Factors influencing biochemical recurrence in patients who have received salvage radiotherapy after radical prostatectomy： a systematic review and meta-analysis
Several studies have evaluated the risk factors influencing biochemical recurrence （BCR） of prostate cancer in patients receiving salvage radiotherapy （SRT） for BCR after radical prostatectomy （RP）, but the results remain conflicting. In this study, we performed a meta-analysis to resolve this confl...
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| Veröffentlicht in: | Asian journal of andrology 2017-07, Vol.19 (4), p.493-499 |
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| creator | Jia, Zhong-Wei Chang, Kun Dai, Bo Kong, Yun-Yi Wang, Yue Qu, Yuan-Yuan Zhu, Yi-Ping Ye, Ding-Wei |
| description | Several studies have evaluated the risk factors influencing biochemical recurrence （BCR） of prostate cancer in patients receiving salvage radiotherapy （SRT） for BCR after radical prostatectomy （RP）, but the results remain conflicting. In this study, we performed a meta-analysis to resolve this conflict. We searched the following databases： PubMed, Embase, and Web of Science using the following terms in ＂All fields＂： ＂salvage radiation therapy,＂ ＂salvage IMRT, S-IMRT, salvage radiotherapy, SRT, radical prostatectomy,＂ ＂RP, biochemical recurrence,＂ ＂BCR,＂ ＂biochemical relapse.＂ Eleven studies, with a total of 1383 patients, were included in our meta-analysis. Of all the variables, only Gleason score （GS） 〉7 （odds ratio [OR]： 3.82; 95% confidence interval [CI]： 2.60-5.64） and pathological tumor （pT） stage 〉3a （OR： 1.82; 95% Ch 1.36-2.42） were positively correlated with BCR. However, SRT combined with androgen deprivation therapy （ADT） （OR： 0.63; 95% CI： 0.44-0.90） and radiation therapy （RT） dose 〉64 Gy （OR： 0.35; 95% CI： 0.19-0.64） were negatively correlated with BCR. Perineural invasion （OR： 2.64; 95% CI： 1.11-6.26）, preoperative prostate-specific antigen （PSA） 〉10 ng m1-1 （OR： 1.36; 95% CI： 0.94-1.96）, positive surgical margin （OR： 0.92; 95% Ch 0.7-1.19）, and seminal vesicle involvement （SVI） （OR： 1.09; 95% Ch. 0.83-1.43） had no effect on BCR. Our meta-analysis indicated that pT stage, GS, RT dose, and SRT combined with ADT may influence BCR, while preoperative PSA, surgical margin, perineural invasion, and SVI have only a weak effect on BCR. |
| doi_str_mv | 10.4103/1008-682X.179531 |
| format | Article |
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In this study, we performed a meta-analysis to resolve this conflict. We searched the following databases： PubMed, Embase, and Web of Science using the following terms in ＂All fields＂： ＂salvage radiation therapy,＂ ＂salvage IMRT, S-IMRT, salvage radiotherapy, SRT, radical prostatectomy,＂ ＂RP, biochemical recurrence,＂ ＂BCR,＂ ＂biochemical relapse.＂ Eleven studies, with a total of 1383 patients, were included in our meta-analysis. Of all the variables, only Gleason score （GS） 〉7 （odds ratio [OR]： 3.82; 95% confidence interval [CI]： 2.60-5.64） and pathological tumor （pT） stage 〉3a （OR： 1.82; 95% Ch 1.36-2.42） were positively correlated with BCR. However, SRT combined with androgen deprivation therapy （ADT） （OR： 0.63; 95% CI： 0.44-0.90） and radiation therapy （RT） dose 〉64 Gy （OR： 0.35; 95% CI： 0.19-0.64） were negatively correlated with BCR. Perineural invasion （OR： 2.64; 95% CI： 1.11-6.26）, preoperative prostate-specific antigen （PSA） 〉10 ng m1-1 （OR： 1.36; 95% CI： 0.94-1.96）, positive surgical margin （OR： 0.92; 95% Ch 0.7-1.19）, and seminal vesicle involvement （SVI） （OR： 1.09; 95% Ch. 0.83-1.43） had no effect on BCR. Our meta-analysis indicated that pT stage, GS, RT dose, and SRT combined with ADT may influence BCR, while preoperative PSA, surgical margin, perineural invasion, and SVI have only a weak effect on BCR.