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Predictive Models for Assessing Patients’ Response to Treatment in Metastatic Prostate Cancer : A Systematic Review

Lawlor, Ailbhe ; Lin, Carol ; Gómez Rivas, Juan ; Ibáñez, Laura ; Abad López, Pablo ; Willemse, Peter Paul ; Imran Omar, Muhammad ; Remmers, Sebastiaan ; Cornford, Philip and Rajwa, Pawel , et al. (2024) In European Urology Open Science 63. p.126-135
Abstract

Background and objective: The treatment landscape of metastatic prostate cancer (mPCa) has evolved significantly over the past two decades. Despite this, the optimal therapy for patients with mPCa has not been determined. This systematic review identifies available predictive models that assess mPCa patients’ response to treatment. Methods: We critically reviewed MEDLINE and CENTRAL in December 2022 according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement. Only quantitative studies in English were included with no time restrictions. The quality of the included studies was assessed using the PROBAST tool. Data were extracted following the Checklist for Critical Appraisal and Data Extraction for... (More)

Background and objective: The treatment landscape of metastatic prostate cancer (mPCa) has evolved significantly over the past two decades. Despite this, the optimal therapy for patients with mPCa has not been determined. This systematic review identifies available predictive models that assess mPCa patients’ response to treatment. Methods: We critically reviewed MEDLINE and CENTRAL in December 2022 according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement. Only quantitative studies in English were included with no time restrictions. The quality of the included studies was assessed using the PROBAST tool. Data were extracted following the Checklist for Critical Appraisal and Data Extraction for Systematic Reviews criteria. Key findings and limitations: The search identified 616 citations, of which 15 studies were included in our review. Nine of the included studies were validated internally or externally. Only one study had a low risk of bias and a low risk concerning applicability. Many studies failed to detail model performance adequately, resulting in a high risk of bias. Where reported, the models indicated good or excellent performance. Conclusions and clinical implications: Most of the identified predictive models require additional evaluation and validation in properly designed studies before these can be implemented in clinical practice to assist with treatment decision-making for men with mPCa. Patient summary: In this review, we evaluate studies that predict which treatments will work best for which metastatic prostate cancer patients. We found that existing studies need further improvement before these can be used by health care professionals.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adverse events, Disease progression, Metastatic prostate cancer, Overall survival, Predictive models, Toxicity, Treatment discontinuation, Treatment selection
in
European Urology Open Science
volume
63
pages
10 pages
publisher
Elsevier
external identifiers
  • pmid:38596781
  • scopus:85189533807
ISSN
2666-1691
DOI
10.1016/j.euros.2024.03.012
language
English
LU publication?
yes
id
160bc376-f64e-4491-aba6-f73cd52bed5b
date added to LUP
2024-04-24 14:37:58
date last changed
2024-06-05 18:57:23
@article{160bc376-f64e-4491-aba6-f73cd52bed5b,
  abstract     = {{<p>Background and objective: The treatment landscape of metastatic prostate cancer (mPCa) has evolved significantly over the past two decades. Despite this, the optimal therapy for patients with mPCa has not been determined. This systematic review identifies available predictive models that assess mPCa patients’ response to treatment. Methods: We critically reviewed MEDLINE and CENTRAL in December 2022 according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement. Only quantitative studies in English were included with no time restrictions. The quality of the included studies was assessed using the PROBAST tool. Data were extracted following the Checklist for Critical Appraisal and Data Extraction for Systematic Reviews criteria. Key findings and limitations: The search identified 616 citations, of which 15 studies were included in our review. Nine of the included studies were validated internally or externally. Only one study had a low risk of bias and a low risk concerning applicability. Many studies failed to detail model performance adequately, resulting in a high risk of bias. Where reported, the models indicated good or excellent performance. Conclusions and clinical implications: Most of the identified predictive models require additional evaluation and validation in properly designed studies before these can be implemented in clinical practice to assist with treatment decision-making for men with mPCa. Patient summary: In this review, we evaluate studies that predict which treatments will work best for which metastatic prostate cancer patients. We found that existing studies need further improvement before these can be used by health care professionals.</p>}},
  author       = {{Lawlor, Ailbhe and Lin, Carol and Gómez Rivas, Juan and Ibáñez, Laura and Abad López, Pablo and Willemse, Peter Paul and Imran Omar, Muhammad and Remmers, Sebastiaan and Cornford, Philip and Rajwa, Pawel and Nicoletti, Rossella and Gandaglia, Giorgio and Yuen-Chun Teoh, Jeremy and Moreno Sierra, Jesús and Golozar, Asieh and Bjartell, Anders and Evans-Axelsson, Susan and N'Dow, James and Zong, Jihong and Ribal, Maria J. and Roobol, Monique J. and Van Hemelrijck, Mieke and Beyer, Katharina}},
  issn         = {{2666-1691}},
  keywords     = {{Adverse events; Disease progression; Metastatic prostate cancer; Overall survival; Predictive models; Toxicity; Treatment discontinuation; Treatment selection}},
  language     = {{eng}},
  pages        = {{126--135}},
  publisher    = {{Elsevier}},
  series       = {{European Urology Open Science}},
  title        = {{Predictive Models for Assessing Patients’ Response to Treatment in Metastatic Prostate Cancer : A Systematic Review}},
  url          = {{http://dx.doi.org/10.1016/j.euros.2024.03.012}},
  doi          = {{10.1016/j.euros.2024.03.012}},
  volume       = {{63}},
  year         = {{2024}},
}