Evidence map›Paper›PMID 41040504›Full record

ArticleBJUI compass2025

Real-world clinical outcomes of oligometastatic prostate cancer using SBRT: An Australian experience.

Samantha Shekar, Megan Crumbaker, Anthony Joshua, Andrew Yam, Phillip Stricker, Carlo Yuen, David Ende, Benjamin Namdarian, James Thompson, Raji Kooner and 7 more

Abstract read
In one paragraph

Article in BJUI compass, 2025. 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

17 authors.

Samantha ShekarThe Kinghorn Cancer Centre St Vincent's Hospital Darlinghurst NSW Australia.
Megan CrumbakerThe Kinghorn Cancer Centre St Vincent's Hospital Darlinghurst NSW Australia.ORCID https://orcid.org/0000-0001-7213-900X
Anthony JoshuaThe Kinghorn Cancer Centre St Vincent's Hospital Darlinghurst NSW Australia.
Andrew YamThe Kinghorn Cancer Centre St Vincent's Hospital Darlinghurst NSW Australia.
Phillip StrickerGarvan Institute of Medical Research Darlinghurst NSW Australia.
Carlo YuenSt Vincent's Hospital Darlinghurst NSW Australia.
David EndeSt Vincent's Hospital Darlinghurst NSW Australia.
Benjamin NamdarianSt Vincent's Hospital Darlinghurst NSW Australia.
James ThompsonSt Vincent's Hospital Darlinghurst NSW Australia.
Raji KoonerSt Vincent's Hospital Darlinghurst NSW Australia.
Gordon O'NeillSt Vincent's Hospital Darlinghurst NSW Australia.
Jeremy MoThe Kinghorn Cancer Centre St Vincent's Hospital Darlinghurst NSW Australia.
Hao-Wen SimThe Kinghorn Cancer Centre St Vincent's Hospital Darlinghurst NSW Australia.ORCID https://orcid.org/0000-0002-2530-0523
George HrubySt Vincent's GenesisCare Darlinghurst NSW Australia.
Farshad KasraeiSt Vincent's GenesisCare Darlinghurst NSW Australia.
Annie HoSt Vincent's GenesisCare Darlinghurst NSW Australia.
Jeremy De LeonSt Vincent's GenesisCare Darlinghurst NSW Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This work aimed to report real-world outcomes from the use of SBRT to treat ADT naïve, PSMA-detected oligometastatic prostate cancer (OPCa) and to assess disease and treatment characteristics in this heterogeneous population intersect or impact treatment response. Subjects and Methods: This retrospective single-institution study examined PSMA-PET-detected oligometastases ( Results: Sixty-seven patients treated from January 2019 to August 2024 were analysed with a median follow-up of 18.8 months. Ninety-three oligometastatic lesions were treated; 55.3% were treated for nodal disease, 38.8% bone and 5% with lung disease. All lesions were PSMA-detected with median SUVmax 6.3. Median bPFS was 22.1 m; TTNI was 28.8 m. Lower initial T stage and longer duration from OPCa diagnosis to MDT were associated with prolonged bPFS. Lower T stage and PSA doubling time >3 m at MDT were associated with prolonged time to PSA progression. Median PSA fall was 68.9%; PSA 50% response was observed in 55.2%. Twenty-nine patients (43%) had a complete metabolic response after MDT. Median ADT-free survival was not reached. Conclusions: MDT in PSMA-PET-detected OPCa can provide clinically meaningful disease control in a subset of patients. This study supports this approach but warrants continued prospective study and exploration into the castrate-resistant setting.

Indexed as

MDToligometastatic prostate cancerprostate cancerPSMA‐PETSBRT

Identifiers

PMID41040504
PMCPMC12488251

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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.