Klinik Für Urologie, Eberhard-Karls-University, Universitätsklinik Tübingen, Hoppe-Seyler-Straße 3, 72076, Tübingen, Germany.
Steffen RauschDepartment of Urology, Klinik Für Urologie, Eberhard-Karls-University, Universitätsklinik Tübingen, Hoppe-Seyler-Straße 3, 72076, Tübingen, Germany. steffen.rausch@med.uni-tuebingen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeInterdisciplinary tumor boards (ITB) are essential in optimizing treatment recommendations for metastatic castration-resistant prostate cancer (mCRPC) by incorporating oncology guidelines, clinical trials, and patient-specific factors to ensure individualized care. This study examines clinical parameters that influence ITB recommendations, evaluates their adherence to guidelines, and assesses their impact on patient survival.

methodsIn a retrospective analysis, data from 187 mCRPC patients discussed at an ITB in a tertiary care center in 2018 were evaluated. Patient- and disease-specific factors were correlated with adherence to National Comprehensive Cancer Network

resultsThe median patient age was 72.8 years, with a median prostate-specific antigen (PSA) level of 65.0 ng/ml. Guideline-compliant recommendations were given in 42.9% of cases, while 57.1% received individualized recommendations. Clinical trial eligibility was noted in 24.8% of patients. Individualized ITB recommendations were associated with significantly longer OS (38.3 vs. 21.2 months, p = 0.03). Shorter OS correlated with renal impairment (p = 0.007), symptomatic metastases (p < 0.0001), and visceral metastases (p < 0.0001). Limitations include the retrospective design, lack of follow-up on therapy adherence, and absence of progression-free survival (PFS) data.

conclusionITB discussions improve survival in mCRPC patients, mainly due to personalized approaches and better access to clinical trials. Visceral and symptomatic metastases as well as renal impairment are risk factors for reduced OS, emphasizing the need for careful management of these high-risk patients. The results support the expanded use of ITB to improve mCRPC treatment outcomes.

Indexed as

Precision MedicineProstatic Neoplasms, Castration-ResistantAgedAged, 80 and overGuideline AdherenceHumansMaleMiddle AgedNeoplasm MetastasisRetrospective StudiesSurvival RateIndividual treatmentInterdisciplinary tumor boardITBmCRPCPersonalized treatmentProstate cancer

Identifiers

PMID40047924
PMCPMC11885382

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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.