Evidence map›Paper›PMID 42666623›Full record

ArticleBJUI compass2026

Salvage prostate therapies for local pelvic recurrence after primary radiation for prostate cancer.

Jamie Michael, Kathryn Fink, Vivian Wan, Sai K S R Kaushik, Clayton Neill, Yutai Li, Ridwan Alam, David J VanderWeele, Shilajit Kundu, Ashley E Ross

Abstract read
In one paragraph

Article in BJUI compass, 2026. 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. 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

10 authors.

Jamie MichaelDepartment of Urology, Feinberg School of Medicine Northwestern University Chicago Illinois USA.ORCID https://orcid.org/0000-0002-6214-1568
Kathryn FinkFeinberg School of Medicine Northwestern University Chicago Illinois USA.ORCID https://orcid.org/0009-0005-2621-815X
Vivian WanDepartment of Urology, Feinberg School of Medicine Northwestern University Chicago Illinois USA.
Sai K S R KaushikDepartment of Preventative Medicine, Feinberg School of Medicine Northwestern University Chicago Illinois USA.
Clayton NeillDepartment of Urology, Feinberg School of Medicine Northwestern University Chicago Illinois USA.
Yutai LiDepartment of Urology, Feinberg School of Medicine Northwestern University Chicago Illinois USA.
Ridwan AlamDepartment of Urology, Feinberg School of Medicine Northwestern University Chicago Illinois USA.ORCID https://orcid.org/0000-0001-7805-9596
David J VanderWeeleDepartment of Hematology and Oncology, Feinberg School of Medicine Northwestern University Chicago Illinois USA.
Shilajit KunduDepartment of Urology, Feinberg School of Medicine Northwestern University Chicago Illinois USA.
Ashley E RossDepartment of Urology, Feinberg School of Medicine Northwestern University Chicago Illinois USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The purpose of this study is to evaluate salvage treatment after primary radiation therapy (RT) for prostate cancer within our hospital system. Specifically, we aim to evaluate treatment patterns, oncologic outcomes and complications. Materials and methods: We retrospectively identified men with post-RT recurrence treated with salvage radical prostatectomy (sRP), seminal vesiculectomy, cryoablation, high-dose-rate brachytherapy (HDR) or irreversible electroporation (IRE). Salvage failure was defined as biochemical recurrence (BCR; Phoenix criteria, nadir + 2 ng/mL for cryoablation, HDR and IRE or prostate-specific antigen (PSA) > 0.2 ng/mL for sRP and seminal vesiculectomy) or need for subsequent therapy. Cox regression identified factors associated with time to failure. Results: Seventy-one patients underwent salvage therapy after RT; 58 (81.7%) cryoablation, 7 (9.9%) sRP, 2 (2.8%) robotic seminal vesiculectomies, and 4 (5.6%) other modalities. Failure occurred in 30 (45%) patients at a median of 12.5 months (IQR 6, 23). Grade group (GG) 4-5 disease prior to RT was associated with time to failure (HR 2.18, 95% CI 0.96, 4.97, Conclusions: In this institutional cohort, salvage cryoablation demonstrated an acceptable short-term failure-free survival with fewer observed high-grade complications than salvage prostatectomy. Salvage cryoablation also appeared feasible in select patients with low-volume nodal or metastatic disease. These findings are hypothesis-generating and require prospective validation.

Indexed as

cryoablationoligo‐metastasisprostate cancerradiationsalvage

Identifiers

PMID42666623
PMCPMC13522389

What OpenQuestion holds

Textmetadata
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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.