Evidence map›Paper›PMID 18190630›Full record

ArticleBJU international2008

Secular trends in prostate cancer mortality, incidence and treatment: England and Wales, 1975-2004.

Sabina Hussain, David Gunnell, Jenny Donovan, Sean McPhail, Freddie Hamdy, David Neal, Peter Albertsen, Julia Verne, Peter Stephens, Caroline Trotter and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in BJU international, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. The effect of social deprivation on hip fracture incidence in England has not changed over 14 years: an analysis of the English Hospital Episodes Statistics (2001-2015).Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2018
    Article
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. BAG3 protein delocalisation in prostate carcinoma.Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine · 2010
    Article
  13. 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

11 authors at 4 institutions in 2 countries.

Sabina HussainDepartment of Social Medicine, University of Bristol, Bristol, UK.
David Gunnell
Jenny Donovan
Sean McPhail
Freddie Hamdy
David Neal
Peter Albertsen
Julia Verne
Peter Stephens
Caroline Trotter
Richard M Martin
University of Bristol · GBUConn Health · USUniversity of Cambridge · GBUniversity of Sheffield · GB

Funding

Cancer Research UK A8145Medical Research Council G0500966
6 · The paper itself

Abstract

objectiveTo aid the interpretation of the trends in prostate cancer mortality, which declined in the UK in the early 1990 s for unknown reasons, by investigating prostate cancer death rates, incidence and treatments in England and Wales in 1975-2004.

methodsJoin-point regression was used to assess secular trends in mortality and incidence (source: Office of National Statistics), radical prostatectomy and orchidectomy (source: Hospital Episode Statistics database) and androgen-suppression drugs (source: Intercontinental Medical Statistics).

resultsProstate cancer mortality declined from 1992 (95% confidence interval, CI, 1990-94). The relative decline in mortality to 2004 was greater and more sustained amongst men aged 55-74 years (annual percentage mortality reduction 2.75%; 95% CI 2.33-3.18%) than amongst those aged >or=75 years (0.71%, 0.26-1.15%). The use of radical prostatectomy increased between 1991 (89 operations) and 2004 (2788) amongst men aged 55-74 years. The prescribing of androgen suppression increased between 1987 (33,000 prescriptions) and 2004 (470,000).

conclusionsThe decrease in prostate cancer mortality was greater amongst men aged 55-74 years than in those aged >or=75 years, but pre-dated the substantial use of prostate-specific antigen screening and radical prostatectomy in the UK. An increase in radical therapy amongst younger groups with localized cancers and screen-detected low-volume locally advanced disease as a result of stage migration, as well as prolonged survival from increased medical androgen suppression therapy, might partly explain recent trends.

Indexed as

AgedAged, 80 and overAge FactorsAndrogen AntagonistsAntineoplastic AgentsEnglandHumansIncidenceMaleMiddle AgedMortalityProstatectomyProstate-Specific AntigenProstatic NeoplasmsRegression AnalysisWalesAndrogen AntagonistsAntineoplastic AgentsProstate-Specific Antigen

Identifiers

PMID18190630
PMCPMC2765909
OpenAlexW2066033569

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.