Evidence map›Paper›PMID 24712975›Full record

ArticleBJU international2014

Genetically adjusted prostate-specific antigen values may prevent delayed biopsies in African-American men.

Nicholas M Donin, Stacy Loeb, Phillip R Cooper, Kimberly A Roehl, Nikola A Baumann, William J Catalona, Brian T Helfand

Abstract readComparative Study
In one paragraph

Article in BJU international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Serum markers in prostate cancer detection.Current opinion in urology · 2015
    Review
  4. Review
  5. Prostate cancer: Genetic differences in PSA.Nature reviews. Urology · 2014
    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

7 authors.

Nicholas M DoninDepartment of Urology, New York University Langone Medical Center and Manhattan Veterans Affairs Medical Center, New York, NY, USA.
Stacy LoebDepartment of Urology, New York University Langone Medical Center and Manhattan Veterans Affairs Medical Center, New York, NY, USA.
Phillip R CooperDepartment of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Kimberly A RoehlDepartment of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Nikola A BaumannDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
William J CatalonaDepartment of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Brian T HelfandDivision of Urology, NorthShore University Healthcare System, Evanston, IL, USA.

Funding

Tumor Environment and Metastasis (TEAM) Research ProgramP30CA060553 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Daniela E Matei · 1993 to 2026
$153.9M
SUPPRESSIVE ROLE OF ANDROGEN RESPONSE GENE CALRETICULIN IN PROSTATE CANCERP50CA090386 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI CRAWFORD, SUSAN · 2001 to 2013
$25.1M
NCI NIH HHS P30 CA060553NCI NIH HHS P30 CA60553NCI NIH HHS P50 CA090386NCI NIH HHS P50CA90386-05S2
6 · The paper itself

Abstract

objectiveTo evaluate whether genetic correction using the genetic variants prostate-specific antigen (PSA)-single nucleotide polymorphisms (SNPs) could reduce potentially unnecessary and/or delayed biopsies in African-American men. SUBJECTS AND

methodsWe compared the genotypes of four PSA-SNPs between 964 Caucasian and 363 African-American men without known prostate cancer (PCa). We adjusted the PSA values based on an individual's PSA-SNP carrier status, and calculated the percentage of men that would meet commonly used PSA thresholds for biopsy (≥ 2.5 or ≥ 4.0 ng/mL) before and after genetic correction. Potentially unnecessary and delayed biopsies were defined as those men who were below and above the biopsy threshold after genetic correction, respectively.

resultsOverall, 349 (96.1%) and 354 (97.5%) African-American men had measured PSA levels <2.5 and <4.0 ng/mL. Genetic correction in African-American men did not avoid any potentially unnecessary biopsies, but resulted in a significant (P < 0.001) reduction in potentially delayed biopsies by 2.5% and 3.9%, based on the biopsy threshold level.

conclusionsThere are significant differences in the influence of the PSA-SNPs between African-American and Caucasian men without known PCa, as genetic correction resulted in an increased proportion of African-American men crossing the threshold for biopsy. These results raise the question of whether genetic differences in PSA might contribute to delayed PCa diagnosis in African-American men.

Indexed as

Unnecessary ProceduresAgedBlack or African AmericanDelayed DiagnosisEarly Detection of CancerEndoscopic Ultrasound-Guided Fine Needle AspirationGenotypeHumansMaleMiddle AgedPolymorphism, Single NucleotideProstate-Specific AntigenProstatic NeoplasmsWhite PeopleProstate-Specific AntigenAfrican-Americangenetic variantsprostate cancerPSAsingle nucleotide polymorphism

Identifiers

PMID24712975
PMCPMC4326233

What OpenQuestion holds

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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.