Evidence Based Medicine on FHIR Implementation Guide
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Evidence Based Medicine on FHIR Implementation Guide, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ebm/ and changes regularly. See the Directory of published versions

Example Citation: 22056152 Combined androgen deprivation therapy and radiation therapy for locally advanced prostate cancer: a randomised, phase 3 trial.

Active as of 2024-12-19

Generated Narrative: Citation 179626

version: 9; Last updated: 2024-11-22 19:28:08+0000

Profile: JournalArticleCitation

url: Citation 22056152 Combined androgen deprivation therapy and radiation therapy for locally advanced prostate cancer: a randomised, phase 3 trial.

identifier: FEvIR Object Identifier/https://fevir.net/FOI/179626, https://pubmed.ncbi.nlm.nih.gov/22056152, Uniform Resource Identifier (URI)/urn:oid:2.16.840.1.113883.4.642.40.44.15.21

version: 2.0.0-ballot

title: 22056152 Combined androgen deprivation therapy and radiation therapy for locally advanced prostate cancer: a randomised, phase 3 trial.

status: Active

date: 2024-12-19 14:29:51+0000

publisher: HL7 International / Clinical Decision Support

contact: HL7 International / Clinical Decision Support: http://www.hl7.org/Special/committees/dss

description:

This Citation Resource is referenced in an example for the EBMonFHIR Implementation Guide.

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identifier: https://pubmed.ncbi.nlm.nih.gov/22056152, https://www.ncbi.nlm.nih.gov/pmc//PMC3243932, https://doi.org/10.1016/S0140-6736(11)61095-7, pii/S0140-6736(11)61095-7

relatedIdentifier: ISRCTN24991896, https://clinicaltrials.gov/NCT00002633

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Combined androgen deprivation therapy and radiation therapy for locally advanced prostate cancer: a randomised, phase 3 trial.

Abstracts

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*

BACKGROUND: Whether the addition of radiation therapy (RT) improves overall survival in men with locally advanced prostate cancer managed with androgen deprivation therapy (ADT) is unclear. Our aim was to compare outcomes in such patients with locally advanced prostate cancer. METHODS: Patients with: locally advanced (T3 or T4) prostate cancer (n=1057); or organ-confined disease (T2) with either a prostate-specific antigen (PSA) concentration more than 40 ng/mL (n=119) or PSA concentration more than 20 ng/mL and a Gleason score of 8 or higher (n=25), were randomly assigned (done centrally with stratification and dynamic minimisation, not masked) to receive lifelong ADT and RT (65-69 Gy to the prostate and seminal vesicles, 45 Gy to the pelvic nodes). The primary endpoint was overall survival. The results presented here are of an interim analysis planned for when two-thirds of the events for the final analysis were recorded. All efficacy analyses were done by intention to treat and were based on data from all patients. This trial is registered at controlledtrials.com as ISRCTN24991896 and Clinicaltrials.gov as NCT00002633. RESULTS: Between 1995 and 2005, 1205 patients were randomly assigned (602 in the ADT only group and 603 in the ADT and RT group); median follow-up was 6·0 years (IQR 4·4-8·0). At the time of analysis, a total of 320 patients had died, 175 in the ADT only group and 145 in the ADT and RT group. The addition of RT to ADT improved overall survival at 7 years (74%, 95% CI 70-78 vs 66%, 60-70; hazard ratio [HR] 0·77, 95% CI 0·61-0·98, p=0·033). Both toxicity and health-related quality-of-life results showed a small effect of RT on late gastrointestinal toxicity (rectal bleeding grade >3, three patients (0·5%) in the ADT only group, two (0·3%) in the ADT and RT group; diarrhoea grade >3, four patients (0·7%) vs eight (1·3%); urinary toxicity grade >3, 14 patients (2·3%) in both groups). INTERPRETATION: The benefits of combined modality treatment--ADT and RT--should be discussed with all patients with locally advanced prostate cancer. FUNDING: Canadian Cancer Society Research Institute, US National Cancer Institute, and UK Medical Research Council.

