Evidence map›Paper›PMID 29381462›Full record

ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2018

Next-generation prostate cancer risk calculator for primary care physicians.

Robert K Nam, Raj Satkunavisam, Joseph L Chin, Jonathan Izawa, John Trachtenberg, Ricardo Rendon, David Bell, Rajiv Singal, Christopher Sherman, Linda Sugar and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Novel Metabolic Signatures of Prostate Cancer Revealed byDiagnostics (Basel, Switzerland) · 2021
    Article
  7. Review
  8. Article
  9. Review
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

12 authors at 7 institutions in 2 countries.

Robert K NamDivision of Urology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Raj SatkunavisamDivision of Urology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Joseph L ChinDivision of Urology, Western University, London, ON, Canada.
Jonathan IzawaDivision of Urology, Western University, London, ON, Canada.
John TrachtenbergDivision of Urology, Princess Margaret Hospital, University of Toronto, Toronto, ON, Canada.
Ricardo RendonDepartment of Urology, Dalhousie University, Halifax, NS, Canada.
David BellDepartment of Urology, Dalhousie University, Halifax, NS, Canada.
Rajiv SingalDivision of Urology, Michael Garron Hospital, Toronto, ON, Canada.
Christopher ShermanDepartment of Pathology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Linda SugarDepartment of Pathology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Kevin ChaginDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, United States.
Michael W KattanDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, United States.
Cleveland Clinic · USDalhousie University · CAHealth Sciences Centre · CASunnybrook Health Science Centre · CAWestern University · CAPrincess Margaret Cancer Centre · CAToronto East General Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCurrent prostate cancer risk calculators are limited in impact because only a probability of having prostate cancer is provided. We developed the next generation of prostate cancer risk calculator that incorporates life expectancy in order to better evaluate prostate cancer risk in context to a patient's age and comorbidity.

methodsWe combined two cohorts to develop the new risk calculator. The first was 5638 subjects who all underwent a prostate biopsy for prostate cancer detection. The second was 979 men diagnosed with prostate cancer with long-term survival data. Two regression models were used to create multivariable nomograms and an online prostate cancer risk calculator was developed.

resultsOf the 5638 patients who underwent a prostate biopsy, 629 (11%) were diagnosed with aggressive prostate cancer (Gleason Score 7[4+3] or more). Of the 979 patients who underwent treatment for prostate cancer, the 10-year overall survival (OS) was 49.6% (95% confidence interval [CI] 46.6-52.9). The first multivariable nomogram for cancer risk had a concordance index of 0.74 (95% CI 0.72, 0.76), and the second nomogram to predict survival had a concordance index of 0.71 (95% CI 0.69-0.72). The next-generation prostate cancer risk calculator was developed online and is available at: http://riskcalc.org/ProstateCA_Screen_Tool.

conclusionsWe have developed the next-generation prostate cancer risk calculator that incorporates a patient's life expectancy based on age and comorbidity. This approach will better evaluate prostate cancer risk. Future studies examining other populations will be needed for validation.

Identifiers

PMID29381462
PMCPMC5937391
OpenAlexW2772352243

What OpenQuestion holds

Textmetadata
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.