Evidence map›Paper›PMID 25695483›Full record

ArticleBritish journal of cancer2015

A urine-based methylation signature for risk stratification within low-risk prostate cancer.

T A Jatkoe, R J Karnes, S J Freedland, Y Wang, A Le, J Baden

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in British journal of cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. [Liquid Biopsy Revolutionizes the Precise Management of Tumors Across the Entire Course: Current Situation and Future Prospects].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
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  5. Minimally invasive biomarkers in human and non-human primate evolutionary biology: Tools for understanding variation and adaptation.American journal of human biology : the official journal of the Human Biology Council · 2022
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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

6 authors at 3 institutions in 1 country.

T A JatkoeOrtho Clinical Diagnostics, 1001 US Route 202, Raritan, NJ 08869, USA.
R J KarnesDepartment of Urology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
S J Freedland1] Department of Surgery, Durham VA Medical Center, Durham, NC 27705, USA [2] Department of Surgery (Urology) and Pathology, Duke University Medical Center, DUMC 2626, Durham, NC 27710, USA.
Y WangOrtho Clinical Diagnostics, 1001 US Route 202, Raritan, NJ 08869, USA.
A LeOrtho Clinical Diagnostics, 1001 US Route 202, Raritan, NJ 08869, USA.
J BadenOrtho Clinical Diagnostics, 1001 US Route 202, Raritan, NJ 08869, USA.
Ortho Clinical Diagnostics (United States) · USDuke University · USWinnMed · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProstate cancer overdiagnosis and overtreatment represents a major problem. Many men with low-grade disease on biopsy are undergraded and they harbour high-grade disease at prostatectomy with no reliable way to identify these men. We used a novel urine-based 2-gene methylation test to identify prostate cancers with aggressive features.

methodsFollowing a proof of concept study in 100 post-radical prostatectomy tissue samples, urine samples were tested from 665 men at multiple U.S. centers undergoing prostate needle biopsy for elevated prostate-specific antigen (2-10 ng ml(-1)). A prediction model was then developed from a combination of clinical factors and the urine-based markers. It was then prospectively tested for accurate prediction of adverse disease (surgical Gleason score ⩾7 and/or a pathological stage ⩾T3a) using urine from a separate cohort of 96 men before radical prostatectomy.

resultsAmong pre-prostatectomy men with a biopsy Gleason score <7, 41% had adverse disease of which 100% were correctly identified by the test with a negative predictive value of 100% (95% confidence interval, 86-100%).

conclusionsThis urine-based test accurately identifies men with clinical low-risk disease who do not have adverse pathology in their prostates and would be excellent candidates for active surveillance.

Indexed as

DNA MethylationAdenomatous Polyposis Coli ProteinAdultAgedBiomarkers, TumorGlutathione TransferaseHumansMaleMiddle AgedModels, StatisticalNeoplasm GradingProstatectomyProstatic NeoplasmsRisk FactorsAdenomatous Polyposis Coli ProteinAPC protein, humanBiomarkers, Tumorglutathione S-transferase T1Glutathione Transferase

Identifiers

PMID25695483
PMCPMC4453961
OpenAlexW2004415362

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.