Evidence map›Paper›PMID 36717806›Full record

ArticleBMC urology2023

A nomogram model for determining optimal patients for local therapy in metastatic prostate cancer: a SEER database-based study.

Lin Yang, Sheng Li, Xiaoqiang Liu, Jiahao Liu, Fuchun Zheng, Wen Deng, Weipeng Liu, Bin Fu, Jing Xiong

Open access · goldAbstract read
In one paragraph

Article in BMC urology, 2023. 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
0.8field-weighted citation impact, top 26% of its field
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, 3 citations in OpenAlex.

  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

9 authors at 2 institutions in 1 country.

Lin Yang *Department of Urology, First Affiliated Hospital of Nanchang University, Nanchang, 330000, China.
Sheng Li *Department of Urology, First Affiliated Hospital of Nanchang University, Nanchang, 330000, China.
Xiaoqiang Liu *Department of Urology, First Affiliated Hospital of Nanchang University, Nanchang, 330000, China.
Jiahao LiuDepartment of Urology, First Affiliated Hospital of Nanchang University, Nanchang, 330000, China.
Fuchun ZhengDepartment of Urology, First Affiliated Hospital of Nanchang University, Nanchang, 330000, China.
Wen DengDepartment of Urology, First Affiliated Hospital of Nanchang University, Nanchang, 330000, China.
Weipeng LiuDepartment of Urology, First Affiliated Hospital of Nanchang University, Nanchang, 330000, China.
Bin FuDepartment of Urology, First Affiliated Hospital of Nanchang University, Nanchang, 330000, China. urofbin@163.com.
Jing XiongDepartment of Urology, First Affiliated Hospital of Nanchang University, Nanchang, 330000, China. alex7023@126.com.
Nanchang University · CNFirst Affiliated Hospital of Nanchang University · CN

Funding

Jiangxi Provincial "Double Thousand Plan" Fund Project Grant No. jxsq2019201027Key Project of Natural Science Foundation of Jiangxi Province 20212ACB206013Youth Project of Natural Science Foundation of Jiangxi Province 20212BAB216037
6 · The paper itself

Abstract

backgroundNumerous studies have shown that local therapy can improve long-term survival in patients with metastatic prostate cancer. However, it is unclear which patients are the potential beneficiaries.

methodsWe obtained information on prostate cancer patients from the Surveillance, Epidemiology, and End Results database and divided eligible patients into the local treatment group and non-local treatment group. Propensity score matching (PSM) was used to reduce the influence of confounding factors. In the matched local treatment (LT) group, if the median overall survival time (OS) was longer than the Nonlocal treatment (NLT) group, it was defined as a benefit group, otherwise, it was a non-benefit group. Then, univariate and multivariate logistic regression were used to screen out predictors associated with benefits, and a nomogram model was constructed based on these factors. The accuracy and clinical value of the models were assessed through calibration plots and decision curve analysis.

resultsThe study enrolled 7255 eligible patients, and after PSM, each component included 1923 patients. After matching, the median OS was still higher in the LT group than in the NLT group [42 (95% confidence interval: 39-45) months vs 40 (95% confidence interval: 38-42) months, p = 0.03]. The independent predictors associated with benefit were age, PSA, Gleason score, T stage, N stage, and M stage. The nomogram model has high accuracy and clinical application value in both the training set (C-index = 0.725) and the validation set (C-index = 0.664).

conclusionsThe nomogram model we constructed can help clinicians identify patients with potential benefits from LT and formulate a reasonable treatment plan.

Indexed as

NomogramsProstatic NeoplasmsHumansMaleNeoplasm GradingProstatectomyMetastatic prostate cancerNomogramRadical prostatectomyRadiotherapySEER

Identifiers

PMID36717806
PMCPMC9887741
OpenAlexW4318567435

What Socratic holds

Textmetadata
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 Socratic graph.