</description><identifier>ISSN: 1008-682X</identifier><identifier>EISSN: 1745-7262</identifier><identifier>DOI: 10.4103/1008-682X.179531</identifier><identifier>PMID: 27241314</identifier><language>eng</language><publisher>China: Medknow Publications and Media Pvt. Ltd</publisher><subject>Antigens ; Cancer surgery ; Cancer therapies ; Collaboration ; Combined Modality Therapy ; Humans ; Male ; Meta-analysis ; meta分析 ; Neoplasm Grading ; Neoplasm Recurrence, Local ; Original ; Patient outcomes ; Patients ; Prostate cancer ; Prostatectomy ; Prostatectomy - methods ; Prostatectomy - statistics & numerical data ; Prostatic Neoplasms - radiotherapy ; Prostatic Neoplasms - surgery ; Radiation therapy ; Radiotherapy ; Salvage Therapy - methods ; Salvage Therapy - statistics & numerical data ; Studies ; Treatment Outcome ; Urological surgery ; 前列腺癌 ; 复发 ; 影响因素 ; 患者 ; 放疗 ; 生化 ; 补救</subject><ispartof>Asian journal of andrology, 2017-07, Vol.19 (4), p.493-499</ispartof><rights>COPYRIGHT 2017 Medknow Publications and Media Pvt. Ltd.</rights><rights>Copyright Medknow Publications & Media Pvt. Ltd. Jul 2017</rights><rights>Copyright: © The Author(s)(2017) 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c666t-6fdcf55419cc3445f3045f66645477fa791738639769e60857802ba4a2de51a33</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/84127X/84127X.jpg</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5507100/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5507100/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27241314$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jia, Zhong-Wei</creatorcontrib><creatorcontrib>Chang, Kun</creatorcontrib><creatorcontrib>Dai, Bo</creatorcontrib><creatorcontrib>Kong, Yun-Yi</creatorcontrib><creatorcontrib>Wang, Yue</creatorcontrib><creatorcontrib>Qu, Yuan-Yuan</creatorcontrib><creatorcontrib>Zhu, Yi-Ping</creatorcontrib><creatorcontrib>Ye, Ding-Wei</creatorcontrib><title>Factors influencing biochemical recurrence in patients who have received salvage radiotherapy after radical prostatectomy： a systematic review and meta-analysis</title><title>Asian journal of andrology</title><addtitle>Asian Journal of Andrology</addtitle><description>Several studies have evaluated the risk factors influencing biochemical recurrence （BCR） of prostate cancer in patients receiving salvage radiotherapy （SRT） for BCR after radical prostatectomy （RP）, but the results remain conflicting. In this study, we performed a meta-analysis to resolve this conflict. We searched the following databases： PubMed, Embase, and Web of Science using the following terms in ＂All fields＂： ＂salvage radiation therapy,＂ ＂salvage IMRT, S-IMRT, salvage radiotherapy, SRT, radical prostatectomy,＂ ＂RP, biochemical recurrence,＂ ＂BCR,＂ ＂biochemical relapse.＂ Eleven studies, with a total of 1383 patients, were included in our meta-analysis. Of all the variables, only Gleason score （GS） 〉7 （odds ratio [OR]： 3.82; 95% confidence interval [CI]： 2.60-5.64） and pathological tumor （pT） stage 〉3a （OR： 1.82; 95% Ch 1.36-2.42） were positively correlated with BCR. However, SRT combined with androgen deprivation therapy （ADT） （OR： 0.63; 95% CI： 0.44-0.90） and radiation therapy （RT） dose 〉64 Gy （OR： 0.35; 95% CI： 0.19-0.64） were negatively correlated with BCR. Perineural invasion （OR： 2.64; 95% CI： 1.11-6.26）, preoperative prostate-specific antigen （PSA） 〉10 ng m1-1 （OR： 1.36; 95% CI： 0.94-1.96）, positive surgical margin （OR： 0.92; 95% Ch 0.7-1.19）, and seminal vesicle involvement （SVI） （OR： 1.09; 95% Ch. 0.83-1.43） had no effect on BCR. Our meta-analysis indicated that pT stage, GS, RT dose, and SRT combined with ADT may influence BCR, while preoperative PSA, surgical margin, perineural invasion, and SVI have only a weak effect on BCR.