Copyright © 2011 Elsevier Ltd. All rights reserved.

relatesTo

type: cites

classifier: Journal Article

citation:

Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer. 2008;127:2893–2917.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/21351269/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/21351269

relatesTo

type: cites

classifier: Journal Article

citation:

Jemal A, Siegel R, Xu J, Ward E. Cancer statistics, 2010. CA Cancer J Clin. 2010;60:277–300.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/20610543/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/20610543

relatesTo

type: cites

classifier: Journal Article

citation:

Cooperberg MR, Moul JW, Carroll PR. The changing face of prostate cancer. J Clin Oncol. 2005;23:8146–8151.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/16278465/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/16278465

relatesTo

type: cites

classifier: Journal Article

citation:

Eastham JA, Evans CP, Zietman A. What is the optimal management of high risk, clinically localized prostate cancer? Urol Oncol. 2010;28:557–567.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/20816616/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/20816616

relatesTo

type: cites

classifier: Journal Article

citation:

Fellows GJ, Clark PB, Beynon LL. Treatment of advanced localised prostatic cancer by orchiectomy, radiotherapy, or combined treatment. A Medical Research Council Study. Urological Cancer Working Party—Subgroup on Prostatic Cancer. Br J Urol. 1992;70:304–309.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/1422689/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/1422689

relatesTo

type: cites

classifier: Journal Article

citation:

Pocock SJ, Simon R. Sequential treatment assignment with balancing for prognostic factors in the controlled clinical trial. Biometrics. 1975;31:103–115.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/1100130/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/1100130

relatesTo

type: cites

classifier: Journal Article

citation:

Aaronson NK, Ahmedzai S, Bergman B. The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst. 1993;85:365–376.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/8433390/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/8433390

relatesTo

type: cites

classifier: Journal Article

citation:

Esper P, Mo F, Chodak G, Sinner M, Cella D, Pienta KJ. Measuring quality of life in men with prostate cancer using the functional assessment of cancer therapy-prostate instrument. Urology. 1997;50:920–928.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/9426724/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/9426724

relatesTo

type: cites

classifier: Journal Article

citation:

Monti AF, Ostinelli A, Frigerio M. An ICRU 50 radiotherapy treatment chart. Radiother Oncol. 1995;35:145–150.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/7569023/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/7569023

relatesTo

type: cites

classifier: Journal Article

citation:

Bolla M, van Tienhoven G, Warde P. External irradiation with or without long-term androgen suppression for prostate cancer with high metastatic risk: 10-year results of an EORTC randomised study. Lancet Oncol. 2010;11:1066–1073.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/20933466/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/20933466

relatesTo

type: cites

classifier: Journal Article

citation:

Bolla M, Gonzalez D, Warde P. Improved survival in patients with locally advanced prostate cancer treated with radiotherapy and goserelin. N Engl J Med. 1997;337:295–300.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/9233866/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/9233866

relatesTo

type: cites

citation:

Gray R. A class of K-sample tests for comparing the cumulative incidence of a competing risk. Ann Stat. 1988;16:1141–1154.

relatesTo

type: cites

citation:

Lan G, DeMets D. Discrete sequential boundaries for clinical trials. Biometrika. 1983;70:659–663.

relatesTo

type: cites

classifier: Journal Article

citation:

Widmark A, Klepp O, Solberg A. Endocrine treatment, with or without radiotherapy, in locally advanced prostate cancer (SPCG-7/SFUO-3): an open randomised phase III trial. Lancet. 2009;373:301–308.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/19091394/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/19091394

relatesTo

type: cites

classifier: Journal Article

citation:

Cella D, Nichol MB, Eton D, Nelson JB, Mulani P. Estimating clinically meaningful changes for the Functional Assessment of Cancer Therapy—prostate: results from a clinical trial of patients with metastatic hormone-refractory prostate cancer. Value Health. 2009;12:124–129.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/18647260/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/18647260

relatesTo

type: cites

classifier: Journal Article

citation:

Osoba D, Bezjak A, Brundage M, Zee B, Tu D, Pater J. Analysis and interpretation of health-related quality-of-life data from clinical trials: basic approach of The National Cancer Institute of Canada Clinical Trials Group. Eur J Cancer. 2005;41:280–287.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/15661554/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/15661554

relatesTo

type: cites

classifier: Journal Article

citation:

