Evidence map›Paper›PMID 25207955›Full record

ArticleEpidemiology (Cambridge, Mass.)2014

Prostate cancer, prostate cancer death, and death from other causes, among men with metabolic aberrations.

Christel Häggström, Tanja Stocks, Gabriele Nagel, Jonas Manjer, Tone Bjørge, Göran Hallmans, Anders Engeland, Hanno Ulmer, Björn Lindkvist, Randi Selmer and 4 more

Abstract read
In one paragraph

Article in Epidemiology (Cambridge, Mass.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–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

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  18. Racial Differences in the Association Between Preoperative Serum Cholesterol and Prostate Cancer Recurrence: Results from the SEARCH Database.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2016
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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.

Christel HäggströmaDepartment of Surgical and Perioperative sciences, Urology and Andrology, Umeå University, Umeå, Sweden; bDepartment of Clinical Sciences in Malmö, Diabetes and Cardiovascular Diseases, Genetic Epidemiology, Lund University, Lund, Sweden; cInstitute of Epidemiology and Medical Biometry, Ulm University, Ulm, Germany; dAgency for Preventive and Social Medicine, Bregenz, Austria; eDepartment of Surgery, Skåne University Hospital, Lund University, Malmö, Sweden; fDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway; gNorwegian Institute of Public Health, Oslo/Bergen, Norway; hDepartment of Public Health and Clinical Medicine, Nutritional Research, Umeå University, Umeå, Sweden; iDepartment of Medical Statistics, Informatics and Health Economics, Innsbruck Medical University, Innsbruck, Austria; jInstitute of Population-based Cancer Research, The Cancer Registry of Norway, Oslo, Norway; and kDepartment of Radiation Sciences, Oncology, Umeå University, Umeå, Sweden.
Tanja Stocks
Gabriele Nagel
Jonas Manjer
Tone Bjørge
Göran Hallmans
Anders Engeland
Hanno Ulmer
Björn Lindkvist
Randi Selmer
Hans Concin
Steinar Tretli
Håkan Jonsson
Pär Stattin

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew previous studies of metabolic aberrations and prostate cancer risk have taken into account the fact that men with metabolic aberrations have an increased risk of death from causes other than prostate cancer. The aim of this study was to calculate, in a real-life scenario, the risk of prostate cancer diagnosis, prostate cancer death, and death from other causes.

methodsIn the Metabolic Syndrome and Cancer Project, prospective data on body mass index, blood pressure, glucose, cholesterol, and triglycerides were collected from 285,040 men. Risks of prostate cancer diagnosis, prostate cancer death, and death from other causes were calculated by use of competing risk analysis for men with normal (bottom 84%) and high (top 16%) levels of each factor, and a composite score.

resultsDuring a mean follow-up period of 12 years, 5,893 men were diagnosed with prostate cancer, 1,013 died of prostate cancer, and 26,328 died of other causes. After 1996, when prostate-specific antigen testing was introduced, men up to age 80 years with normal metabolic levels had 13% risk of prostate cancer, 2% risk of prostate cancer death, and 30% risk of death from other causes, whereas men with metabolic aberrations had corresponding risks of 11%, 2%, and 44%.

conclusionsIn contrast to recent studies using conventional survival analysis, in a real-world scenario taking risk of competing events into account, men with metabolic aberrations had lower risk of prostate cancer diagnosis, similar risk of prostate cancer death, and substantially higher risk of death from other causes compared with men who had normal metabolic levels.

Indexed as

AdultAgedAustriaBiomarkers, TumorBlood GlucoseBlood PressureBody Mass IndexCause of DeathCholesterolHumansMaleMiddle AgedNorwayProspective StudiesProstate-Specific AntigenProstatic NeoplasmsBiomarkers, TumorBlood GlucoseCholesterolProstate-Specific AntigenTriglycerides

Identifiers

PMID25207955
PMCPMC4222792

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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.