Evidence map›Paper›PMID 26678954›Full record

Trial reportThe Journal of urology2016

The Effect of Start and Stop Age at Screening on the Risk of Being Diagnosed with Prostate Cancer.

Rebecka Arnsrud Godtman, Sigrid Carlsson, Erik Holmberg, Johan Stranne, Jonas Hugosson

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of urology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Trial
  2. Age limit for familial prostate cancer screening.Caspian journal of internal medicine · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Prostate Cancer Screening.The Medical clinics of North America · 2018
    Review
  8. Prostate cancer screening-when to start and how to screen?Translational andrology and urology · 2018
    Review
  9. Stopping screening, when and how?Translational andrology and urology · 2018
    Review
  10. What's new in screening in 2015?Current opinion in urology · 2016
    Review
  11. Evidence-Based Versus Personalized Prostate Cancer Screening: Using Baseline Prostate-Specific Antigen Measurements to Individualize Screening.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016
    Article
  12. Prostate Cancer Screening in Brazil: a single center experience in the public health system.International braz j urol : official journal of the Brazilian Society of Urology
    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

5 authors.

Rebecka Arnsrud GodtmanDepartment of Urology, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Göteborg, Sahlgrenska University Hospital, Göteborg, Sweden. Electronic address: r.godtman@gmail.com.
Sigrid CarlssonDepartment of Urology, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Göteborg, Göteborg, Sweden; Department of Surgery (Urology Service), Memorial Sloan Kettering Cancer Center, New York, New York.
Erik HolmbergDepartment of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Göteborg, Göteborg, Sweden.
Johan StranneDepartment of Urology, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Göteborg, Sahlgrenska University Hospital, Göteborg, Sweden.
Jonas HugossonDepartment of Urology, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Göteborg, Göteborg, Sweden.

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

purposeWe investigated the effect of age and number of screens on the risk of prostate cancer diagnosis. MATERIALS AND

methodsSince 1995 the Göteborg randomized population based prostate cancer screening trial has invited men biennially for prostate specific antigen testing, until the upper age limit of 70 years. Men with a prostate specific antigen above the threshold of 2.5 ng/ml were recommended further evaluation including 10-core biopsy (sextant before 2009). The present study comprises 9,065 men born between 1930 and 1943 (1944 excluded due to different screening algorithm). Complete attendees were defined as men who accepted all screening invitations (maximum 3 to 9 invitations). The cumulative incidence of prostate cancer was calculated using standard methods.

resultsOf the 3,488 (38%) complete attendees 667 were diagnosed with prostate cancer (followup 1995 to June 30, 2014). At age 70 years there was no significant difference in prostate cancer risk among those who started screening at the age of 52 (9 screens), 55 (7 screens) or 60 (5 screens) years. However, the cumulative risk of prostate cancer diagnosis increased dramatically with age, and was 7.9% at age 60, 15% at age 65 and 21% at age 70 for men who had been screened 4 or more times.

conclusionsThere was no clear association between risk of prostate cancer and the number of screens. Starting screening at an early age appears to advance the time of prostate cancer diagnosis but does not seem to increase the risk of being diagnosed with the disease. Age at termination of screening is strongly associated with the risk of being diagnosed with prostate cancer.

Indexed as

RegistriesAgedBiopsyEarly Detection of CancerEuropeFollow-Up StudiesHumansIncidenceMagnetic Resonance ImagingMaleMass ScreeningMiddle AgedProstate-Specific AntigenProstatic NeoplasmsRetrospective StudiesRisk FactorsProstate-Specific Antigenmass screeningprostate-specific antigenprostatic neoplasmsrisk factors

Identifiers

PMID26678954
PMCPMC4948858

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.