Evidence map›Paper›PMID 25803284›Full record

ArticlePloS one2015

Hypertriglyceridemia is a potential preoperative predictor for biochemical recurrence after radical prostatectomy.

Minyong Kang, Chang Wook Jeong, Ja Hyeon Ku, Choel Kwak, Hyeon Hoe Kim

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Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

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7citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

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

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Minyong KangDepartment of Urology, Seoul National University Hospital, Seoul, Republic of Korea.
Chang Wook JeongDepartment of Urology, Seoul National University Hospital, Seoul, Republic of Korea.
Ja Hyeon KuDepartment of Urology, Seoul National University Hospital, Seoul, Republic of Korea.
Choel KwakDepartment of Urology, Seoul National University Hospital, Seoul, Republic of Korea.
Hyeon Hoe KimDepartment of Urology, Seoul National University Hospital, Seoul, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMany previous studies have suggested that the outcome of prostate cancer (PCa) may be closely related to abnormal lipid metabolism. Therefore, in this study, we evaluated the preoperative lipid profiles of patients with clinically localized prostate cancer (PCa) who underwent radical prostatectomy (RP), with particular emphasis on the relationship between these profiles and biochemical recurrence (BCR). PATIENTS AND

methodsWe evaluated 715 consecutive men with clinically localized PCa who underwent RP at our institution between January 2011 and December 2013. We defined hypertriglyceridemia as a fasting serum triglyceride (TG) level greater than 200 mg/dL. We used the Kaplan-Meier method to predict BCR-free survival and applied the log-rank test to determine the statistical significance between survival curves. Cox proportional hazard ratio (HR) models were used to identify the significant predictors of BCR according to clinicopathological variables.

resultsOf 663 patients who underwent RP for clinically localized PCa, 66 (10.0%) showed BCR during a median follow-up period of 21 months. Patients without BCR had higher levels of serum TG, and patients with hypertriglyceridemia were significantly more likely to achieve BCR-free survival in the Kaplan-Meier analysis (log-rank test, P = 0.009). In the multivariable analysis, the presence of hypertriglyceridemia (HR 0.22), pathologic Gleason score (≥ 8; HR 2.85), pathologic T stage (≥ pT3; HR 3.44), and a positive surgical margin (HR, 2.39) were still significant BCR predictors.

conclusionsWe found that preoperative hypertriglyceridemia was associated with a lower risk of BCR after RP in patients with clinically localized PCa. Our results could help to clarify the currently conflicting evidence on the relationship between serum lipid profiles, particularly the presence of hypertriglyceridemia, and the risk of BCR in PC a patients after surgery.

Indexed as

Preoperative PeriodBiomarkers, TumorHumansHypertriglyceridemiaKaplan-Meier EstimateMaleNeoplasm Recurrence, LocalProportional Hazards ModelsProstatectomyProstatic NeoplasmsStatistics, NonparametricBiomarkers, Tumor

Identifiers

PMID25803284
PMCPMC4372604

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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.