Plain language summary: does enzalutamide treatment with or without leuprolide improve outcomes and affect quality of life in patients with high-risk biochemical recurrence?
Notice bibliographique
Résumé
Plain Language SummaryWhat is this summary about?This is a plain language summary of two research articles originally published in the New England Journal of Medicine and NEJM Evidence.The EMBARK study included patients with a type of advanced prostate cancer called non-metastatic castration-sensitive prostate cancer (nmCSPC) and high-risk biochemical recurrence (BCR).These patients experience a quick rise in prostate-specific antigen (PSA) levels after prostate cancer surgery or radiation treatment. Patients with a shorter PSA doubling time (PSADT) have quickly rising PSA levels. The patients from EMBARK had a short PSADT of 9 months or less, and their prostate cancer had not spread to other parts of the body. Prostate cancer treatments that lower testosterone levels, such as leuprolide, are widely used in patients with nmCSPC and high-risk BCR.In the EMBARK study, researchers wanted to know if enzalutamide treatment with or without leuprolide improved outcomes compared with leuprolide and placebo in patients with nmCSPC and high-risk BCR. Researchers also looked at the safety of these medicines and their effect on quality of life.What were the results?Researchers found that patients who received enzalutamide with or without leuprolide had a longer time until cancer spread to other parts of the body or death. It also took longer for their PSA levels to rise further and for them to start a new prostate cancer treatment.No new side effects were seen in the enzalutamide groups beyond those already known for enzalutamide. The most common side effects in all groups were hot flash, tiredness, and joint pain. The common side effects in the enzalutamide alone group were gynecomastia and breast tenderness.The median time that it took until patients had a confirmed drop in overall quality of life was similar between the enzalutamide combination, the enzalutamide alone, and the leuprolide plus placebo groups.What do the results of the study mean?Enzalutamide with or without leuprolide improved outcomes in patients with nmCSPC and high-risk BCR without making overall quality of life worse. The amount and type of side effects in the enzalutamide groups were similar to the findings from past studies. These results may help doctors and patients choose the right treatment for nmCSPC and high-risk BCR.Who should read this article?This summary is for anyone interested in knowing more about this topic, regardless of background, knowledge, or education.This is an abstract of the Plain Language Summary of Publication article.View the full Plain Language Summary PDF of this article to read the full-text
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».