Evidence map›Paper›PMID 40330445›Full record

ArticleContemporary oncology (Poznan, Poland)2025

Perirectal spacers in radiotherapy for prostate cancer - a systematic review and meta-analysis.

Marcin Miszczyk, Rafał Stando, Giulio Francolini, Constantinos Zamboglou, Anna Cadenar, Agata Suleja, Tamás Fazekas, Akihiro Matsukawa, Ichiro Tsuboi, Mikołaj Przydacz and 4 more

Abstract read
In one paragraph

Article in Contemporary oncology (Poznan, Poland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Toxicity of rectal preparation strategies in ultra-hypofractionated SBRT for prostate cancer.Technical innovations & patient support in radiation oncology · 2026
    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.

Marcin MiszczykDepartment of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Rafał StandoDepartment of Radiotherapy, Holy Cross Cancer Center, Kielce, Poland.
Giulio FrancoliniRadiation Oncology Unit, Oncology Department, Azienda Ospedaliero Universitaria Careggi, Firenze, Italy.
Constantinos ZamboglouDepartment of Radiation Oncology, Medical Center - Faculty of Medicine, University of Freiburg, Germany.
Anna CadenarDepartment of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Agata SulejaDepartment of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Tamás FazekasDepartment of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Akihiro MatsukawaDepartment of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Ichiro TsuboiDepartment of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Mikołaj PrzydaczDepartment of Urology, Jagiellonian University Medical College, Kraków, Poland.
Michael S LeapmanDepartment of Urology, Yale University School of Medicine, New Haven, CT, USA.
Paweł RajwaDepartment of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Stéphane SupiotDepartment of Radiotherapy, ICO René Gauducheau, Saint-Herblain, France.
Shahrokh F ShariatDepartment of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Perirectal spacers reduce the radiotherapy (RT) dose delivered to the rectum, but their impact on treatment toxicity remains debated. We conducted a systematic review and meta-analysis to synthesise emerging data (PROSPERO: CRD42024506380). Material and methods: MEDLINE, Embase, Scopus, and Google Scholar were searched through 2024/08/18 for prospective randomised (RCT) and non-randomised trials evaluating the clinical outcomes of perirectal spacing in prostate cancer (PCa) patients. Random effects generalised linear mixed models were used to pool odds ratios (OR) for rectal adverse events (AEs) from RCTs. Non-randomised trials were summarised qualitatively. The risk of bias was assessed using the RoB2 and ROBINS-I tools. Results: Three RCTs ( Conclusions: There is evidence that perirectal spacers result in a small decrease in acute rectal toxicity. However, modern RT for clinically localised PCa is generally well-tolerated, and severe AEs are rare. Greater scrutiny of the risks and benefits associated with perirectal spacers is necessary.

Indexed as

acute toxicityBarrigelchronic toxicitygastrointestinal toxicityProSpaceSpaceOAR

Identifiers

PMID40330445
PMCPMC12051878

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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.