Evidence map›Paper›PMID 27446803›Full record

ArticleFrontiers in oncology2016

Age and Prostate-Specific Antigen Level Prior to Diagnosis Predict Risk of Death from Prostate Cancer.

F Roy MacKintosh, Preston C Sprenkle, Louise C Walter, Lori Rawson, R Jeffrey Karnes, Christopher H Morrell, Michael W Kattan, Cayce B Nawaf, Thomas B Neville

Abstract read
In one paragraph

Article in Frontiers in oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

  1. Review
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  4. Review
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  6. Article
  7. Increasing aggressive prostate cancer.The Canadian journal of urology · 2022
    Article
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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

9 authors.

F Roy MacKintoshVA Sierra Nevada Health Care System , Reno, NV , USA.
Preston C SprenkleVA Connecticut Healthcare System, Yale School of Medicine , New Haven, CT , USA.
Louise C WalterDivision of Geriatrics, San Francisco VA Medical Center, University of California San Francisco , San Francisco, CA , USA.
Lori RawsonVA Sierra Nevada Health Care System , Reno, NV , USA.
R Jeffrey KarnesMayo Clinic , Rochester, MN , USA.
Christopher H MorrellLoyola University Maryland , Baltimore, MD , USA.
Michael W KattanDepartment of Quantitative Health Sciences, Cleveland Clinic , Cleveland, OH , USA.
Cayce B NawafDepartment of Urology, Yale School of Medicine , New Haven, CT , USA.
Thomas B NevilleSoar BioDynamics, Inc. , Incline Village, NV , USA.

Funding

Midcareer Mentoring Award for Patient-Oriented Research in AgingK24AG041180 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WALTER, LOUISE C. · 2011 to 2016
$909k
NIA NIH HHS K24 AG041180
6 · The paper itself

Abstract

A single early prostate-specific antigen (PSA) level has been correlated with a higher likelihood of prostate cancer diagnosis and death in younger men. PSA testing in older men has been considered of limited utility. We evaluated prostate cancer death in relation to age and PSA level immediately prior to prostate cancer diagnosis. Using the Veterans Affairs database, we identified 230,081 men aged 50-89 years diagnosed with prostate cancer and at least one prior PSA test between 1999 and 2009. Prostate cancer-specific death over time was calculated for patients stratified by age group (e.g., 50-59 years, through 80-89 years) and PSA range at diagnosis (10 ranges) using Kaplan-Meier methods. Risk of 10-year prostate cancer mortality across age and PSA was compared using log-rank tests with a Bonferroni adjustment for multiple testing. 10.5% of men diagnosed with prostate cancer died of cancer during the 10-year study period (mean follow-up = 3.7 years). Higher PSA values prior to diagnosis predict a higher risk of death in all age groups (p < 0.0001). Within the same PSA range, older age groups are at increased risk for death from prostate cancer (p < 0.0001). For PSA of 7-10 ng/mL, cancer-specific death, 10 years after diagnosis, increased from 7% for age 50-59 years to 51% for age 80-89 years. Men older than 70 years are more likely to die of prostate cancer at any PSA level than younger men, suggesting prostate cancer remains a significant problem among older men (even those aged 80+) and deserves additional study.

Indexed as

death risklife expectancyolder menprostate cancerprostate-specific antigen

Identifiers

PMID27446803
PMCPMC4923265

What OpenQuestion holds

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Registered trials

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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.