Evidence map›Paper›PMID 22417251›Full record

Trial reportThe New England journal of medicine2012

Prostate-cancer mortality at 11 years of follow-up.

Fritz H Schröder, Jonas Hugosson, Monique J Roobol, Teuvo L J Tammela, Stefano Ciatto, Vera Nelen, Maciej Kwiatkowski, Marcos Lujan, Hans Lilja, Marco Zappa and 20 more

Erratum issued 2 registry-linked trialsOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The New England journal of medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 2 registered trials, which are not on this map. Cited by 478 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
478citing papers in PubMed, 6 pooled it
175.3field-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.

NCT02825225 nacompletednot on this map

A Randomized Controlled Trial To Assess and Compare the Outcomes of 20-core Versus 12-core Prostate Biopsy

TypeinterventionalSponsorUniversity of Nove de JulhoRan2012 to 2016Enrolled750ConditionsProstate Cancer, Local Anesthesia, Prostate-Specific Antigen/Blood, Biopsy/MethodsArms20 core-biopsy fragments, Base and apex local anesthesia
NCT03633214 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Evaluation of An Online Intervention In Improving General Practitioners' Practice In Prostate Cancer Screening

TypeinterventionalSponsorUniversity of MalayaRan2018 to 2019Enrolled96ConditionsProstate Cancer ScreeningArmsOnline training module
3 · Its place in the literature

Who cites it

478 citing papers in PubMed, 6 syntheses or guidelines pooled it, 1,231 citations in OpenAlex.

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  12. Prostate-specific antigen testing and opportunistic prostate cancer screening: a cohort study in England, 1998-2017.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
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418 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

30 authors at 14 institutions in 10 countries.

Fritz H SchröderDepartment of Urology, Erasmus University Medical Center, Rotterdam, The Netherlands. secr.schroder@erasmusmc.nl
Jonas Hugosson
Monique J Roobol
Teuvo L J Tammela
Stefano Ciatto
Vera Nelen
Maciej Kwiatkowski
Marcos Lujan
Hans Lilja
Marco Zappa
Louis J Denis
Franz Recker
Alvaro Páez
Liisa Määttänen
Chris H Bangma
Gunnar Aus
Sigrid Carlsson
Arnauld Villers
Xavier Rebillard
Theodorus van der Kwast
Paula M Kujala
Bert G Blijenberg
Ulf-Hakan Stenman
Andreas Huber
Kimmo Taari
Matti Hakama
Sue M Moss
Harry J de Koning
Anssi Auvinen
ERSPC Investigators
Erasmus MC · NLKantonsspital Aarau · CHHelsinki University Hospital · FIIstituto per lo Studio e la Prevenzione Oncologica · ITTampere University · FIUniversity of Gothenburg · SECapio Lundby Sjukhus · SECentre Hospitalier Universitaire de Lille · FRFinnish Cancer Registry · FIHospital Universitario de Fuenlabrada · ESHospital Universitario Infanta Cristina · ESLund University · SEProvincial Institute for Hygiene · BEQueen Mary University of London · GB

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundSeveral trials evaluating the effect of prostate-specific antigen (PSA) testing on prostate-cancer mortality have shown conflicting results. We updated prostate-cancer mortality in the European Randomized Study of Screening for Prostate Cancer with 2 additional years of follow-up.

methodsThe study involved 182,160 men between the ages of 50 and 74 years at entry, with a predefined core age group of 162,388 men 55 to 69 years of age. The trial was conducted in eight European countries. Men who were randomly assigned to the screening group were offered PSA-based screening, whereas those in the control group were not offered such screening. The primary outcome was mortality from prostate cancer.

resultsAfter a median follow-up of 11 years in the core age group, the relative reduction in the risk of death from prostate cancer in the screening group was 21% (rate ratio, 0.79; 95% confidence interval [CI], 0.68 to 0.91; P=0.001), and 29% after adjustment for noncompliance. The absolute reduction in mortality in the screening group was 0.10 deaths per 1000 person-years or 1.07 deaths per 1000 men who underwent randomization. The rate ratio for death from prostate cancer during follow-up years 10 and 11 was 0.62 (95% CI, 0.45 to 0.85; P=0.003). To prevent one death from prostate cancer at 11 years of follow-up, 1055 men would need to be invited for screening and 37 cancers would need to be detected. There was no significant between-group difference in all-cause mortality.

conclusionsAnalyses after 2 additional years of follow-up consolidated our previous finding that PSA-based screening significantly reduced mortality from prostate cancer but did not affect all-cause mortality. (Current Controlled Trials number, ISRCTN49127736.).

Indexed as

Early Detection of CancerAgedAge FactorsCause of DeathFollow-Up StudiesHumansKaplan-Meier EstimateMaleMiddle AgedProstate-Specific AntigenProstatic NeoplasmsRiskProstate-Specific Antigen

Identifiers

PMID22417251
PMCPMC6027585
OpenAlexW2106058419

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.