Bolla M, de Reijke TM, van Tienhoven G. Duration of androgen suppression in the treatment of prostate cancer. N Engl J Med. 2009;360:2516–2527.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/19516032/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/19516032

relatesTo

type: cites

classifier: Journal Article

citation:

Horwitz EM, Bae K, Hanks GE. Ten-year follow-up of radiation therapy oncology group protocol 92-02: a phase III trial of the duration of elective androgen deprivation in locally advanced prostate cancer. J Clin Oncol. 2008;26:2497–2504.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/18413638/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/18413638

relatesTo

type: cites

classifier: Journal Article

citation:

Alibhai SM, Duong-Hua M, Cheung AM. Fracture types and risk factors in men with prostate cancer on androgen deprivation therapy: a matched cohort study of 19,079 men. J Urol. 2010;184:918–923.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/20643458/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/20643458

relatesTo

type: cites

classifier: Journal Article

citation:

Alibhai SM, Mohamedali HZ. Cardiac and cognitive effects of androgen deprivation therapy: are they real? Curr Oncol. 2010;17(suppl 2):S55–S64.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/20882135/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/20882135

relatesTo

type: cites

classifier: Journal Article

citation:

Keating NL, O'Malley AJ, Smith MR. Diabetes and cardiovascular disease during androgen deprivation therapy for prostate cancer. J Clin Oncol. 2006;24:4448–4456.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/16983113/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/16983113

relatesTo

type: cites

classifier: Journal Article

citation:

Shahinian VB, Kuo YF, Freeman JL, Goodwin JS. Risk of fracture after androgen deprivation for prostate cancer. N Engl J Med. 2005;352:154–164.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/15647578/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/15647578

relatesTo

type: cites

classifier: Journal Article

citation:

McMullen KP, Lee WR. A structured literature review to determine the use of the American Society for Therapeutic Radiology and Oncology consensus definition of biochemical failure. Urology. 2003;61:391–396.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/12597954/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/12597954

relatesTo

type: cites

classifier: Journal Article

citation:

Kuban DA, Tucker SL, Dong L. Long-term results of the M D Anderson randomized dose-escalation trial for prostate cancer. Int J Radiat Oncol Biol Phys. 2008;70:67–74.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/17765406/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/17765406

relatesTo

type: cites

classifier: Journal Article

citation:

Zietman AL, DeSilvio ML, Slater JD. Comparison of conventional-dose vs high-dose conformal radiation therapy in clinically localized adenocarcinoma of the prostate: a randomized controlled trial. JAMA. 2005;294:1233–1239.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/16160131/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/16160131

relatesTo

type: cites

classifier: Journal Article

citation:

Rosenthal SA, Sandler HM. Treatment strategies for high-risk locally advanced prostate cancer. Nat Rev Urol. 2010;7:31–38.

Documents

-Url
*https://pubmed.ncbi.nlm.nih.gov/20062072/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/20062072

relatesTo

type: cites

classifier: Journal Article

citation:

Cooperberg MR, Broering JM, Carroll PR. Time trends and local variation in primary treatment of localized prostate cancer. J Clin Oncol. 2010;28:1117–1123.

Documents

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*https://pubmed.ncbi.nlm.nih.gov/20124165/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/20124165

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Lancet. 2011 Dec 17;378(9809):2056-7. doi: 10.1016/S0140-6736(11)61254-3

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citation:

Ann Intern Med. 2012 Apr 17;156(8):JC4-05, JC4-04. doi: 10.7326/0003-4819-156-8-201204170-02005

Documents

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*https://pubmed.ncbi.nlm.nih.gov/22508745/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/22508745

relatesTo

type: comment-in

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citation:

J Urol. 2012 Sep;188(3):810. doi: 10.1016/j.juro.2012.05.065

Documents

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*https://pubmed.ncbi.nlm.nih.gov/22883758/

resourceReference: Identifier: https://pubmed.ncbi.nlm.nih.gov/22883758

relatesTo

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citation:

Eur Urol. 2012 Nov;62(5):932-3. doi: 10.1016/j.eururo.2012.08.041

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