Evidence map›Paper›PMID 40951035›Full record

ReviewCureus2025

Management of Locally Advanced Prostate Cancer: A Scoping Review of Contemporary Evidence and Emerging Approaches.

Mayowa Adefehinti, Althea O George, Obinna Enemoh, Blessing Adenipekun, Mobolaji Akinwale, Abiodun Akintayo, Quadri A Sanni, Ajibola A Adebisi, Ehizokhae Erewele, Oluwabukunmi Onipede and 3 more

Abstract readReview
In one paragraph

Review in Cureus, 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

13 authors.

Mayowa AdefehintiUrology, Peterborough City Hospital, Peterborough, GBR.
Althea O GeorgeUrology, The Royal London Hospital, London, GBR.
Obinna EnemohGeneral Surgery, Chesterfield Royal Hospital, Chesterfield, GBR.
Blessing AdenipekunSurgery, William Harvey Hospital, Kent, GBR.
Mobolaji AkinwaleUrology, Peterborough City Hospital, Peterborough, GBR.
Abiodun AkintayoSurgery, University Hospital Southampton NHS Foundation Trust, Southampton, GBR.
Quadri A SanniUrology, South Warwickshire University NHS Foundation Trust, West Midlands, GBR.
Ajibola A AdebisiGeneral Surgery, Epsom and St.Helier University NHS Foundation Trust, London, GBR.
Ehizokhae EreweleSurgery, Olabisi Urgent Care Hospital, Lagos, NGA.
Oluwabukunmi OnipedeUrology, University of Ilorin, Ilorin, NGA.
Ojeyemi Oore-OfeGeneral Practice, Lagoon Hospital, Lagos, NGA.
Toluwanimi P IbikunlePediatrics, Atlantis Pediatrics Hospital, Lagos, NGA.
Opemipo O AjaniPubic Health, London Metropolitan University, London, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Locally advanced prostate cancers (LAPC) are a clinical dilemma due to their biological heterogeneity and multiple algorithmic treatment options. Recent years have seen a great deal of progress in management, both in established methods and new modalities. This had led to a necessity to systematically map out existing evidence. This scoping review intends to systematically integrate and summarize the zeitgeist research in the area of the care of LAPC to advance the available knowledge, discuss emergent management strategies, and identify evidence needs in different healthcare settings. A scoping review was undertaken following the Joanna Briggs Institute methodology and reported following the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. A primary study search was conducted on six electronic databases (MEDLINE, Embase, Scopus, Web of Science, CINAHL Plus, and Cochrane Library) and gray literature sources published between 2013 and April 2025. The Population-Concept-Context (PCC) framework guided the eligibility. Data were plotted and thematically synthesized into six key domains: hormonal therapy, radiotherapy innovations, surgical strategies, new systemic therapies, imaging improvements, and real-life evidence. Six studies were included, consisting of a randomized controlled trial, an observational study, and a diagnostic review. The main themes were the benefits of multimodal treatment, the impact of prostate-specific membrane antigen (PSMA) positron emission tomography (PET) imaging and genomic profiling, and the role of second-generation androgen receptor inhibitors and regional disparities in access to treatments. Combination therapies showed oncologic benefits, but raised concerns about patients' quality-of-life outcomes. The management of LAPC is moving to a related precision-based, multimodal paradigm. Although current knowledge supports more aggressive and individualized therapy, there are still data gaps in long-term outcomes, global uptake, and patient-reported measures. Future research needs to be based on inclusive longitudinal studies that span between clinical innovation and real-world application.

Indexed as

advanced locally prostate cancer – lapcandrogen deprivation therapiesapalutamidemultimodal treatmentsprecision oncologypsma petradical prostatectomyradiotherapyscoping review

Identifiers

PMID40951035
PMCPMC12423987

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.