</description><subject>Antigens</subject><subject>Cancer surgery</subject><subject>Cancer therapies</subject><subject>Collaboration</subject><subject>Combined Modality Therapy</subject><subject>Humans</subject><subject>Male</subject><subject>Meta-analysis</subject><subject>meta分析</subject><subject>Neoplasm Grading</subject><subject>Neoplasm Recurrence, Local</subject><subject>Original</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Prostate cancer</subject><subject>Prostatectomy</subject><subject>Prostatectomy - methods</subject><subject>Prostatectomy - statistics & numerical data</subject><subject>Prostatic Neoplasms - radiotherapy</subject><subject>Prostatic Neoplasms - surgery</subject><subject>Radiation therapy</subject><subject>Radiotherapy</subject><subject>Salvage Therapy - methods</subject><subject>Salvage Therapy - statistics & numerical data</subject><subject>Studies</subject><subject>Treatment Outcome</subject><subject>Urological surgery</subject><subject>前列腺癌</subject><subject>复发</subject><subject>影响因素</subject><subject>患者</subject><subject>放疗</subject><subject>生化</subject><subject>补救</subject><issn>1008-682X</issn><issn>1745-7262</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNptkt-K1DAUxoso7rp675UEBfGmY_60SXsjLIurwoI3Ct6FM-npNEvbzCbpLPMqXvocvpOvYOrMjjsihbac73e-kHO-LHvO6KJgVLxllFa5rPi3BVN1KdiD7JSposwVl_xh-r-TT7InIVxTygWr68fZCVe8YIIVp9mPSzDR-UDs2PYTjsaOK7K0znQ4WAM98Wgm75OACSFriBbHGMht50gHG5x1tBtsSIB-A6tUgMa62KGH9ZZAG9H_Kc1ea-9ChIjpxGH76-d3AiRsQ8QhuZrktLF4S2BsyIARchih3wYbnmaPWugDPtt_z7Kvl--_XHzMrz5_-HRxfpUbKWXMZduYtiwLVhsjiqJsBU2vJBVloVQLqmZKVFLUStYoaVWqivIlFMAbLBkIcZa92_mup-WAjUn39NDrtbcD-K12YPWxMtpOr9xGlyVVadTJ4M3ewLubCUPUgw0G-x5GdFPQrOJS1pwKntBX_6DXbvLpwomqWaFqyWn1l1pBjzptyKVzzWyqz4tacV6VVCZq8R8qPc28Qjdia1P9qOH1vYYOoY9dcP0UrRvDMUh3oEmLCx7bwzAY1XMA9ZwwPSdM7wKYWl7cH-Kh4S5xCXi59-zcuLpJcTswUvFSCSGF-A2PLOQu</recordid><startdate>20170701</startdate><enddate>20170701</enddate><creator>Jia, Zhong-Wei</creator><creator>Chang, Kun</creator><creator>Dai, Bo</creator><creator>Kong, Yun-Yi</creator><creator>Wang, Yue</creator><creator>Qu, Yuan-Yuan</creator><creator>Zhu, Yi-Ping</creator><creator>Ye, Ding-Wei</creator><general>Medknow Publications and Media Pvt. 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In this study, we performed a meta-analysis to resolve this conflict. We searched the following databases： PubMed, Embase, and Web of Science using the following terms in ＂All fields＂： ＂salvage radiation therapy,＂ ＂salvage IMRT, S-IMRT, salvage radiotherapy, SRT, radical prostatectomy,＂ ＂RP, biochemical recurrence,＂ ＂BCR,＂ ＂biochemical relapse.＂ Eleven studies, with a total of 1383 patients, were included in our meta-analysis. Of all the variables, only Gleason score （GS） 〉7 （odds ratio [OR]： 3.82; 95% confidence interval [CI]： 2.60-5.64） and pathological tumor （pT） stage 〉3a （OR： 1.82; 95% Ch 1.36-2.42） were positively correlated with BCR. However, SRT combined with androgen deprivation therapy （ADT） （OR： 0.63; 95% CI： 0.44-0.90） and radiation therapy （RT） dose 〉64 Gy （OR： 0.35; 95% CI： 0.19-0.64） were negatively correlated with BCR. Perineural invasion （OR： 2.64; 95% CI： 1.11-6.26）, preoperative prostate-specific antigen （PSA） 〉10 ng m1-1 （OR： 1.36; 95% CI： 0.94-1.96）, positive surgical margin （OR： 0.92; 95% Ch 0.7-1.19）, and seminal vesicle involvement （SVI） （OR： 1.09; 95% Ch. 0.83-1.43） had no effect on BCR. Our meta-analysis indicated that pT stage, GS, RT dose, and SRT combined with ADT may influence BCR, while preoperative PSA, surgical margin, perineural invasion, and SVI have only a weak effect on BCR.</abstract><cop>China</cop><pub>Medknow Publications and Media Pvt. Ltd</pub><pmid>27241314</pmid><doi>10.4103/1008-682X.179531</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Antigens Cancer surgery Cancer therapies Collaboration Combined Modality Therapy Humans Male Meta-analysis meta分析 Neoplasm Grading Neoplasm Recurrence, Local Original Patient outcomes Patients Prostate cancer Prostatectomy Prostatectomy - methods Prostatectomy - statistics & numerical data Prostatic Neoplasms - radiotherapy Prostatic Neoplasms - surgery Radiation therapy Radiotherapy Salvage Therapy - methods Salvage Therapy - statistics & numerical data Studies Treatment Outcome Urological surgery 前列腺癌 复发 影响因素 患者 放疗 生化 补救 |
| title | Factors influencing biochemical recurrence in patients who have received salvage radiotherapy after radical prostatectomy： a systematic review and meta-analysis |
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