Evidence map›Paper›PMID 18762814›Full record

ArticleProstate cancer and prostatic diseases2009

Biopsy tissue microarray study of Ki-67 expression in untreated, localized prostate cancer managed by active surveillance.

S Jhavar, J Bartlett, G Kovacs, C Corbishley, D Dearnaley, R Eeles, V Khoo, R Huddart, A Horwich, A Thompson and 4 more

Abstract read
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In one paragraph

Article in Prostate cancer and prostatic diseases, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 6% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  14. Serum micronutrient and antioxidant levels at baseline and the natural history of men with localised prostate cancer on active surveillance.Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine · 2010
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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

14 authors at 4 institutions in 2 countries.

S JhavarInstitute of Cancer Research, Male Urological Cancer Research Centre, Sutton, Surrey, UK.
J Bartlett
G Kovacs
C Corbishley
D Dearnaley
R Eeles
V Khoo
R Huddart
A Horwich
A Thompson
A Norman
D Brewer
C S Cooper
C Parker
Institute of Cancer Research · GBRoyal Marsden NHS Foundation Trust · GBSt George's Hospital · GBUniversity Hospital Heidelberg · DE

Funding

Cancer Research UK 10588Medical Research Council G0501019
6 · The paper itself

Abstract

Active surveillance provides a unique opportunity to study biomarkers of prostate cancer behaviour, although only small volumes of tumor tissue are typically available. We have evaluated a technique for constructing tissue microarrays (TMAs) from needle biopsies for assessing immunohistochemical markers in localized prostate cancer managed by active surveillance. TMAs were constructed from diagnostic prostate biopsies for 60 patients with localized prostatic adenocarcinoma in a prospective cohort study of active surveillance. Radical treatment was recommended for a prostate-specific antigen (PSA) velocity greater than 1 ng ml(-1) per year or adverse histology in repeat biopsies, defined as Gleason score > or =4+3 or >50% of cores involved. Sections from the TMAs were stained with H&E, P63/AMACR and Ki-67. Time to radical treatment was analysed with respect to clinical characteristics and Ki-67 LI. At a median follow up of 36 months, 25/60 (42%) patients had received radical treatment. On univariate analysis, PSA density (P=0.001), Gleason score (P=0.001), clinical T stage (P=0.01), Ki-67 LI (P=0.02) and initial PSA (P=0.04) were associated with time to radical treatment. On multivariate analysis, PSA density (P=0.01), Ki-67 LI (P=0.03) and Gleason score (P=0.04) were independent determinants of progression to radical treatment. TMAs constructed from prostate needle biopsies can be used to assess immunohistochemical markers in localized prostate cancer managed by active surveillance. Ki-67 LI merits further study as a possible biomarker of early prostate cancer behaviour.

Indexed as

AdenocarcinomaAgedBiomarkers, TumorBiopsy, NeedleCohort StudiesDisease ProgressionHumansImmunohistochemistryKi-67 AntigenMaleMembrane ProteinsMiddle AgedNeoplasm StagingPrognosisProstatectomyProstate-Specific Antigenalpha-methylacyl-CoA racemaseBiomarkers, TumorCKAP4 protein, humanKi-67 AntigenMembrane ProteinsProstate-Specific AntigenRacemases and Epimerases

Identifiers

PMID18762814
OpenAlexW2030869113

What OpenQuestion holds

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Registered trials

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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.