Evidence map›Paper›PMID 40213348›Full record

ArticleProstate international2025

Clinical significance of primary tumor progression in metastatic hormone-sensitive prostate cancer.

Yasutaka Yamada, Shinichi Sakamoto, Takuya Tsujino, Sinpei Saito, Kodai Sato, Kazuki Nishimura, Tatsuo Fukushima, Ko Nakamura, Yuki Yoshikawa, Tomohisa Matsunaga and 16 more

Abstract read
In one paragraph

Article in Prostate international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

26 authors.

Yasutaka YamadaDepartment of Urology, Chiba University Graduate School of Medicine, Chiba, Japan.
Shinichi SakamotoDepartment of Urology, Chiba University Graduate School of Medicine, Chiba, Japan.
Takuya TsujinoDepartment of Urology, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Sinpei SaitoDepartment of Urology, Chiba University Graduate School of Medicine, Chiba, Japan.
Kodai SatoDepartment of Urology, Chiba University Graduate School of Medicine, Chiba, Japan.
Kazuki NishimuraDepartment of Urology, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Tatsuo FukushimaDepartment of Urology, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Ko NakamuraDepartment of Urology, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Yuki YoshikawaDepartment of Urology, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Tomohisa MatsunagaDepartment of Urology, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Ryoichi MaenosonoDepartment of Urology, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Manato KanesakaDepartment of Urology, Chiba University Graduate School of Medicine, Chiba, Japan.
Takayuki AraiDepartment of Urology, Chiba University Graduate School of Medicine, Chiba, Japan.
Tomokazu SazukaDepartment of Urology, Chiba University Graduate School of Medicine, Chiba, Japan.
Yusuke ImamuraDepartment of Urology, Chiba University Graduate School of Medicine, Chiba, Japan.
Kazumasa KomuraDepartment of Urology, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Kazuo MikamiDepartment of Urology, Chibaken Saiseikai Narashino Hospital, Chiba, Japan.
Kazuyoshi NakamuraDepartment of Urology, Kimitsu Chuo Hospital, Chiba, Japan.
Satoshi FukasawaDepartment of Urology, Funabashi Municipal Medical Center, Chiba, Japan.
Kazuto ChibaDepartment of Urology, Fukaya Red Cross Hospital, Saitama, Japan.
Yukio NayaDepartment of Urology, Teikyo University Chiba Medical Center, Chiba, Japan.
Maki NagataDepartment of Urology, Yokohama Rosai Hospital, Kanagawa, Japan.
Atsushi KomaruProstate Center and Division of Urology, Chiba Cancer Center, Chiba, Japan.
Hiroomi NakatsuDepartment of Urology, Asahi General Hospital, Chiba, Japan.
Haruhito AzumaDepartment of Urology, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Tomohiko IchikawaDepartment of Urology, Chiba University Graduate School of Medicine, Chiba, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Clinical significance of primary tumor progression in patients with metastatic hormone-sensitive prostate cancer (mHSPC) is unclear. Methods: Clinical data from 987 patients with mHSPC from multiple institutions between September 1999 and November 2023 were reviewed. The prognostic impact of primary tumor progression was examined along with other clinical parameters. Castration-resistant prostate cancer progression-free survival (CRPC PFS) and overall survival (OS) were analyzed as clinical outcomes. Student's t-test, Cox proportional hazards models, and Kaplan-Meier methods were utilized to validate the clinical significance. Results: The median age and initial prostate-specific antigen (iPSA) values were 74 and 221 ng/ml, respectively. 632 (64%) and 355 (36%) patients had clinical T stage ≤3 and 4 at diagnosis, respectively. mHSPC patients with clinical T stage 4 were more likely to have a higher grade group (GG), higher frequency of lymph node metastasis, lower hemoglobin (Hb), and more high-volume/risk disease in comparison with those with clinical T stage ≤3. Patients with cT4 were associated with shorter CRPC PFS ( Conclusion: Bulkiness of primary prostate tumor was associated with worse outcomes in patients with mHSPC. Men with cT4 will require multimodal and intensive therapeutic strategies irrespective of tumor volume.

Indexed as

Androgen deprivation therapyClinical T stage 4Metastatic hormone-sensitive prostate cancerPrimary tumorTumor volume

Identifiers

PMID40213348
PMCPMC11979369

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.