Evidence map›Paper›PMID 21357791›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2011

Impact of comorbidity on survival among men with localized prostate cancer.

Peter C Albertsen, Dirk F Moore, Weichung Shih, Yong Lin, Hui Li, Grace L Lu-Yao

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 127 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
127citing papers in PubMed, 2 pooled it
29.4field-weighted citation impact, top 1% 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

127 citing papers in PubMed, 2 syntheses or guidelines pooled it, 310 citations in OpenAlex.

  1. Chemotherapy management for unfit patients with metastatic castration-resistant prostate cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2019
    Pooled it
  2. Guideline
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Prostate Cancer: Etiology, Diagnosis, and Treatment.Serican journal of medicine · 2026
    Article
  11. Scoring Physician Risk Communication in Prostate Cancer Using Large Language Models.Pacific Symposium on Biocomputing. Pacific Symposium on Biocomputing · 2026
    Article
  12. Article
  13. Article
  14. Scoring Physician Risk Communication in Prostate Cancer Using Large Language Models.medRxiv : the preprint server for health sciences · 2025
    Article
  15. Review
  16. Additional findings in prostate MRI.Cancer imaging : the official publication of the International Cancer Imaging Society · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Health-related quality of life in ethnically diverse Black prostate cancer survivors: a convergent parallel mixed-methods approach.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article

67 more citing papers are in PubMed but not listed here.

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

6 authors at 1 institution in 1 country.

Peter C AlbertsenDepartment of Surgery, University of Connecticut Health Center, 263 Farmington Ave, Farmington, CT 06030, USA. albertsen@nso.uchc.edu
Dirk F Moore
Weichung Shih
Yong Lin
Hui Li
Grace L Lu-Yao
Environmental and Occupational Health Sciences Institute · US

Funding

TRANSCRIPTIONAL PROFILINGP30CA072720 · NCI · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI Shridar Ganesan · 1997 to 2026
$94.5M
Evaluation of Palliative Prostate Cancer Care Among Elderly MenR01CA116399 · NCI · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI LU-YAO, GRACE · 2006 to 2014
$1.8M
NCI NIH HHS CA7272010NCI NIH HHS P30 CA072720NCI NIH HHS R01 CA116399
6 · The paper itself

Abstract

purposeTo provide patients and clinicians more accurate estimates of comorbidity-specific survival stratified by patient age, tumor stage, and tumor grade. PATIENTS AND

methodsWe conducted a 10-year competing risk analysis of 19,639 men 66 years of age and older identified by the Surveillance, Epidemiology, and End Results (SEER) program linked to Medicare program files. All men were diagnosed with localized prostate cancer and received no surgery or radiation within 180 days of diagnosis. The analysis was stratified by tumor grade and stage and by age and comorbidity at diagnosis classified using the Charlson comorbidity index. Underlying causes of death were obtained from SEER.

resultsDuring the first 10 years after diagnosis, men with moderately and poorly differentiated prostate cancer were more likely to die from causes other than their disease. Depending on patient age, Gleason score, and number of comorbidities present at diagnosis, 5-year overall mortality rates for men with stage T1c disease ranged from 11.7% (95% CI, 10.2% to 13.1%) to 65.7% (95% CI, 55.9% to 70.1%), and prostate cancer-specific mortality rates ranged from 1.1% (95% CI, 0.0% to 2.7%) to 16.3% (95% CI, 13.8% to 19.4%). Ten-year overall mortality rates ranged from 28.8% (95% CI, 25.3% to 32.6%) to 94.3% (95% CI, 87.4% to 100%), and prostate cancer-specific mortality rates ranged from 2.0% (95% CI, 0.0% to 5.3%) to 27.5% (95% CI, 21.5% to 36.5%).

conclusionPatients and clinicians should consider using comorbidity-specific data to estimate the threat posed by newly diagnosed localized prostate cancer and the threat posed by competing medical hazards.

Indexed as

AgedAged, 80 and overAge FactorsCause of DeathCell DifferentiationComorbidityHumansMaleNeoplasm InvasivenessNeoplasm StagingPrognosisProstatic NeoplasmsRisk AssessmentRisk FactorsSEER ProgramTime Factors

Identifiers

PMID21357791
PMCPMC3084001
OpenAlexW2163098725

What OpenQuestion holds

Textmetadata
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.