Evidence map›Paper›PMID 40865972›Full record

SynthesisInternational journal of surgery (London, England)2026

Comparison of complications and oncology outcomes of immunotherapy alone and combination in metastatic castration-resistant prostate cancer (mCRPC): a systematic review and meta-analysis.

Jun Liu, Yong-Ming Kang, You-Gang Feng, Cai Zhang, Wen-Zhi Chen

Abstract readSystematic ReviewMeta-AnalysisComparative Study
In one paragraph

Synthesis in International journal of surgery (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

5 authors.

Jun LiuDepartment of Urology, Suining Central Hospital, Suining, China.
Yong-Ming KangDepartment of Urology, Suining Central Hospital, Suining, China.
You-Gang FengDepartment of Urology, Suining Central Hospital, Suining, China.
Cai ZhangState Key Laboratory of Ultrasound in Medicine and Engineering, College of Biomedical Engineering, Chongqing Medical University, Chongqing, China.
Wen-Zhi ChenState Key Laboratory of Ultrasound in Medicine and Engineering, College of Biomedical Engineering, Chongqing Medical University, Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveComparison of complications and oncology outcomes of immunotherapy alone and combination in metastatic castration-resistant prostate cancer (mCRPC).

methodsAs of March 2025, a systematic search on the application of immunotherapy alone with immunotherapy combined with other treatments (immunotherapy combined with radiotherapy/endocrine therapy, etc.) in the Embase, PubMed, and Web of Science databases for mCRPC. The complication and oncology outcome data from the study were collected for subsequent analysis. Stata17 software is used for data analysis.

resultsA total of nine studies were included. Compared with immunotherapy alone, immunotherapy combined with other treatments increased the overall survival of patients (effect = 0.67, 95% Cl [0.35, 0.98], P < 0.05) and median survival time (effect = 0.74, 95% Cl [0.45, 1.02], P < 0.05). The response rate of PSA50 in patients was increased (OR = 3.78, 95% Cl [1.12, 10.77], P < 0.05). There was no significant difference in the overall complication rates between the two.

conclusionPreliminary findings so far show that immunotherapy in combination with other therapies improves overall survival, median survival time, and PSA50 response rate, with no significant difference in overall complication rate between the two groups. This conclusion is based on the pooled results of nine studies, which are small in number, and more multicenter, high-quality studies are needed to confirm this.

Indexed as

ImmunotherapyProstatic Neoplasms, Castration-ResistantCombined Modality TherapyHumansMaleTreatment Outcomeimmunotherapymeta-analysismetastatic castration-resistant prostate cancer

Identifiers

PMID40865972
PMCPMC12825570

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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.